当院について

Swallowish Clinic創設者の金沢英哲と申します．

私は，2002年に耳鼻咽喉科頭頸部外科医として研修を始めて間もない頃，舌癌術後の患者さんが手術は成功しても，術後の嚥下障害に苦しむことに活路を見出すことができず苦悩したとき，「摂食嚥下リハビリテーション」というチーム医療によって活路を見いだせることに希望を持ちました．後期研修医時代にリハビリテーション診療科で研修をうけ，併行して嚥下障害のみならず音声障害の外科的治療（生活の質を向上させる機能外科）も深く学びました．誰よりも低侵襲であり，患者さんが末永く恩恵に預かれる手術であるよう精進し，独自の術式も考案しています．

その後摂食嚥下リハビリテーションを専門とするリハビリテーション病院で9年間ほど勤め，数多くの重度障害の方を全国からお迎えして，全力を尽くして参りました．そのなかで「治療を受けたいが全身状態が不安定，遠隔地である」といった事情で来院できない，または受診待機中にお亡くなりになってしまう方を垣間見るようになりました．

また，摂食嚥下障害を抱える方のなかには，しっかりと意思疎通がとれて訓練や治療に耐えられる方もいれば，そうでない方もいます．例えば，＊認知機能が低下していて「訓練で障害を乗り越える」ことは困難と思われる（またはご本人がそう意思表示する）方，＊入院生活だけは絶対に嫌だと固辞する方，＊病院での長期療養（医療介護）が必要な全身状態不安定の方，＊持病による人生の最終段階の方，など「口から食べることが困難」とされた多様な方々に対して，私自身が待っている場に患者さんから都合を合わせてもらうのではなく，私自身が縦横無尽に移動して患者さんの馴染む場所で最善の医療を尽くしたい，と考えるに至りました．

そこで当院を開設しました．複数の医療機関，在宅診療所，訪問歯科医院，訪問看護ステーション，ヘルスケア企業等にて従事・顧問をする傍ら，週末を中心に日本全国への往診と近隣アジア諸国を主な医療圏として従事させていただいております．

Swallowishとは，創設者金沢が考案した造語です．Swallow：燕，嚥下する，Wish：希望

重い嚥下障害を抱えている方に，口から食べるという希望を叶えて差し上げたい，という意味が込められています．

医師紹介

金沢英哲（かなざわひであき）

Mr. KANAZAWA Hideaki

【現職】

＊Swallowish Clinic　院長

＊聖隷クリストファー大学　臨床教授

【資格等】

日本耳鼻咽喉科学会：専門医

日本嚥下医学会：嚥下相談医

日本摂食嚥下リハビリテーション学会：認定士

日本喉頭科学会：甲状軟骨形成手術実施認定医

日本臨床倫理学会：上級臨床倫理認定士

厚労省：音声言語機能等判定医師

厚労省：義肢装具等適合判定医師

Total Nutritional Therapy修了　他

【役職等】

日本嚥下医学会：評議員

日本摂食嚥下リハビリテーション学会：評議員

日本臨床倫理学会：評議員

日本嚥下障害臨床研究会：世話人

NPO Patient Doctors Network：編集委員

NPO 口から食べる幸せを守る会：理事補佐

NPO Blossom For All：理事

NPO 台灣健康關愛發展協會：名誉顧問(中華民國)　他

【略歴】

2002　　　 獨協医科大学医学部卒業

2002-2010　自治医科大学耳鼻咽喉科学教室

2004　　　 聖隷三方原病院ﾘﾊﾋﾞﾘﾃｰｼｮﾝ診療科

2007-2008　一色ｸﾘﾆｯｸ形成外科・耳鼻咽喉科

　　　　　　　＊京都ﾎﾞｲｽｻｰｼﾞｾﾝﾀｰ

2008-2010　小山市民病院耳鼻咽喉科

2010-2011　大原綜合病院耳鼻咽喉科頭頸部顔面外科

2010-2017　金沢耳鼻咽喉科医院

2011-2020　浜松市ﾘﾊﾋﾞﾘﾃｰｼｮﾝ病院ﾘﾊﾋﾞﾘﾃｰｼｮﾝ科

　　　　　　　＊えんげと声のｾﾝﾀｰ：副ｾﾝﾀｰ長

2017-現在　Swallowish株式会社　設立，代表取締役

2018-現在　Swallowish Clinic　開設，院長

2023-現在　聖隷ｸﾘｽﾄﾌｧｰ大学　臨床教授

I am KANAZAWA Hideaki, the founder of Swallowish Clinic.

When I began my training as an otolaryngologist and head-neck surgeon in 2002. Despite successful surgeries, patients recovering from tongue cancer still struggled with post-operative swallowing disorders. It was during this time that I found hope in the concept of "swallowing rehabilitation," a team-based medical approach. During my later residency years, I undertook training in the field of rehabilitation medicine. I delved deeply into surgical treatments for swallowing and voice disorders, aiming to improve patient's quality of life. With a commitment to minimally invasive procedures that ensure long-lasting benefits for patients, I have also developed unique surgical techniques.

Subsequently, I spent around nine years working at a rehabilitation hospital specialising in swallowing rehabilitation, where I wholeheartedly welcomed individuals with severe disabilities from across the nation. Through this experience, I witnessed cases where patients desired treatment but were unable to visit due to unstable overall health or remote locations, or even passed away while awaiting treatment.

Among those individuals grappling with swallowing disorders, there are those who can effectively communicate and endure training and treatment and those who cannot. For instance, some individuals exhibit diminished cognitive function, making it difficult (or explicitly expressing their inability) to overcome the challenges through training. Others decline extended hospital stays or require prolonged medical care due to unstable overall health. There are also those in the final stages of life due to chronic illnesses. Embracing this diversity of individuals labelled as facing difficulty in "eating through the mouth," I have realised that rather than asking patients to adapt to my schedule, I must traverse their world comprehensively to provide optimal medical care in the places they are familiar with.

In light of these considerations, I established our clinic. Alongside my roles as an advisor and practitioner at various medical institutions, mobile dental clinics, home care nursing stations, and healthcare companies, I dedicate myself to offering medical care primarily during weekday evenings and weekends, both across Japan and neighbouring Asian countries.

The term "Swallowish" is a neologism coined by Dr. Kanazawa. "Swallow" denotes the act of swallowing, while "Wish" represents hope. This term encapsulates my intention to grant the hope of eating through the mouth to individuals burdened by severe swallowing disorders.

【Experience】

2023-RN:　Seirei Christopher University, Clinical Professor

2018-RN:　Swallowish Clinic, Founder & Director

2017-RN:　Swallowish Inc., Founder & CEO

2011-2020: Hamamatsu Rehabilitation Hosp, Dept of Rehab

　　　　　　Swallowing & Voice Center, Deputy Director

2010-2017: Kanazawa ENT Clinic, Deputy Director

2010-2011: Ohara General Hosp, Dept of ENT

2008-2010: Oyama Municipal Hosp, Dept of ENT

2007-2008: Isshiki Clinic-Kyoto Voice Surgery Center

2004:　　　Seirei Mikatahara General Hosp, Dept of Rehab

2002-2010: Jichi Medical University, Dept of ENT

2002:　　　Graduated from Dokkyo Medical University

【Certifications】

2020: B.C. Clinical Ethics Executive Adviser

　　　B.C. Consulting Doctor for Dysphagia

2019: B.C. The operator of the Type Ⅱ Thyroplasty

2017: B.C. CPAP Therapy

2016: B.C. Clinical Ethics Adviser

2011: National Certified Prosthetics and Orthotics

2010: B.C. Specialist of the Japanese Society of Dysphagia Rehabilitation

2007: B.C. Otorhinolaryngologist

2006: National Certified Logopedics and Phoniatrics

2005: B.C. Total Nutritional Therapy

2002: National Certified Medical Licensure

【Professional Membership】

Councillor: The Society of Swallowing and Dysphagia of Japan

Councillor: The Japanese Rehabilitation Society of Dysphagia

Councillor: The Japan Association for Clinical Ethics

Councillor: The Society of Japanese Clinical Dysphagia Research

Editorial Board: NPO Patient Doctors Network

Assistant Director: NPO KTSM

Director: NPO Blossom For All

Honorary Advisor: NPO Taiwan Health Keeper Development Association

Recent Publications

Recent Articles

Recent Web Articles

 Presentation at International Conferences & Meetings

ーーーーー　Upcoming　ーーーーー

◆Jun. 2024　6th Asian Congress of Medical and Care Facilities (Busan, KOR):【Invited Speaker】

・The Current State and Future Outlook of The Integrated Community Care System

　http://www.aamcf.org/e/index.html

ーーーーー　History　ーーーーー

◆Nov. 2023　1st Asian Dysphagia Society (Suwon, KOR): 【Oral Presenter】

・A Novel Service for Severe Dysphagia: Home Visit-based Second Opinion and Swallowing Function Evaluation

　https://www.ads2023.or.kr

◆Sep. 2023　29th Japanese Society of Dysphagia Rehabilitation (JPN): 【Invited Speaker】

・How is the indication for surgery determined with severe dysphagia

　https://www.mediproduce.com/jsdr29/

◆Aug. 2023　 國立臺灣大學附設醫院(National Taiwan University) (Taipei, TW): 【Invited Speaker】

・Functional Surgeries for Dysphagia

◆Aug. 2023　3rd Taiwan Association of Dysphagia (Taipei, TW): 【Invited Speaker】

・Rehabilitation for dysphagia after oropharyngeal cancer treatment

◆Aug. 2023　臺北榮民總醫院(Taipei Veterans General Hospital) (Taipei, TW):

・(A Cace Conference)

◆Mar. 2023　1st International Symposium on Dysphagia and Interdisciplinary Care (Kaohsiung, TW): 【Invited Speaker】

・Pitfalls & Tips for Success in VE

◆Mar. 2023　高雄醫科大學(Kaohsiung Medical University) (Kaohsiung, TW): 【Invited Speaker】

・Pitfalls & Tips for Success in VF

◆Dec. 2022　台灣高齡產業創新發展協會(Taiwan Aging Industry Innovation Development Association) (Taipei, TW):

・A case of Dysphagia using KTBC

◆Dec. 2022　高雄市立小港醫院(Kaohsiung Municipal Siaogang Hospital) (Kaohsiung, TW):

・How to deal with withdrawal from NG tube feeding

◆Dec. 2022　臺北市立萬芳醫院(Taipei Municipal Wanfang Hospital) (Taipei, TW):

・Functional Surgeries for Dysphagia

◆Nov. 2021　JSDR sponsored 3rd non-frying faculty on the web for Thailand (Web): 【Invited Speaker】

・Swallowing Treatment Head & Neck Cancer

・Surgical reconstruction, Medical Management

◆Aug. 2021　2nd World Dysphagia Summit Pre-congress Workshop (JPN): 【Invited Instructor】

・VE

・VF

◆Mar. 2021　JSDR sponsored 2nd non-flying faculty on the web for Indonesia (Web): 【Invited Speaker】

・Swallowing Treatment Head & Neck Cancer

・Surgical reconstruction, Medical Management

◆Sep. 2019　第十一届营养与成功老齢化学术大会 (Shanghai, CN): 【Inivited Speaker】

・日本吞咽障碍营养康复技术

◆Sep. 2019　上海永慈康复医院(Shanghai Yongci Rehabilitation Hospital) (Shanghai, CN): 【Invited Speaker】

・A Point of Viewing Swallowing Rehab

◆Sep. 2019　第一屆台日吞嚥障礙治療暨營養照護學術研討會 (Taipei, TW): 【Invited Speaker】

・VE findings and strategy

◆Sep. 2019　長照發展暨吞嚥與營養國際研討會 (Taipei, TW): 【Invited Speaker】

・Strategic thinking about Dysphagia

◆Aug. 2019　中国康复医学会吞咽障碍康复专业委员会第二届年会 (Kunming, CN): 【Invited Speaker】

・Perspectives and Practices of Dysphagia

◆Apr. 2019　Asia Association for Disability and Oral Health (Kaohsiung, TW): 【Invited Speaker】

・VE findings and making strategies for dysphagia

◆Mar. 2019　Dysphagia Seminar in Shanghai (Shanghai, CN): 【Invited Speaker】

・神经科患者摄食吞咽障碍的评价与治疗

◆Dec. 2018　高雄醫學大學(Kaohsiung Medical University) (Kaohsiung, TW): 【Invited Speaker】

・Strategic thinking about Dysphagia

・Strategic thinking and practice in chronic dysphagia patients

◆Aug. 2018　96th Japan Gastroenterological Endoscopy Society (JPN): 【Invited Speaker】

・What should we do with Dysphagia in Super-aging Society

◆Sep. 2017　23rd Japanese Society of Dysphagia Rehabilitation (JPN): 【Oral Presenter】

・Surgical indications of aspiration prevention surgery in Multiple System Atrophy

◆Mar. 2017　10th Manchester Phonosurgery & Neurolaryngology Dissection Course (Manchester, UK): 【Invited Instructor】

◆Mar. 2017　3rd Manchester Dysphagia, Transnasal Oesophagoscopy & Balloon Dilatation Course (Manchester, UK): 【Invited Speaker】

・Glottic Closure Procedure Combined with Bilateral Cricopharyngeal Myotomy at the CP Muscle Base

・Tubed Epiglottoplasty for Life-Threatening Aspiration

◆Sep. 2016　22nd Japanese Society of Dysphagia Rehabilitation (JPN): 【Oral Presenter】

・What's the ideal technique for aspiration prevention surgery in elderly patients?

◆Mar. 2015　Dysphagia Research Society (Chicago, US): 【Invited Speaker】

・Tubed Epiglottoplasty for Life-Threatening Aspiration