{'fraction_non_alphanumeric': 0.015950256826169237, 'fraction_numerical': 0.001892403352257367, 'mean_word_length': 5.0064935064935066, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Frontier medical sciences versus geriatrics

The Ministry of Health, Labor and Welfare of Japan has been changing medical system very rapidly with limitations on hospital stays of 2 weeks, emergency department preparedness, decreases in hospitals for long-term medical treatment and cutting medical costs. Doctors in hospitals have to care only for acute patients and are forced to increase the turnover of beds in order to increase the income of the hospital. Veteran doctors claim it is hard work to keep a high turnover of beds and increased night duty for emergency patients and some of them are leaving hospitals due to burnout. New training systems for postgraduate doctors accelerated the uneven distribution of young doctors among all hospitals in Japan, which also accelerated the work of veteran doctors. It is quite efficient to discharge patients immediately after curing the disease but doctors complain of a loss of accomplishment because of the unknown prognosis of the patients. After discharge from the hospital, most young patients can rapidly recover their daily activity but most older patients are far below their former daily activity before they got sick because of multi-organ diseases. Older patients, after discharge from the hospital, are taken care of by outpatient departments, rehabilitation departments or the disease becomes chronic. Medical fees for older patients have been increasing year by year and more than 50% of medical fees are now incurred by older patients. Medical expenses in older patients are five-times higher than those of young patients. In order to keep a wholesome balance of finances, the most troubling issues should be analyzed and solved in all areas, including medical area. The medical system in Japan is specialized according to organ unit. In each specific organ unit, the frontier of medical science has been investigated and applied to patients, even those with a rare disease. However, for older patients the organ-oriented specialists are losing their fight because most older people suffer multiorgan diseases. When the specialists fix a single organ disease, older patients still suffer from other organ diseases and it is difficult to cure the whole body, repeating diseases and patients finally cannot return to homes due to frailty. However, because more than 50% of medical fees are spent on those older patients, we cannot ignore the vague multifactorial older patients. The Ministry of Health, Labor and Welfare of Japan is making an effort to keep a healthy life and ideal end of life in older people as well as minimizing financial expenses. The most troubling issue in medical problems in Japan is geriatric medicine. Geriatric medicine is thought to be inefficient because it is hard to cure the diseases, close to frailty and close to end of life. Therefore, geriatric medicine is thought to be far from the frontier of medical science. Some organ-oriented specialists wonder whether geriatric medicine is needed in medicine and if care systems should care for geriatric patients. However, the organ-oriented specialists tend to ignore this unfavorable and troubling issue and seem to give up in order to keep a wholesome financial balance in medicine. Because more than 50% of medical expenses are spent on older patients, the medical expense issue cannot be solved unless the most problematic issue has been fixed. Unfortunately, in order to keep a financial balance, the Ministry of Health, Labor and Welfare of Japan selected to decrease medical fees for older patients instead of fixing geriatric problems. Furthermore, even the medical profession seems to have chosen to leave geriatric problems to the care system.