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．

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

Director: 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