Index

Medical Consultation

Dr. Akashi as a General Practitioner attends to pediatric and adult medical problems, minor surgical problems,routine prenatal checkups and gynecological problems. Referrals to specialists and hospitals can be made as appropriate. The Clinic is equipped with an X-ray machine, electrocardiogram, pulse oximeter, spirometer, audiogram, ultra-sonogram, fetal doppler and upper gastrointestinal fiberscope. Holter monitoring can be done at the Clinic as well. Most laboratory tests are sent out to the reference laboratory. Venipunctures are done at the Clinic. Most of the medications are dispensed at the Clinic. Your outside prescription may also be filled by our Doctor with appointment. Medicines such as Propecia (finasteride) used for androgenic alopecia (male hair loss); and Cialis (Tadalafil) and Viagra (Sildenafil Citrate) treatment for erectile dysfunction (ED) are available. Malaria prophylactics are also available.

Dental Consultation

Dr. Ryo Yamada has broad clinical experience in variety of settings and has undergone special training in oral surgery, cosmetic dentistry, prosthetic dentistry and implant dentistry. He also regularly attends seminars in the USA to keep up with best practice in dentistry. Dr. Yamada is a fluent English speaker and is well placed to explain the procedures he is carrying out. Services include the following.
  • Routine dental check ups.
  • Teeth cleaning.
  • Bleaching.
  • Caries treatment (Fillings, Crowns and Bridges).
  • Cosmetic Dentistry.
  • Dental implants.
  • Dental and oral traumatology.
  • Dentures.
  • Extractions.
  • Night guards and Sport guards.
  • Oral surgery.
  • Root canal therapy.
For more information regarding your specific needs or treatment, please call us to inquire.

Physical Examinations

The Clinic offers comprehensive general physical examination for adults and routine physical examination for children. We regularly carry out Visa physical examinations for many countries including for China and Russia. The Clinic provides physical examinations for companies in both English and Japanese. Many foreign companies operating in Yokohama and Tokyo refer their employees to the Clinic. School and University entrance physical examinations for both local and foreign institutions are also available in English and Japanese. Life insurance physicals for European and American companies are also given.

Immunization

The Clinic offers routine childhood immunizations according to the guidelines of the respective country of origin of the patient as desired. Various vaccinations for travelers are available as well. The Clinic offers the following vaccinations:
  1. 01 – BCG
  2. 02 – Cervarix bivalent human papillomavirus (types 16, 18) recombinant vaccine
  3. 03 – DTaP (diphtheria-tetanus-acellular pertussis)04 – Gardasil quadrivalent human papillomavirus (types 6, 11, 16, 18) recombinant vaccine
  4. 05 – Hemophilus Influenza B vaccine (Hib)
  5. 06 – Hepatitis A vaccine
  6. 07 – Hepatitis B vaccine
  7. 08 – Inactivated polio vaccine (IPV)
  8. 09 – Infanrix Hexa (combined DTaP-Hib-IPV-Hep B vaccine)
  9. 10 – Infanrix Quinta (combined DTaP-Hib-IPV vaccine)
  10. 11 – Japanese B-Encephalitis vaccine
  11. 12 – Measles vaccine
  12. 13 – Meningococcal conjugate vaccine (MCV4) Menactra
  13. 14 – MMR (combined Measles-Mumps-Rubella vaccine)
  14. 15 – MR (combined Measles-Rubella vaccine)
  1. 16 – Mumps vaccine
  2. 17 – Neis Vac C (Meningitis C vaccine)
  3. 18 – Pneumovax vaccine
  4. 19 – Prevnar 13 (PCV13)
  5. 20 – Rotarix (Rotavirus vaccine)
  6. 21 – Rubella vaccine
  7. 22 – Tdap (tetanus, reduced diphtheria, acellular pertussis vaccine)
  8. 23 – Tetanus
  9. 24 – Tetanus-diphtheria
  10. 25 – Twinrix (combined Hepatitis A and B vaccine)
  11. 26 – Typhoid vaccine
  12. 27 – Varicella (chickenpox) vaccine
  13. 28 – Cholera vaccine*
  14. 29 – Rabies vaccine (Rabipur)*
  15. 30 – Influenza (flu) vaccine **
*Cholera and Rabies vaccines may not be in stock at all times. Prior notification and reservation are necessary. **Influenza vaccine will be available from October through February each year. Please check the CDC’s list of immunization schedule for children from birth to 18 years HERE.

Physical Therapy

American trained physical therapist, Peggy Zee, offers her services at the Bluff Clinic. Appointments are required. Peggy Zee, PT licensed in California, is a graduate of Northwestern University Physical Therapy (NUPT) Program. She has experience in:
  • Musculoskeletal issues: Low back pain, neck pain/whiplash injury, shoulder pain/rotator cuff injury, and other sports related injuries such as elbow tendinitis and sprained ankle. shape Prenatal and postnatal exercises for pain management during and after pregnancy.
  • Postural training and scoliosis screening.
  • Occupational health and work place consultation.
  • Pediatric concerns for babies, toddlers and children: pre-term babies, gross motor developmental delays, developmental coordination disorder. Physical therapy for special needs children, include children with cerebral palsy,Down Syndrome, sensory integrative disorder and autisim.
  • Rehabilitation: multiple sclerosis(MS), Parkinson’s Disease and stroke and spinal cord injury.
  • Peggy Zee is an active member of American Physical Therapy Association (APTA) with membership in Orthopedics & Pediatrics section, and an active member of World Confederation of Physical Therapy (WCPT).
Peggy Zee was previously the school Physical Therapist at Tokyo International Learning Community (TILC), a school in Tokyo,Japan serving expatriate children with special needs.

Counselling

American trained Ron Shumsky Psy., D., Licensed Clinical Psychologist sees clients by appointment at the Bluff Clinic. www.drronshumsky.com and email : ron@drronshumskycom
  • Services
    • Individual and Family Psychotherapy
    • Learning and Development Evaluation
    • Attention Coaching
    • School Consultation
  • Background
    • Author,”The Survival Guide for Student Success: Use your Brain’s Built-In Apps to Sharpent Attention, Battle Boredom, and Build Mental Muscle”(Free Spirit Publishing,2014) Book for middle-schoolers on how attention works and how to work it.
    • Licensed in Psychology, State of Connecticut since 1990
    • Psychology Practice at the Bluff Clinic and Consulting Pscyhologist for Tokyo International Learning Community since 1993
    • Formerly Associate Director of Psychiatric Patrtial Hospitalization Services, Hartford Hospital, Hartford CT
    • Formerly in Private Practice in Psychology, Avon CT
  • Education
    • Boston North Shore Children’s Hospital, Post-Doctoral Fellow in Developmental Neuropsychology
    • Rutgers University, Doctorate in Clinical Psychology
    • Columbia University, Master’s in Organizational Psychology
    • Cornell University, Bachelor’s in Industrial Psychology

Yokohama City Subsidized Immunizations

The following immunizations are given free of charge at the Clinic using coupons subsidized by Yokohama City depending on the age of children/adult. Please check with your nearest health center or ward office.
  • BCG
  • DPT
  • DPT+IPV
  • DT
  • Hib (hemophilus influenza b vaccine)
  • HPV (human papilloma virus vaccine): HPV2 and HPV4
  • IPV (Inactivated polio vaccine)
  • Japanese B-Encephalitis
  • Measles
  • Measles-Rubella combined vaccine (MR)
  • PCV13 (pneumococcal conjugate vaccine)
  • Rubella
  • Varicella
  • Pneumovax

Yokohama City Subsidized Checkups

Residents of Yokohama City are eligible to receive various checkups which are subsidized by Yokohama City. The following checkups are available at the Clinic:
  • Baby Checkups 0-12 months old (3 checkups before the age of 13 months)
  • Adult Physical Checkups age 40 to 74 (Japanese National Health Insurance Holders)
  • Senior Physical Checkups over age 75-FREE (Japanese National Health Insurance Holders)
  • Prenatal Checkup for pregnant women residing in Yokohama.
  • Prenatal Dental Checkup for pregnant women residing in Yokohama. FREE
  • Colon Cancer Screening over age 40-69(Yen 600) FREE over age 70
  • Prostate Screening for Men ages 50-69 (Yen 1,000) FREE over age 70
  • Breast Cancer Screening for Women ages 40 to 69 (Yen 690) FREE over age 70(only clinical breast exam is available. Referrals can be made for mammogram.)

Insurances

Japanese Insurances

Both Japanese National and Social Health Insurance are accepted.

Private Insurances

Invoices for foreign private patients are issued in English and we will also sign your foreign private insurance claim forms.

Direct-billing Services

To be eligible for direct-billing services, please contact your insurance company for a guarantee letter of payment that will cover at 100% of all fees with no deductible or co-payment. This letter must be faxed prior to your appointment time. Emailed letter is not acceptable. Our fax number is (+81) 045-641-6962.

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