{"id":9284,"date":"2023-03-06T18:32:28","date_gmt":"2023-03-06T09:32:28","guid":{"rendered":"https:\/\/cardiovascularcenter.luke.ac.jp\/treatments\/sdm\/"},"modified":"2025-04-03T13:56:36","modified_gmt":"2025-04-03T04:56:36","slug":"sdm","status":"publish","type":"page","link":"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/treatments\/sdm\/","title":{"rendered":"SDM Outpatient Clinic: Understanding Your Condition and Considering Treatment Together"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"9284\" class=\"elementor elementor-9284 elementor-3967\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-983a35f elementor-section-full_width elementor-section-height-min-height elementor-section-height-default elementor-section-items-middle\" data-id=\"983a35f\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-78ef78cc\" data-id=\"78ef78cc\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-447a153f uael-heading-align-center elementor-widget elementor-widget-uael-advanced-heading\" data-id=\"447a153f\" data-element_type=\"widget\" data-widget_type=\"uael-advanced-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n\t\t<div class=\"uael-module-content uael-heading-wrapper\">\n\t\t\t\t\t\t\n\t\t\t<h1 class=\"uael-heading\">\n\t\t\t\t\t\t\t\t\t\t<span class=\"uael-heading-text elementor-inline-editing uael-size--default\" data-elementor-setting-key=\"heading_title\" data-elementor-inline-editing-toolbar=\"basic\">SDM Outpatient Clinic - Understanding Your Condition and Considering Treatment Together<\/span>\n\t\t\t\t\t\t\t<\/h1>\n\n\t\t\t\n\t\t\t\n\t\t\t\t\t\t\t<div class=\"uael-subheading elementor-inline-editing\" data-elementor-setting-key=\"heading_description\" data-elementor-inline-editing-toolbar=\"advanced\" >\n\t\t\t\t\t<font size=\"5\">An outpatient clinic where you can take time to consult about optimal cardiac treatments and examinations tailored to each individual.<\/font>\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2cf94762 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2cf94762\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4d548830\" data-id=\"4d548830\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4eb82583 elementor-align-left elementor-widget elementor-widget-breadcrumbs\" data-id=\"4eb82583\" data-element_type=\"widget\" data-widget_type=\"breadcrumbs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<span id=\"breadcrumbs\"><span><span><a href=\"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/\">Home<\/a><\/span><\/span><\/span>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1349708d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1349708d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-77cb9b6e elementor-hidden-mobile\" data-id=\"77cb9b6e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2c451852 elementor-nav-menu__text-align-aside elementor-widget elementor-widget-nav-menu\" data-id=\"2c451852\" data-element_type=\"widget\" data-settings=\"{&quot;layout&quot;:&quot;dropdown&quot;,&quot;submenu_icon&quot;:{&quot;value&quot;:&quot;&lt;i class=\\&quot;\\&quot;&gt;&lt;\\\/i&gt;&quot;,&quot;library&quot;:&quot;&quot;},&quot;sticky&quot;:&quot;top&quot;,&quot;sticky_on&quot;:[&quot;desktop&quot;,&quot;laptop&quot;],&quot;sticky_offset&quot;:150,&quot;sticky_parent&quot;:&quot;yes&quot;,&quot;sticky_effects_offset&quot;:0,&quot;sticky_anchor_link_offset&quot;:0}\" data-widget_type=\"nav-menu.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<nav class=\"elementor-nav-menu--dropdown elementor-nav-menu__container\" aria-hidden=\"true\">\n\t\t\t\t<ul id=\"menu-2-2c451852\" class=\"elementor-nav-menu\"><li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-9444\"><a href=\"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/overview\/\" class=\"elementor-item\" tabindex=\"-1\">About<\/a><\/li>\n<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-9445\"><a href=\"\/en\/treatments\" class=\"elementor-item\" tabindex=\"-1\">Medical Services<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-9446\"><a href=\"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/staff\/\" class=\"elementor-item\" tabindex=\"-1\">Our Team<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-9447\"><a href=\"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/outpatient_service\/\" class=\"elementor-item\" tabindex=\"-1\">Outpatient Schedule<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-9448\"><a href=\"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/consultation\/\" class=\"elementor-item\" tabindex=\"-1\">Consultations<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-9449\"><a href=\"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/treatments\/sdm\/\" class=\"elementor-item\" tabindex=\"-1\">SDM Clinic<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-9450\"><a href=\"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/frequently_asked_questions\/\" class=\"elementor-item\" tabindex=\"-1\">FAQ<\/a><\/li>\n<li class=\"menu-item wpml-ls-slot-17 wpml-ls-item wpml-ls-item-ja wpml-ls-menu-item wpml-ls-first-item wpml-ls-last-item menu-item-type-wpml_ls_menu_item menu-item-object-wpml_ls_menu_item menu-item-wpml-ls-17-ja\"><a href=\"https:\/\/cardiovascularcenter.luke.ac.jp\/\" title=\"Switch to \u65e5\u672c\u8a9e\" aria-label=\"Switch to \u65e5\u672c\u8a9e\" role=\"menuitem\" class=\"elementor-item\" tabindex=\"-1\"><span class=\"wpml-ls-native\" lang=\"ja\">\u65e5\u672c\u8a9e<\/span><\/a><\/li>\n<\/ul>\t\t\t<\/nav>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-155ed89\" data-id=\"155ed89\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5442649 elementor-widget elementor-widget-heading\" data-id=\"5442649\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\"><font size=\"5\"><b>The importance of 'deciding your own treatment' is gaining attention in cardiovascular disease treatment.<\/b><\/font><\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2098d43a elementor-widget elementor-widget-text-editor\" data-id=\"2098d43a\" data-element_type=\"widget\" data-settings=\"{&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;motion_fx_devices&quot;:[&quot;desktop&quot;,&quot;laptop&quot;,&quot;tablet&quot;,&quot;mobile&quot;]}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Traditionally, it was common to simply accept the treatment proposed by the doctor. However, many patients have questions like &#8216;Aren&#8217;t there other treatment options?&#8217; but find it difficult to ask their doctor. Also, even if they want to consult about their illness or treatment options, it can be challenging to find the right person to talk to.<br>Particularly in cardiovascular disease treatment, there are various options such as &#8216;surgery&#8217;, &#8216;catheter treatment&#8217;, &#8216;drug therapy&#8217;, and &#8216;device therapy like pacemakers&#8217;. These treatments vary depending on each patient&#8217;s condition and values, so there is no &#8216;one-size-fits-all&#8217; solution.<\/p><p>Our center&#8217;s <span style=\"color: #000000;\"><strong>SDM (Shared Decision Making) Outpatient Clinic<\/strong><\/span> is a service where patients with heart and vascular diseases can spend time with doctors to deepen their understanding of their condition and consult on satisfactory treatment options. We provide support to help patients find <strong>the most suitable treatment<\/strong> for them, considering their medical condition, values, and lifestyle, in collaboration with their doctor.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-45e4010 elementor-widget elementor-widget-video\" data-id=\"45e4010\" data-element_type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/www.youtube.com\\\/watch?v=srF_WCWy2Jw&amp;t=23s&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-40be574 elementor-widget elementor-widget-text-editor\" data-id=\"40be574\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: right;\"><span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Serif; font-size: var( --e-global-typography-text-font-size );\">Attending Physician: <a href=\"https:\/\/cardiovascularcenter.luke.ac.jp\/staff\/asano-taku\/\"><b><u>Taku Asano<\/u><\/b><\/a><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8f0142a elementor-widget-laptop__width-initial elementor-widget elementor-widget-heading\" data-id=\"8f0142a\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What is SDM (Shared Decision Making)?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-100937d elementor-widget-laptop__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"100937d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Shared Decision Making (SDM) is a method for patients to choose their own treatment. It is a process where patients and healthcare providers work together to make treatment decisions.<\/p><p> Healthcare providers have specialized knowledge, such as &#8216;this treatment is medically optimal&#8217;. Patients have individual values and preferences, like &#8216;I want a treatment with minimal scarring&#8217; or &#8216;I prioritize effectiveness&#8217;. In SDM, both perspectives are shared, and treatment plans are discussed and considered together.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3ff9e60 elementor-widget elementor-widget-heading\" data-id=\"3ff9e60\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">The Complexity of Treatment Choices in Modern Medicine<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c94d027 elementor-widget elementor-widget-text-editor\" data-id=\"c94d027\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Modern medicine is complex and offers many options. Patients with &#8216;coronary artery disease&#8217;, &#8216;valvular heart disease&#8217;, or &#8216;arrhythmia&#8217; must choose from various treatments such as &#8216;drug therapy&#8217;, &#8216;catheter treatment&#8217;, or &#8216;surgery&#8217;. <\/p><p>However, consultation time is limited. Patients may miss opportunities to consult, and healthcare providers often lack time to explain all the benefits and drawbacks of each treatment. This is one factor making treatment decisions difficult.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5da8e9c elementor-widget elementor-widget-heading\" data-id=\"5da8e9c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Features of the SDM Outpatient Clinic<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b1e20a4 elementor-widget elementor-widget-text-editor\" data-id=\"b1e20a4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The <strong>&#8216;SDM Outpatient Clinic &#8211; Understanding Your Condition and Considering Treatment Together&#8217;<\/strong> is a service where patients and doctors can spend ample time deeply discussing the condition and treatment options.&nbsp;<\/p>\n<p>In this clinic, we thoroughly explain treatment options. We select treatments based on patient preferences, such as &#8216;highly effective treatment&#8217;, &#8216;minimally invasive treatment&#8217;, or &#8216;drug therapy&#8217;. Family members can also participate, and treatment plans are decided together based on the patient&#8217;s values.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-68c0b8c elementor-widget elementor-widget-heading\" data-id=\"68c0b8c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What We Do in the SDM Outpatient Clinic<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-26efa31 elementor-widget elementor-widget-text-editor\" data-id=\"26efa31\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tWe explain the condition and related examinations and treatments using materials prepared based on the latest evidence. Together with the doctor, we explore and discuss the best treatment for the individual patient.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0f4ecf3 elementor-widget-laptop__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"0f4ecf3\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<b>Main Contents of the SDM Outpatient Clinic<\/b>\n<ul>\n \t<li><span style=\"color: #000000;\">Explanation of basic disease information<\/span><\/li>\n \t<li><span style=\"color: #000000;\">Explanation of the pros and cons of examination options<\/span><\/li>\n \t<li><span style=\"color: #000000;\">Explanation of the pros and cons of treatment options<\/span><\/li>\n \t<li><span style=\"color: #000000;\">Consultation and decision-making on treatment plans considering the patient&#8217;s preferences and values<\/span><\/li>\n<\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-394688de elementor-widget elementor-widget-heading\" data-id=\"394688de\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Conditions Targeted by the 'SDM Outpatient Clinic'<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5aa1099 elementor-widget elementor-widget-text-editor\" data-id=\"5aa1099\" data-element_type=\"widget\" id=\"cardiogram\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4><a href=\"https:\/\/cardiovascularcenter.luke.ac.jp\/ihd\/\">Ischemic Heart Disease<\/a><\/h4>\n<h5>For ischemic heart diseases such as angina, we explain the pros and cons of drug therapy, catheter treatment, and surgical treatment, and work together to determine the appropriate treatment.<\/h5>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8c61b1a elementor-widget elementor-widget-text-editor\" data-id=\"8c61b1a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4><a href=\"https:\/\/cardiovascularcenter.luke.ac.jp\/treatments\/mr\/\">Valvular Heart Disease<\/a><\/h4>\n<h5>For heart valve conditions such as aortic stenosis or mitral regurgitation, we explain the pros and cons of drug therapy, catheter treatment, and surgical treatment, and work together to determine the appropriate treatment.<\/h5>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-afda774 elementor-widget elementor-widget-text-editor\" data-id=\"afda774\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4 class=\"h3_bg_brown\"><span style=\"color: #333399;\">Treatment selection for primary and secondary prevention of atherosclerotic diseases such as dyslipidemia and hypertension (including lifestyle modifications)<\/span><\/h4><h5>For those with high cholesterol or high blood pressure, we consider appropriate treatments to prevent (or prevent recurrence of) cardiovascular diseases, taking into account the risk of developing these conditions.<\/h5>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c88bc21 elementor-widget elementor-widget-text-editor\" data-id=\"c88bc21\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4 class=\"h3_bg_brown\"><a href=\"https:\/\/cardiovascularcenter.luke.ac.jp\/treatments\/arrhythmia\/\">Arrhythmia Treatment<\/a><\/h4><h5>For arrhythmias such as atrial fibrillation, we explain the pros and cons of drug therapy, catheter treatment, and surgical treatment, and work together to determine the appropriate treatment.<\/h5><h5> <\/h5>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f49064b elementor-widget elementor-widget-text-editor\" data-id=\"f49064b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h5>We Use Materials Like This in the SDM Outpatient Clinic<\/h5>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6adc120 elementor-widget elementor-widget-image\" data-id=\"6adc120\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"450\" src=\"https:\/\/cardiovascularcenter.luke.ac.jp\/wpdata\/wp-content\/uploads\/2023\/03\/SDM\u8cc7\u6599-1024x576.png\" class=\"attachment-large size-large wp-image-8943\" alt=\"\" srcset=\"https:\/\/cardiovascularcenter.luke.ac.jp\/wpdata\/wp-content\/uploads\/2023\/03\/SDM\u8cc7\u6599-1024x576.png 1024w, https:\/\/cardiovascularcenter.luke.ac.jp\/wpdata\/wp-content\/uploads\/2023\/03\/SDM\u8cc7\u6599-500x281.png 500w, https:\/\/cardiovascularcenter.luke.ac.jp\/wpdata\/wp-content\/uploads\/2023\/03\/SDM\u8cc7\u6599-768x432.png 768w, https:\/\/cardiovascularcenter.luke.ac.jp\/wpdata\/wp-content\/uploads\/2023\/03\/SDM\u8cc7\u6599-1536x864.png 1536w, https:\/\/cardiovascularcenter.luke.ac.jp\/wpdata\/wp-content\/uploads\/2023\/03\/SDM\u8cc7\u6599-2048x1152.png 2048w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-525728c4 elementor-widget elementor-widget-spacer\" data-id=\"525728c4\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-20e26900 elementor-widget elementor-widget-heading\" data-id=\"20e26900\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">About Fees<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4eb8464b elementor-widget elementor-widget-text-editor\" data-id=\"4eb8464b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Regular consultations and examinations are conducted under health insurance coverage.<br>For the initial visit, we conduct a preliminary questionnaire for the SDM Outpatient Clinic &#8211; Understanding Your Condition and Considering Treatment Together, and the schedule for the SDM Outpatient Clinic (lecture on the condition and treatment decision) will be arranged separately. Examinations may be conducted in between as needed. On the day of the SDM Outpatient Clinic lecture, we minimize waiting time and ensure more thorough discussion time than regular consultations. Therefore, in addition to the regular consultation fee, we charge a reservation fee (partially covered by insurance).<\/p><table class=\"mb36\"><tbody><tr><td class=\"bg_lightbrown w100\">First visit<\/td><td>60 minutes 11,000 yen (tax included)<\/td><\/tr><tr><td class=\"bg_lightbrown w100\">Subsequent visits<\/td><td>30 minutes 5,500 yen (tax included)<\/td><\/tr><\/tbody><\/table>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-52fa5ee elementor-widget elementor-widget-text-editor\" data-id=\"52fa5ee\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>For second opinions, it will be self-pay, and you can receive the SDM Outpatient Clinic &#8211; Understanding Your Condition and Considering Treatment Together lecture.<\/p><p>Fixed 45 minutes 27,500 yen (tax included)<\/p><p>Additional 15 minutes 2,750 yen (tax included)<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5dff524 elementor-widget elementor-widget-heading\" data-id=\"5dff524\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">SDM Outpatient Clinic for Second Opinions<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4981bd4 elementor-widget elementor-widget-text-editor\" data-id=\"4981bd4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4 style=\"caret-color: #000000; color: #000000;\"><span style=\"font-family: var( --e-global-typography-text-font-family ), Serif; font-size: var( --e-global-typography-text-font-size );\">A second opinion refers to seeking another doctor&#8217;s opinion on disease diagnosis or treatment. If you are receiving treatment at another hospital and are uncertain about the treatment plan or anxious about the current diagnosis, getting an opinion from another doctor can help you make a more informed choice. <span style=\"text-decoration: underline;\"><strong>Even if you are receiving treatment at another hospital, you can visit the SDM Outpatient Clinic for a second opinion<\/strong><\/span><strong>.<\/strong> While a regular second opinion consultation mainly involves hearing the doctor&#8217;s opinion on treatment, the SDM Outpatient Clinic for second opinions differs in that it uses materials to guide the discussion and consults on treatment methods while aligning with the patient&#8217;s intentions.<\/span><\/h4><h4 style=\"caret-color: #000000; color: #000000;\"><span style=\"color: #333399;\">When to Seek an SDM Second Opinion<\/span><\/h4><ul style=\"caret-color: #000000; color: #000000;\"><li><p><strong>When there are multiple treatment options<\/strong><br>If multiple treatment options are presented and you&#8217;re unsure which to choose, hearing another doctor&#8217;s opinion can help with your decision.<\/p><\/li><li><p><strong>When major surgery or intensive treatment is proposed<\/strong><br>If a major surgery or long-term treatment is recommended, it&#8217;s important to consult another specialist to confirm if this judgment is appropriate.<\/p><\/li><li><p><strong>When you feel uncertain about the diagnosis or treatment<\/strong><br>If you&#8217;re not convinced by your doctor&#8217;s explanation or feel unsure about the diagnosis or treatment, hearing another opinion can provide reassurance.<\/p><\/li><\/ul><h4 style=\"caret-color: #000000; color: #000000;\"><span style=\"color: #333399;\">Benefits of Receiving an SDM Second Opinion<\/span><\/h4><ul style=\"caret-color: #000000; color: #000000;\"><li><p><strong>Peace of mind<\/strong><br>Hearing another doctor&#8217;s opinion can give you confidence in your judgment and treatment choice.<\/p><\/li><li><p><strong>Different perspectives<\/strong><br>Doctors may have different approaches to diagnosis and treatment. Gaining a new perspective can reveal a wider range of options.<\/p><\/li><\/ul><h4 style=\"caret-color: #000000; color: #000000;\"><span style=\"color: #333399;\">Key Points When Receiving an SDM Second Opinion<\/span><\/h4><ul style=\"caret-color: #000000; color: #000000;\"><li><p><strong>Consult with your current primary doctor<\/strong><br>There&#8217;s no need to hesitate about seeking a second opinion. Consult with your primary doctor and ask them to provide necessary documents and data.<\/p><\/li><li><p><strong>Clearly communicate your thoughts and wishes<\/strong><br>It&#8217;s important to clearly express your hopes and questions about the treatment. Clarify your purpose for seeking a second opinion.<\/p><\/li><\/ul><h4><span style=\"color: #333399;\">External Sites About Second Opinions<\/span><\/h4><ul><li><h5><a href=\"https:\/\/www.jhf.or.jp\/action\/2ndopinion\/\">Japan Heart Foundation Second Opinion<\/a><\/h5><\/li><li><h5><a href=\"https:\/\/www.hokeniryo.metro.tokyo.lg.jp\/iryo\/iryo_hoken\/gan_portal\/chiryou\/second_opinion\/about.html\">Tokyo Metropolitan Government Bureau of Health and Medical Care: What is a Second Opinion<\/a><\/h5><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-60cf742 elementor-widget elementor-widget-heading\" data-id=\"60cf742\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h6 class=\"elementor-heading-title elementor-size-default\">About Appointments<\/h6>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6a0c913 elementor-widget elementor-widget-text-editor\" data-id=\"6a0c913\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>If you wish to visit the <strong>SDM Outpatient Clinic &#8211; Understanding Your Condition and Considering Treatment Together<\/strong>, please call our reservation center.<br>If you are currently attending another hospital, please prepare a referral letter.<br>Also, if you don&#8217;t have a referral letter, you may be charged an additional selection fee.<\/p><p>If you are currently attending our Cardiovascular Center, please consult with your outpatient doctor.<\/p><p>Additionally, for those attending other hospitals, it is possible to receive the SDM Outpatient Clinic &#8211; Understanding Your Condition and Considering Treatment Together lecture as a second opinion.<br>If you are interested, <strong>please contact our Medical Coordination Office (TEL: 03-3543-7307)<\/strong>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-32ae61ab back-to-top elementor-widget elementor-widget-heading\" data-id=\"32ae61ab\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\"><a href=\"#link-list-treatment\">TOP<\/a><\/span>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-288cc26a elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"288cc26a\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7cd29e6b\" data-id=\"7cd29e6b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-266d78dd elementor-align-center elementor-widget elementor-widget-button\" data-id=\"266d78dd\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm elementor-animation-shrink\" href=\"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/treatments\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-arrow-circle-left\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Return to Main Diseases<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5498ea2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5498ea2\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f25d08a\" data-id=\"f25d08a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>SDM Outpatient Clinic &#8211; Understanding Your Condition and Considering Treatment Together An outpatient clinic where you can take time to consult about optimal cardiac treatments and examinations tailored to each individual. The importance of &#8216;deciding your own treatment&#8217; is gaining attention in cardiovascular disease treatment. Traditionally, it was common to simply accept the treatment proposed [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":0,"parent":9259,"menu_order":15,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-9284","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>SDM Outpatient Clinic: Understanding Your Condition and Considering Treatment Together - \u8056\u8def\u52a0\u56fd\u969b\u75c5\u9662 \u5fc3\u8840\u7ba1\u30bb\u30f3\u30bf\u30fc SDM<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/treatments\/sdm\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"SDM Outpatient Clinic: Understanding Your Condition and Considering Treatment Together - \u8056\u8def\u52a0\u56fd\u969b\u75c5\u9662 \u5fc3\u8840\u7ba1\u30bb\u30f3\u30bf\u30fc SDM\" \/>\n<meta property=\"og:description\" content=\"SDM Outpatient Clinic &#8211; Understanding Your Condition and Considering Treatment Together An outpatient clinic where you can take time to consult about optimal cardiac treatments and examinations tailored to each individual. The importance of &#8216;deciding your own treatment&#8217; is gaining attention in cardiovascular disease treatment. Traditionally, it was common to simply accept the treatment proposed [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/treatments\/sdm\/\" \/>\n<meta property=\"og:site_name\" content=\"\u8056\u8def\u52a0\u56fd\u969b\u75c5\u9662 \u5fc3\u8840\u7ba1\u30bb\u30f3\u30bf\u30fc\" \/>\n<meta property=\"article:modified_time\" content=\"2025-04-03T04:56:36+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/treatments\/sdm\/\",\"url\":\"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/treatments\/sdm\/\",\"name\":\"SDM Outpatient Clinic: Understanding Your Condition and Considering Treatment Together - \u8056\u8def\u52a0\u56fd\u969b\u75c5\u9662 \u5fc3\u8840\u7ba1\u30bb\u30f3\u30bf\u30fc SDM\",\"isPartOf\":{\"@id\":\"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/#website\"},\"datePublished\":\"2023-03-06T09:32:28+00:00\",\"dateModified\":\"2025-04-03T04:56:36+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/treatments\/sdm\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/treatments\/sdm\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/treatments\/sdm\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Medical Services\",\"item\":\"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/treatments\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"SDM Outpatient Clinic: Understanding Your Condition and Considering Treatment Together\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/#website\",\"url\":\"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/\",\"name\":\"\u8056\u8def\u52a0\u56fd\u969b\u75c5\u9662 \u5fc3\u8840\u7ba1\u30bb\u30f3\u30bf\u30fc\",\"description\":\"\u5faa\u74b0\u5668\u5185\u79d1\u30fb\u5fc3\u81d3\u8840\u7ba1\u5916\u79d1\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"SDM Outpatient Clinic: Understanding Your Condition and Considering Treatment Together - \u8056\u8def\u52a0\u56fd\u969b\u75c5\u9662 \u5fc3\u8840\u7ba1\u30bb\u30f3\u30bf\u30fc SDM","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/treatments\/sdm\/","og_locale":"en_US","og_type":"article","og_title":"SDM Outpatient Clinic: Understanding Your Condition and Considering Treatment Together - \u8056\u8def\u52a0\u56fd\u969b\u75c5\u9662 \u5fc3\u8840\u7ba1\u30bb\u30f3\u30bf\u30fc SDM","og_description":"SDM Outpatient Clinic &#8211; Understanding Your Condition and Considering Treatment Together An outpatient clinic where you can take time to consult about optimal cardiac treatments and examinations tailored to each individual. 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