Wow! You are a walking “患者力(Patient Empowerment)”!! I’ve heard many Japanese patients, especially older patients say to his/her doctor “Doc, I will leave all decision-making up to you. Please decide what to do for me”. You are totally opposite, and it is very important. I think cancer patient should be a leader to your treatment courses. Patient and doctor should walk side-by-side. You are also a breath of fresh air to Japanese medical world. I am impressed/moved by the fact patients with a different background (like you) can contribute so many new ideas to so many areas of cancer treatments most of Japanese doctors/patients would never imagine. Your being a British patient enable you to share “out-of-the box” ideas and activities among Japanese cancer patients. I really like your various activities because your activities give patients opportunities to keep connecting to society. The worst thing cancer patients would do is to isolate him/herself from the world. It is SO IMPORTANT for cancer patients to be in a group who go through similar experiences. You are truly an example of “患者力(Patient Empowerment)”. Thank you for trusting Japanese hospitals and doctors. Please keep inspiring doctors, nurses, patients and his/her family in Japan. Your son and daughter will learn so much from you. 岸田さん、とても有益ながん治療にむけての姿勢を学ぶことができました。がんノートがどんどん活動を広げているということですね。 いつもありがとうございます!