＜Japanese Version＞

　日記 205）(2024年2月5日）で入院経験者の高齢者に対する滋賀大学疫学検査（SESSA）を昨年１１月に受け、２月に診断結果を得たが、それに 『「頸動脈瘤が進んでいる」ので精密検査を受けよ』と画像データ付きの紹介状が付いていた。５年ほど前に受けた前回の SESSA で 『頸動脈瘤が血管径が６割塞がっているので注意が必要だ。７割を超えると「軽動脈ステント留置術（CAS）をする必要があるので今後薬物服用と定期検査をする様に』と言われていた。それに基づき４月初めに滋賀医大の脳神経外科に出かけて放射線科で頸動脈の超音波検査とＭＲＩ検査をし、脳神経外科医の診察を昨日受けた所だ。所が、驚いたことに「脳神経外科医の診察では頸動脈瘤は殆ど認められない。若干動脈瘤の痕跡があるので血液凝固阻止剤リクシアナとコレステロール移動防止剤ゼチーア及び降圧薬の服用を続け、半年に１回軽動脈瘤の超音波検査をしましょう」と提案された。画像も見せて貰ったが、動脈内の血液はスムーズに流れていた。こんなに劇的な改善があるのかと不思議な気がする。１１月の超音波検査の予約をして来たが、楽しみである。

＜English Version＞

　Diary 205) (February 5, 2024), I took the Shiga University Epidemiological Examination (SESSA) for elderly people who had been hospitalized in November last year, and received the diagnosis results in February. 　It came with a letter of introduction with image data that said, "Your condition is progressing, so please undergo a detailed examination.'' 　The last SESSA I took about five years ago said, The carotid artery aneurysm has blocked 60% of the blood vessel diameter, so you need to be careful. 　If my condition exceeded 70%, I was told that I would need to undergo light artery stent placement (CAS), so I would need to take medication and have regular check-ups from now on.　Based on that, I went to the neurosurgery department at Shiga Medical University in early April. 　I had an ultrasound and MRI of my carotid artery at the radiology department, and was examined by a neurosurgeon yesterday.　However, to my surprise, the neurosurgeon's examination found almost no carotid aneurysm.　There were some traces of an aneurysm, so I continued to take the blood coagulation inhibitor Lixiana, the cholesterol transfer inhibitor Zetia, and antihypertensive drugs, and it took six months. 　"Let's have an ultrasound scan for minor aneurysms once every 24 days," he suggested. 　-I was shown images, and the blood inside the arteries was flowing smoothly. I find it strange that there is such a dramatic improvement. I've made an appointment for an ultrasound in November, and I'm looking forward to it.