The sixth and latest Heathcare Cafe event was held in June 2024 under the leadership of Daiichi Sankyo.

Latest “Healthcare Café” Event Hosted by Daiichi Sankyo Brings Patients and their Families and Drug Makers Together

January 16, 2025
Patient Centricity
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Patients themselves are not the only “parties” to a disease

Following the 2021 release of the Patient Engagement Guidebook from the Research Phase in Drug Discovery (The Guidebook), which was developed jointly by Daiichi Sankyo and Takeda Pharmaceutical Company for use in Japan, we started a series of events called the “Healthcare Café” in collaboration with other pharmaceutical companies.

Healthcare Café (HC) is a place where we can have a dialogue with patients and put the principles of patient engagement (PE) set out in The Guidebook into practice. The first HC held in September 2022 on the theme of hearing loss, was organized by Takeda’s Patient Centricity Expansion Team (PCET), which leads that company’s PE activities and advocacy.

This was followed in December of the same year by the second HC event entitled, “Healthcare Café Meets Cancer Notes: Patients and Pharmaceutical Companies Creating a New World Together,” with Daiichi Sankyo’s Compassion for Patients (COMPASS) team playing a central role in the planning.

The sixth and latest HC was held in June 2024 under the leadership of Daiichi Sankyo. The title was “Healthcare Café Meets Cancer Notes. Patients and Pharmaceutical Companies Creating a New World Together—Round Two.” In this event, we interviewed not only cancer survivors who participated in previous sessions, but also family members who are closest to the patients.

The “parties” to cancer are not limited to those battling the disease. What emotions do family members feel when they learn of their loved one’s illness? Since family members themselves are not the ones fighting the disease, how do they feel when they hear about their loved one’s struggles?

Shizuko Ueno, Daiichi Sankyo’s Patient Centricity Special Assignment
Manager

At this year's Healthcare Café, representatives from Shigoto Soken, Inc. used graphic facilitation1 to help visualize and put into words the thoughts and feelings of patients. A link to a video of the day’s events is included at the end of Our Story.

“Patient Centricity*2 does not come naturally. It is something you develop.”

Our Patient Centricity Specialist Assignment Manager, Shizuko Ueno, gave the opening remarks. She spoke of the need to always keep patients at the center of our consciousness, to listen to the opinions of patients, and to continue delivering medicine.

Once again, Toru served as the event facilitator

The facilitator for this event was Toru Kishida, president of NPO Cancer Notes. At the age of 25, he was diagnosed with embryonal carcinoma, which was treated but returned when he was 27 years old.

During his battle with cancer, Toru was bothered by the lack of information on cancer and insights on how other cancer sufferers deal with their disease. Therefore, he is now sharing his own experiences with humor and distributing interviews of other cancer patients via his YouTube channel.

At this event too, Toru elicited a variety of stories from two cancer survivors and their family members who have appeared in Cancer Notes' interview videos.

Conflicted feelings about misconceptions and prejudices around cancer: “I want to laugh with my mother in daily life”

With Mika looking on, Riko talks about how she felt at the time

The first pair to speak was Mika Mitsuhashi and her daughter Riko. Mika was diagnosed with breast cancer in 2011. At the time, Riko was in her third year of kindergarten, and Mika’s son was 2 years old.

While Riko was attending kindergarten, Mika would take her son with her to the hospital. Riko, who entered university this year, looks back on how she felt at the time, which she can only put into words now that she is grown up.

Riko first learned of her mother's illness when she was a fifth grader in elementary school. Mika did not tell Riko for a long time after the onset of the cancer. However, even before Riko was told of her mother's illness, she was concerned about her mother, who always seemed to be a little sick. When she saw her mother crying alone at night, she somehow understood that something was going on.

Riko told herself, “I'm the older sister, so I have to be strong.” In order to support her mother, she made some rules to avoid bothering her mother, such as not fighting with her younger brother. On the first day of elementary school, the day after the entrance ceremony, her friends were dropped off near school by their mothers and families. When Mika said to Riko, “I’m sorry, but I can’t go with you,” Riko replied, “It’s okay!” and then she went to school by herself.

From that time, Riko naturally thought, “I want to support my mom, who I love so much.” That is why she was not surprised when she was told of her mother’s illness. In addition, her mother's reassuring words, “It’s okay, I'll be fine,” helped Riko to easily accept her mother’s illness.

What was a bit of a shock to Riko, however, was the reaction of those around her. When she told friends that her mother had cancer, they all looked serious and kept quiet. The word “cancer” conjured up an image of waiting for death.

Audience members listening to the two pairs of speakers

She thought, “That's not true, my mother is fine,” and was troubled by the fact that the people around her took it more seriously than the people involved.

Mika felt some inner conflict as a mother fighting cancer. “I don't want my child to worry. I want to respond to their need for attention and be a 'regular mother'.” However, by coming out to her family, she was able to experience the warmth and bonds of her loved ones even more.

Riko says that due to the influence of charity programs and movies, the negative impression of cancer has become too large. “I want to spend time laughing with my mother in everyday life. She is so energetic that I sometimes wonder if she really has a disease.”

That’s why I want everyone to know what’s possible.” This story made everyone think about how to treat and interact with patients and their families.

“I don't have time to cry.” That’s what I swore to myself after seeing my husband break down in tears.

Sakai-san talking about the days when he fell ill

The second pair to speak was Hiroshi Sakai and his wife, Misako. Hiroshi works as an editorial writer for a major newspaper. His journey began when he would get out of breath simply walking up stairs. A medical examination did not determine the cause, but later he collapsed from severe abdominal pain and was urgently admitted to the hospital.

After undergoing repeated tests, he was diagnosed with small intestine cancer. Hiroshi was 46 years old at the time.

What Misako remembers vividly is the muddy color of her husband's face as he collapsed in the doorway at home. She thought, “This isn’t a trivial matter.” At the hospital, the doctor said, “We don't know the cause, but he has some kind of intestinal obstruction, so surgery is necessary.”

However, Hiroshi did not want to have surgery if possible. Out of fear and anxiety, he asked the doctor many times if surgery was really necessary, but the doctor angrily told him, “You might have cancer!”

After the surgery was over, Misako was told the results. The diagnosis was small intestine cancer, and the 5-year survival rate was around 10%. So, Misako asked the doctor, “Please don’t tell my husband about the results until he is discharged. I’m sure he won’t be able to handle the news.”

There would be times during Hiroshi’s hospitalization, such as at night, when he would be left alone, and Misako didn't want her husband thinking about his illness in those situations. Misako believed passionately, “After he’s discharged, I’ll be able to be close by and support him. That’s why I have to be strong.”

On the day of his discharge, Hiroshi broke down in tears when he learned the results, just as Misako had expected, but she did not shed a tear. “There is no time to cry. I have to support him,” she thought. They made a joint decision to work together to save Hiroshi's life.

Small intestine cancer is a rare form of cancer, with fewer than six cases per 100,000 people. Because of the low occurrence, this type of cancer poses greater challenges in terms of diagnosis and treatment than other types of cancer. Hiroshi said, “Because I have a rare form of cancer, it is my mission to live a long life and share information.”

I thought I had only a few years left to live, but I have been able to spend eight years with Misako. Hiroshi is working hard to expand the scope of “the parties” and to provide more realistic information about rare cancers.

“What is medicine to patients and their families? Let’s sit in circles and discuss it.”

Talking with patients and their families

After listening to the two pairs of speakers, the patients, their families, and the pharmaceutical company employees were randomly divided into six groups and formed large circles to share their impressions and also later provided further feedback through an online survey.

“While it is tempting to prioritize the effectiveness of the medicine, I want to create something with as few side effects as possible, with the long-term use of the medicine in mind.”

“I thought it was important to go and find out first-hand about patients.”

COMPASS member, Takayuki Kitazawa

“I want to think about the impact of side effects on family members, such as the fact that they have to be careful when eating together with the ill relative because the patient’s sense of taste may be affected due to side effects.”

Many participants said that the event gave them the opportunity to reconsider their views from the perspective of family members, which they had not given much thought to before, and about dealing with treatment and medication. It is necessary to expand the circle of “parties” and connect the stories of patients and their families to the work of pharmaceutical companies.

The 6th HC ended with a message from COMPASS member, Takayuki Kitazawa, saying, “It's important to make the illness your own problem, rather than just something that affects the patient. I hope that anti-cancer drugs will become ‘medicines of hope’. Let's make medicines that bring happiness to patients.”

Many people were seen listening to the stories of the two pairs with tears in their eyes. It was a day that gave people the chance to think about those affected by the disease beyond those who are fighting the disease, and to think about their own work.

Shigoto Soken’s Natsuko Yamada helped to facilitate the discussion with a variety of colorful graphics based on the idea that illness is not something that is borne by individuals but is something that is shared by society as a whole.

Participants gathering for the group photo

Ms. Yamada from Shigoto Soken facilitated the event with colorful
graphics, based on the idea that illness is not something that an
individual bears, but something that the whole society shares

* 1 Graphic facilitation: A communication technique that uses graphics to create a visual representation of conversations in real time in order to facilitate dynamic interactions and deeper mutual understanding, leading to a sense of agency, meaning a feeling of “making something happen,” among the participants.

*2 Patient Centricity: Putting the patient first.

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