Sugiyama Internal Medicine Clinic, located in Hijirino, Kamikawa-gun, Hokkaido, is a community-based clinic specializing in internal medicine, gastroenterology, endoscopy, and diabetology. In November 2023, the clinic was renamed to its current name, marking a new beginning. Under the leadership of Dr. Yoshiaki Sugiyama, who has extensive research experience in gastroenterology and pancreatology, the clinic provides comprehensive internal medicine services. The facility has recently undergone significant upgrades, including the introduction of AI-powered chest X-ray analysis systems (CXR-AID), fully automated PCR testing equipment, and automated blood cell count CRP measurement devices. Ultrasound diagnostic equipment and ECG/blood pressure pulse wave testing devices have also been updated to the latest models. Notably, the clinic is equipped with portable X-ray devices to accommodate patients who have difficulty standing due to age or physical limitations. The barrier-free design ensures accessibility for wheelchair users, featuring spacious layout, wheelchair-accessible restrooms, and diaper changing stations. The clinic also has a well-appointed IV therapy room with six beds, allowing patients to receive treatment in a comfortable environment. With approximately 45 parking spaces, access by car is convenient. The clinic offers multilingual support including English, conducts Saturday morning consultations, and accepts patients until 5:45 PM on weekdays, making it easily accessible for appointments.