Nayoro Internal Medicine Clinic, located in the urban area of Nayoro City, Hokkaido, is a medical clinic specializing in internal medicine and rheumatology. Clinic Director Dr. Yoshinori Miyoshi graduated from Hokkaido University School of Medicine and has gained experience in both specialized care at university and general hospitals and comprehensive care at remote clinics. At this clinic, he provides medical care tailored to each patient's individual condition based on his broad expertise. The clinic covers a wide range of specialties including rheumatic and collagen diseases, gastroenterology, diabetes, lifestyle-related diseases, thyroid, kidney, respiratory, circulatory, allergic, and infectious diseases, addressing general internal medicine needs. The clinic places particular emphasis on endoscopic examinations—gastroscopy is available in early morning and under anesthesia, and same-day examinations are accepted if fasting requirements (no food after 10:00 PM the previous day) are met. Colonoscopy is also available, including polyp removal, and both procedures are conducted by appointment only. Please note that initial consultations for rheumatic and collagen diseases require appointments. The clinic offers English-speaking services, barrier-free facilities, and a dedicated parking lot, creating an accessible environment for diverse visitors. Additionally, a shuttle bus to Utashiro and Esashi areas operates every Tuesday and Friday, and transportation services within Nayoro City as well as to Furen and Bifuka areas are available for returning patients. The clinic is closed on Sundays, holidays, and year-end and New Year holidays.