Mikami Clinic is an internal medicine clinic operated by the medical corporation Tokuyu-kai, located in Onan-cho, Ochi-gun, Shimane Prefecture. Dr. Hironobu Mikami, the clinic director, graduated from Shimane University School of Medicine and honed his skills at Shimane Prefectural Central Hospital, Shimane University Hospital, and Hamada Medical Center, specializing in gastroenterology. In 2019, he took over the clinic from his father, providing comprehensive internal medicine care that leverages his broad clinical experience gained across multiple medical institutions, with gastroenterology as the core specialty. The clinic is well-equipped for both upper and lower endoscopic examinations. For upper gastrointestinal endoscopy, a transnasal endoscope with a diameter of 5.6mm has been introduced to minimize patient discomfort. Lower gastrointestinal endoscopy is performed using a slightly slim endoscope combined with an endoscope insertion shape observation device, aiming for a less painful examination experience. The clinic also offers ultrasound imaging of the abdomen, heart, and thyroid, as well as X-ray examinations, with a strong focus on early cancer detection. Ultrasound-guided puncture procedures are also available, reflecting a thorough commitment to patient safety. Consultation hours are from 8:00 to 12:00 in the morning and 15:30 to 17:30 in the afternoon, with English-language consultations available. The clinic has a parking lot and is easily identified by its pink building, accessible from National Route 261 and Prefectural Road No. 6. The corporation also operates a geriatric health services facility, a group home, and a visiting nursing station, providing a comprehensive system of support for the local community from medical care through to nursing care.