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Atsushi OKAZAKIwhen I Joined Izunagaoka Hospital in 1986, Retirement;anesthesia. However, I felt that I was excessively accustomed to anesthesia in the operating room alone. Rather, I wanted to be an anesthesiologist like Dr. Yoichiro Kamiyama at Urayasu Hospital, who was full of challenging spirit to cope with any field of anesthesia. Therefore, I immediately agreed to go to Izunagaoka Hospital in an attempt to learn emergency medical care, a field in which I had still been inexperienced.Izunagaoka Hospital was incorporated from a Municipal Hospital into the Juntendo School Corpo-ration in 1967. The department of obstetrics and gynecology had been closed by 1986, and the surgical 　In the spring of 1986, the director of the medical office asked me if I would like to go to Izunagaoka Hospital from June. I agreed to go there. The annual number of operations managed by anesthesiologists gradually increased from less than 1,000 in 1986 to more than 3,000 in 2000. The numbers of total operations and operations managed by anesthesiologists reached about 8,500 and 4,500, respectively, in 2020.　A pain clinic was established in 1990, and the annual number of patients reached about 2,000 in 1993.　In 2004 and later, we started seminars for the standardization of emergency resuscitation (ICLS), and first launched the in-hospital emergency resuscitation system “J-STAT Call”.　I have presided over the anesthesiology department of this hospital, believing that there can be no hospital with a strong surgical system without strenuous efforts of anesthesiologists. However, I was constantly about to be overwhelmed by too busy works in the operating room.　Unfortunately, the working environment might be unattractive for many doctors in the anesthesiology department, and regrettably, the department stood on the verge of collapse several years ago.　However, I deeply thank the medical staff, including many doctors, for helping me to overcome difficulties and for enabling me to work continuously as an anesthesiologist at Juntendo University Shizuoka Hospital until my retirement age.Juntendo Medical Journal2021. 67(5), 427-431Special ReviewsI Did Not Think I Would Be in Izunagaoka Until I Reached Retirement Age...I graduated from Juntendo University in 1980 and entered the anesthesiology department under Professor Keiji Kaya. In the spring of 1986, I was working at Shizuoka Children’s Hospital mainly for pediatric cardiac anesthesia as a certified anes-thesiology specialist, when Dr. Jun Mihara, the director of the medical office, asked me if I could go to Izunagaoka Hospital with him from June for a certain period.At that time, I could have another option to return to the anesthesiology department of the main hospital supervised by Professor Mitsuko Satoyoshi, who concentrated only on surgical Key words: annual operation cases, pain clinic, ICLS seminars, palliative care support team, crisisDepartment of Anesthesiology and Pain Medicine, Juntendo University Shizuoka Hospital, Shizuoka JapanCorresponding author: Atsushi OkazakiDepartment of Anesthesiology and Pain Medicine, Juntendo University Shizuoka Hospital1129, Nagaoka, Izunokuni-city, Shizuoka, Japan, 410-2295TEL: +81-55-948-3111　FAX: +81-55-948-5088　E-mail: dr-mario@juntendo.ac.jp352nd Triannual Meeting of the Juntendo Medical Society “Farewell Lectures of Retiring Professors” 〔Held on Mar 31, 2021〕〔Received　May. 27, 2021〕〔Accepted　Jul. 7, 2021〕J-STAGE Advance published date: Sep. 27, 2021Copyright © 2021 The Juntendo Medical Society. This is an open access article distributed under the terms of Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original source is properly credited. doi: 10.14789/jmj.JMJ21-0009-OT427