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When the tsunami struck the small hospital, at Motoyoshi, not far from the major port of Kesenumma, it turned the ground floor of the facility into a mess of water and ruined valuable equipment, such as the x-ray machines. The hospital has now been renovated, partly with the support of the Red Cross, which helped with new x-ray machines, infrastructure and inpatient beds. Much of the achievement of getting the hospital running again, goes to the chief physician, Dr Minoru Kawashima. He's a former boxer, who came to the region to work as a volunteer after the tsunami. But he was persuaded by local politicians to stay and run the hospital. Yoshiko Sugawara, 83 is sitting in the hospital waiting room, looking after her husband, who has just had a medical exam to see if he can be admitted to the day care centre. She gently explains things to her spouse, who's suffering from memory loss. But her own health has not been good since the tsunami two years ago either. "I've had lots of psychosomatic health problems after the disaster -- my daughter in law and grand children spent ages struggling in the water and my son's home was 70 per cent destroyed," says the elderly woman. She appreciates the environment of the hospital. "It's very nice here now and we're very grateful to all those people abroad who supported this hospital," she says. Dr. Kawashima says the emotional state of local residents is gradually lightening. "Two years ago, people would cry during consultations, but now they are able to talk about their feelings." Still, he feels, there is a need to address local survivors' emotional issues directly. "From April, we will announce to people that they can come here for basic psychiatric treatment" -- although cases which he and his small team cannot handle, will continue to be referred to a larger hospital in Kesennuma.