When Kesennuma City Hospital was cut off from critical services and food supplies following the 3.11 tsunami, it managed to protect the lives of both its inpatients and other citizens. Since then, the hospital has developed various new measures to provide better medical treatment in future disasters, such as the introduction of telemedicine, multipurpose helicopters, and networks of local home nursing teams. What did the hospital’s medical staff learn from their experience during the disaster? An American journalist reports on the situation at the hospital as it faces the challenge of providing new types of medical care.