Good Morning from Beautiful Tokyo

Oct

16

I took this picture at Ebisu Beer (Sub of Sapporo Beer) Garden in Tokyo.
This must be one of the places you should visit when you come to Japan.
It is beautiful.

The tall buildings that you see behind is WESTIN hotel.

Kenichi Uchikura
President / CEO
Pacific Software Publishing, Inc.
ken.uchikura＠pspinc.com

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Life in Tokyo

Oct

16

One of the most significant things about speeding time in Japan is the amount of time you spend walking. You use public grasportaion like trains to move one place to the other and the rest is walking. Since I got to Japan 4 days ago, I am averaging over 3 miles of walking everyday.

I think cities like Seattle are trying to be that way but there is one big difference that make public transportation like light-rail will fail. Most cities in Japan are create around railroad stations instead of railroad being build to the locations where they are not design to be. And the population of the cities like Seattle are not big enough to have enough rail cars to be more effective.

Kenichi Uchikura
President / CEO
Pacific Software Publishing, Inc.
ken.uchikura＠pspinc.com

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Beautiful Tokyo

Oct

15

Takebashi | Tokyo

Tokyo is clean and safe metropolis. I am very happy to be here.

Kenichi Uchikura
President / CEO
Pacific Software Publishing, Inc.
ken.uchikura＠pspinc.com

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Old Meets New ... Tokyo

Oct

14

Takanawa Prince Hotel Garden

There are few green oasis in the middle of Tokyo.
Clean air and salinity.
You can relax even in the big city like Tokyo.

Kenichi Uchikura
President / CEO
Pacific Software Publishing, Inc.
ken.uchikura＠pspinc.com

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AMEYA YOKOCHO

Oct

14

AMEYA YOKOCHIO --- AMEYOKO

I was at AMEYOKO this afternoon. AMEYOKO is a very popular market selling many different things. It is very easy to walk-a-mile in Tokyo. Today, I walked over 7,500 steps (3 miles) today without thinking very much about it.

Kenichi Uchikura
President / CEO
Pacific Software Publishing, Inc.
ken.uchikura＠pspinc.com

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Breakfast at Hotel

Oct

13

Japanese breakfast at the hotel.
Nice!

Kenichi Uchikura
President / CEO
Pacific Software Publishing, Inc.
ken.uchikura＠pspinc.com

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On Board ANA Flight to Japan

Oct

13

You are asked to wear mask all the time on board ANA flight to Japan. It is also custom to wear mask anywhere in Japan. It is so odd to see everyone is wearing mask in Japan except some foreigners. Those who are not wearing mask look very out of place in Japan but I do not know if it is really doing any good.

I also heard, you are not ask to wear masks when you are flying from Japan to the USA. I will let you know if that is true when I go home.

Kenichi Uchikura
President / CEO
Pacific Software Publishing, Inc.
ken.uchikura＠pspinc.com

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Nice Flight to Japan

Oct

13

ANA NH177
The call sign for All Nippon Airways is NH ... It used to be called Nippon Helicopter.

I really enjoy the flight to Japan. The immigration line was little long but I wen through very smoothly. Bags were ready out when I got to customs. I was able to exchange some dollars to Yen at 144 yen = $1.00 ... Very good rate. I am starting to report from Japan now.

Kenichi Uchikura
President / CEO
Pacific Software Publishing, Inc.
ken.uchikura＠pspinc.com

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On My Way to Tokyo

Oct

12

I am on my way to Tokyo on ANA Flight 177.
It has been 2 and half years since I went to Japan.

Kenichi Uchikura
President / CEO
Pacific Software Publishing, Inc.
ken.uchikura＠pspinc.com

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Ken Uchikura Newsletter Vol. 202 What is Dialysis?

Oct

12

What is Dialysis?

When I was hospitalized for liver surgery, I had my first dialysis treatment. At first, I went twice a week for three hours. Then, it became twice a week for four hours after leaving the hospital. For many people, they have to undergo treatment three times a week. In that sense, I can call myself lucky because I only go twice a week. But going for four hours twice a week is tiring. When I first started my dialysis treatment, I was so tired I couldn’t move for several hours afterwards. But now, I can drive myself to work after dialysis. Sometimes, I wonder if I really need it anymore, but I go just to be sure.

Dialysis is a treatment used to purify the blood in place of your kidneys when your kidneys’ ability to cleanse your blood’s toxins is impaired. In 1960, the University of Washington developed the procedure in Washington State. In 1962, the procedure went public. The clinic that I go to, the Northwest Kidney Center, for my dialysis treatments also happens to be the first clinic that opened its doors to the public, making it the oldest dialysis center in the world. Before they developed dialysis, kidney disease was a death sentence. When dialysis treatments started, there were only a few seats available. And I’ve heard that life and death depended on who could receive dialysis treatment.

A survey from 2015 showed that about 1,500 per million people in the U.S receive dialysis treatments. When calculated from the population, there are almost 500,000 people who receive dialysis treatments in the United States. In Japan, 2,500 per million people receive dialysis treatments. So, there are more than 300,000 people as a whole who receive dialysis treatments as a whole in Japan. In Taiwan, 3,200 per million people go to dialysis, which is over 75,000 people in total. There are many causes for kidney disease, but I’ve heard diabetes is the most significant cause. In addition to not being able to cleanse toxins in the blood, kidney disease can also cause kidneys to shut down and no longer produce urine. I don’t have that problem, but dialysis has the ability to remove water from the blood in addition to removing toxins. Since your diseased kidneys can’t produce urine, there must be a way to remove water from somewhere. That is the role of dialysis.

In my case, my kidney function declined after my surgery, so I started dialysis. I believe I’m still less dependent on dialysis than others, and I think I should try to maintain this state. The first steps to achieve that is getting more control over my weight and reducing my salt intake. In the U.S, two grams (or ½ teaspoon) is a good rule of thumb. In Japan, it’s said to be six grams. This is because it isn’t as easy to reduce salt in Japan compared to the United States. So, why is it necessary for me to reduce my salt intake?

When your kidneys function normally, your kidneys excrete the excess salt. In the case of kidney disease, salt accumulates in the body because of how impaired this function is. And this is one of the causes of high blood pressure. If high blood pressure persists, your kidney’s blood flow becomes blocked, further deteriorating kidney function. When the kidneys deteriorate, feet swelling and other symptoms occur. I used to have swollen feet, but not anymore. Does this mean that dialysis is helping me?

Since starting dialysis, I’ve found it’s difficult to travel abroad. In the U.S., insurance won’t cover you overseas. In short, if you receive dialysis abroad, you have to pay everything for the treatment. It’s strange how there are so many people receiving dialysis in the world yet there are borders in the dialysis network. Dialysis has been around for about 60 years, but there still seems to be room for evolution.

If you’re in good health, the contents of this newsletter weren’t of much use to you. I apologize if this wasn’t interesting for you. Please take care of your health. I am fine. Thank you for your concern.

Kenichi Uchikura
President / CEO
Pacific Software Publishing, Inc.
ken.uchikura＠pspinc.com

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