I took my third trip to Tokyo over the weekend. This was the first of these trips that was purely for pleasure. I went on this voyage with Jon Collings and Mr. Wocher, who was there for only part of the day. The first order of business was to go to Akihabara, the electric town within Tokyo. This area is paradise for anyone who loves computers, stereos, and other home electronics devices. I set out with only one purchase in mind, a memory upgrade for my digital camera. I wanted to expand the memory of my camera from 4 MB with a 16 MB card. I eventually found the card and successfully upgraded my camera. I can now take 60 pictures on the highest resolution mode. I took full advantage of this during the day, taking pictures of many different places. I hope that these pictures give people who aren't able to visit Japan a better idea of what it's like. We were in Akihabara for around two hours before deciding to move on to the next area of Tokyo we wanted to visit, Asakusa (pronounced, Uh-socks-uh). When we stepped off the train in Asakusa, we ran into Jessica Howell, another Iowa Citian, in Tokyo. The odds of running into someone you know in Tokyo, a city with 12 million residents, is so minute it nears impossibility. She was on a shopping trip in the area and decided to accompany us for lunch and a tour of the area. I read an article on CNN's web page about Tokyo area restaurants, focusing on local favorites. From my experience, these less trendy places serve better food at a reasonable price. This is an important consideration in Tokyo, where you can spend hundreds of dollars per person on a meal. From the CNN page, I selected an inexpensive restaurant (less than 2000 yen, or $20 per person) that served giant tempura. Tempura, breaded meat or vegetables, is not particularly exotic, but is a Japanese favorite. One of my favorite people here, Dr. Kokubo, reinforces his love of tempura with some frequency. Since the restaurant CNN recommended was known for their giant tempura, I could not resist. I ordered a bowl of soba noodles and a pair of giant shrimp tempura on top. Jon ordered the same thing, while Jessica and her co-worker ordered their tempura with rice. When the food was delivered to our table, I was not diappointed. The tempura were huge. The shrimp (if you can call them that) were over six inches long. This restaurant appears to select only those shrimp that can be classified as monsters of the deep. Everyone in the group enjoyed the food a great deal. If I had the chance, I would likely return for more, but time is running out for me here. After lunch, we went to the temple area of Asakusa to check out the buildings and do some shopping at the area around the temples. The area is designed for foreigners and there is a lot of souvenir shopping available. The shops were great and I was able to purchase a few things for those people back in the US who have helped me out this summer by picking up my mail, storing my electronics, and letting me know when bills arrived. The temple at the end of the shopping area was quite beautiful. There were throngs of people all around the area. I took some pictures of this area as well, and they are in my picture gallery. After the experience at the temple and a renavigation of the shopping area, Jon and I (Jessica left to go home at this point) took the train to the world-famous Ginza shopping district. This area houses the Sony Tower, home to many of the newest technological innovations. They had a robotic dog on display costing the equivalent of $2500. It wasn't all that impressive, but I suppose someone in Tokyo that wants a pet would be willing to pay a premium for a companion that doesn't bark or make "messes" in the house. At the Sony Tower, Jon and I also got to play a brand-new baseball video game for the Playstation 2. It featured Japanese teams, of which I knew the basics from watching games all summer. The graphics were absolutely beautiful. In the words of my good friend, Tom, it looked "better than real life." Aside from the Sony Tower, we saw a series of beautiful buildings throughout the Ginza area. Many of the buildings had video screens built directly into the side of the building. It really impressed me to see high-quality video being broadcast on the side of a building. We just aren't there yet in the US. Ginza highlights extreme opulence. For this reason, I classify it as the defining area of Tokyo. It is architecturally superb, clean, wealthy, and interesting to the eye. If you are ever in Tokyo, I would highly recommend a visit to Ginza. After Ginza, we moved on to Tokyo Station, the center of town and the hub of our journey. We spent some time walking around the station, enjoying the scenery. After seeing women wearing kimonos all day and itching to get a picture of the phenomenon, I talked two girls into posing for a photo. I was under the impression that kimonos were not frequently worn anymore, but I was wrong. Summer kimonos were in full force in Tokyo on that day. Not feeling particularly adventurous, Jon and I dined on McDonalds food for dinner. As I may have mentioned before, McDonalds in Japan in like McDonalds in the US, except it is GOOD. I generally don't eat at American McDonalds restaurants, owing to an ugly incident involving a Shamrock Shake in 1993. The temptation to eat American food overwhelmed me and I gave in. I tried a bacon and potato pie, recommended by Jessica Howell, and was pleased. The pie has the flaky crust used in the warm apple pies served at American McDonalds restaurants, but replaces the filling with scalloped potatoes and bacon. Very tasty. The Big Mac I was served also closely resembled the picture emblazoned on the wall. The rarity of such an event in the United States closely parallels the presence of laughter at a Carrot Top performance in a prison. In other words, it doesn't happen too often (if you aren't familiar with Carrot Top's abysmal work and its incompatibilities with prisoner demeanors). Most of our remaining time was spent walking around Tokyo Station, seeing the shops and learning what I could about the place. A few gems: -Though plastic food is popularly used to represent the food served at restaurants, no one has mastered the art of making a convincing plastic drink. -An arcade in Tokyo Station had a series of porno games in the back. They weren't walled off. They were just there at the edge of the room. I don't see that flying in the US. -It is impossible to deposit money in a US account from a Japanese ATM, even if it accepts your card. D'oh! Jon and I met Mr. Wocher at 9:00 for the bus ride back to Kamogawa. Buses are rather nice in Japan. The two-hour ride cost $24.00. The buses are clean, air conditioned, and pleasant to ride on. After my 52 hour Greyhound bus fiasco in 1996, riding from Iowa City to Sandpoint, Idaho, this was a step in the right direction. Japanese buses also have the added benefit of allowing passengers to drink beer while riding. This makes the ride much more enjoyable and further demonstrates the lax Japanese attitude toward alcohol (free samples in grocery stores and no open container laws). By the time we arrived in Kamogawa, it was 11:00 PM. The pleasant day in Tokyo had come to an end, with me gaining yet another sunburn that would never turn into a tan. Lousy Eastern European genes! Sunday was spent quite differently from the Saturday in Tokyo. Jon and I decided to take care of a nagging deficiency of our experience...drinking three liter beers. I wanted to experience this fully, so I drank mine in less than two hours. Jon opted out of drinking it at once, instead saving some of his for subsequent days. After the beer was gone, we went to the yakitori man (skewered meat) for a bite to eat. The rest of the afternoon was spent quietly, with time split between rest and working on the images for my web page. Back at work, things are coming to conclusion. The big project I have been trying to get finished is my informed consent paper. Most of the work on this paper has been done. The paper profiles physician behavior in giving informed consent and the use of substitute truth disclosure. We had some problems with sample size, but I think the paper has some interesting results. The paper helps explain what components of the decision-making process determine how patients will be informed of a serious diagnosis, like cancer. Along with this project, I am having a lot of fun working out the technical details of some future computer plans for Kameda. Things are coming together nicely. I have worked on a draft of several strategic plans for bringing Kameda into the late 20th century as far as their computer use goes. (Yes, that date reference was intentional). As I have implied several times, I am almost done with my time in Japan. I leave a week from today. The time here has passed very quickly and I have had a great time. I have enough stories to last a long time. When I get back, my first objective will be to find some people from the new MHA class that might be interested in spending their summer in Japan. Whoever comes here will have a great experience and learn a lot about healthcare, Japan, and themselves.
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