Surviving in Japan: (without much Japanese)

Chiropractic Care in Japan - How it's different, how to find a good practitioner, and more [Interview]

2012-06-01T22:29:00.000+09:00

Today I'd like to introduce to you Dr. Kei Takeyachi, owner of Tokyo Chiropractic and executive director of the Japanese Association of Chiropractors. In this interview, Dr. Takeyachi has graciously shared quite a bit of information regarding chiropractic care in Japan.

So if you're seeking a chiropractor here in Japan and not sure what exactly to look for, or you used a chiropractor in your home country and you want to learn more about how what chiropractic is like in Japan, read on!

In this interview we discuss:

What chiropractic actually is and what it treats
How chiropractic in Japan differs from other countries
Who is qualified to be a chiropractor, according to the World Health Organization
How to find a reputable chiropractor in Japan, and one who speaks English if necessary
How much chiropractic services in Japan typically cost
Whether or not chiropractors offer massage services at their clinics

And more.

*****

Ashley: First of all, please tell us a little about yourself, your clinic and what you do.

Dr. Kei Takeyachi of Tokyo Chiropractic

Dr. Takeyachi: I’m a third-generation chiropractor, graduated from RMIT University School of Chiropractic, Australia in 2002. I grew up in an environment where my grandfather, two uncles and father were all chiropractors so it wasn’t strange to follow in their footsteps and become a chiropractor.

As of today two of my cousins, who are medical doctors, are also chiropractors. In 2003, after I came back from Australia, I worked in Shimbashi Chiropractic Outpatient Center, a teaching clinic of Tokyo College of Chiropractic (formerly RMIT University Chiropractic Unit-Japan), for eight years. Last October I opened up my own chiropractic clinic,“Tokyo Chiropractic,” in Aoyama as the successor to my family’s chiropractic clinic that had been established in 1949.

I serve as executive director of the Japanese Association of Chiropractors (JAC), which is a national member of the World Federation of Chiropractic (WFC) affiliated with the World Health Organization (WHO) as NGO. JAC’s main role is to establish chiropractic regulation in Japan based on the WHO standard so that people can receive high quality, effective chiropractic care safely. I’m involved in several organizations such as Integrated Medicine Japan (IMJ), Asia Pacific Chiropractic Doctors Federation (APCDF), and the International Board of Chiropractic Examiners (IBCE). I travel overseas at least a couple of times a year to attend meetings and exchange professional information between Japan and other countries.

Ashley: Would you explain to us more about chiropractic care, what it involves, and what issues people commonly see you about?

Dr. Takeyachi: Chiropractic is a natural, conservative, medication-free and non surgical form of health care that focuses on the relationship between the body’s structure, mainly the spine, and how it functions through the nervous system. Although chiropractors (practitioners) may use a variety of treatment approaches, they primarily perform spinal manipulations (adjustments) to correct misalignment of the spine. This is to improve function and support the body’s natural ability to heal itself.

Chiropractic is practiced in over 90 countries throughout the world and is regulated as an independent profession in each national health care system. The primary health care practitioners have the title of “Doctor of Chiropractic (DC)” in about 40 countries including the US, Canada, Australia, New Zealand, UK, etc. WHO has now published guidelines on basic training and safety in chiropractic to regulate chiropractic services within these health care systems around the world.

Chiropractic treatments typically focus on back pain, neck pain, headache and joint pain but may focus on other areas as well. Some people use chiropractic care for the prevention of musculoskeletal disorders (which includes muscle and joint problems relating to the spine and extremities due to physical inactivity, injuries, bad posture, joint disease and so on.) and health maintenance. The most common reason patients seek chiropractic care is for back pain and disability. There have been many studies that show the safety and cost-effectiveness of chiropractic care for back pain.

Ashley: Regarding chiropractic care in Japan, is it very different from chiropractic care in other countries?

Dr. Takeyachi: To a certain extent, Japan is different from legislated countries in that there is no chiropractic regulation here. However, from a patient’s point of view, you wouldn’t notice much difference in the types of treatment because chiropractors work with the patients directly to provide care. In Japan, western medicine holds a monopoly in the health care system, so chiropractic is categorized as a non-licensed, quasi-medical practice. This means chiropractors don’t have a license nor can they take X-rays or make an official diagnosis.

According to the telephone directory, over 20,000 chiropractic practitioners exist in Japan. Most of them are substandard chiropractors who learned chiropractic from a weekend or two-year, part-time course. Only about 800 chiropractors meet the WHO educational standard. In order to meet the WHO standards, a chiropractor must fulfill a minimum of a four-year, 4,200 hour, chiropractic-specialized education with subjects including anatomy, physiology, pathology, radiology, diagnosis, chiropractic technique and so on. Amongst these 800 chiropractors who meet WHO standards, most are graduates of Tokyo College of Chiropractic (formerly RMIT University Chiropractic Unit-Japan) and overseas colleges.

Chiropractic care in Japan - Tokyo Chiropractic

Ashley: If someone would like to see a chiropractor in Japan, do they need a referral?

Dr. Takeyachi: No, chiropractors have the right of primary contact with patients. If you see a chiropractor who meets WHO standards here, they have extensive training in diagnosis to determine your condition and to decide the best treatment/management. Again, though, they aren't allowed to make an official, direct diagnosis. For example, they could say you have a "misaligned disc" instead of "disc herniation", or "wear and tear of the joints" instead of "degenerative joint disease." This is an ambiguous, gray area.

For example, in the US, chiropractors (Doctors of Chiropractic) are primary health care providers for most insurance companies, so you don’t need a referral before visiting your chiropractor unless your insurance plan requires a referral from a medical doctor. This also applies to work injuries and automobile accident injuries.

Ashley: Do chiropractors in Japan offer combined chiropractic/massage services at their offices?

Dr. Takeyachi: Shiatsu/massage therapy is a licensed quasi-medical practice in Japan. Massage services are only allowed by practitioners who hold a shiatsu/massage therapist license or medical doctor (MD) license. Therefore, chiropractors don’t use the massage technique. Some chiropractors may apply manipulation or mobilization techniques on soft tissue. Many chiropractors in the US and Australia hire massage therapists to provide massage service to patients before performing spinal manipulation.

Ashley: How much do chiropractic services in Japan typically cost, and how much of this cost is covered by the national health insurance?

Dr. Takeyachi: Average chiropractic fees in Japan can range from 3,000 to 6,000 yen per session. At the initial visit most chiropractors charge an additional examination fee of between 1,000 and 5,000 yen. The national health insurance doesn’t cover the cost of chiropractic care, but some private insurance companies from overseas will.

Ashley: What is the best way to find a trustworthy, reputable chiropractor in Japan, and one who speaks English if necessary? (Other than going to your clinic of course - for those who don't live in or close to Tokyo).

Dr. Takeyachi: Contact the Japanese Association of Chiropractors (JAC), which is a WHO-affiliated WFC national member organization. JAC provides information of certified offices, with English speakers, near you. Please contact them over the phone or via email. You can also look at the certified office list on their website.

Japanese Association of Chiropractors
Tel: 03-3578-9390
E-mail: info@jac-chiro.org
Website: http://www.jac-chiro.org/indexE.html

Ashley: Is there anything else you believe expats living in Japan should know about chiropractors and chiropractic care here? Or health care in general?

Dr. Takeyachi: In Japan many medical doctors don’t know what chiropractors do to help patients but chiropractic care itself has been widely accepted in the community for years, even though it’s not covered by the national health insurance. That's because people can get great results with chiropractic care. If you are searching for a drug-free, surgery-free, conservative treatment, chiropractic is a good potential option amongst complementary and alternative medicine in the health care system.

However, be careful when you choose a chiropractor in Japan, as the government does not regulate chiropractic care. Accidents and problems as a result of chiropractic treatments are sometimes reported by chiropractic practitioners who don’t follow the strict code of ethics and self-regulation. If your chiropractor is a JAC member, you found the right one. If you are an expat considering seeing a chiropractor who offers consultation in English, please feel free to contact the JAC office or email me at my clinic.

Tokyo Chiropractic clinic

Tokyo Chiropractic
Daini Seiho Building 3F, 3-5-2 Kita Aoyama, Minato-ku
Tokyo 107-0061, Japan
Tel: 03-3478-2713
E-mail: info@tokyochiro.com
Website: http://www.tokyochiro.com/

What You Should Know About Donating Blood in Japan

2012-05-29T21:00:00.000+09:00

The last few Lifelines columns I've written for The Japan Times have covered various aspects of donating blood in Japan, including responses from many of you about your experiences (thank you for sharing).

It all started with someone writing in to say that they were turned away by a Red Cross center in Kagoshima because they couldn't speak Japanese. After contacting the Japan Red Cross Society, they clarified that some centers might reject a foreigner who isn't fluent in Japanese because of potential health or safety problems. Ultimately, it's up to the discretion of each center and the overseeing physicians.

In a follow-up column, Foreigners disqualified as blood donors for wide range of reasons, I shared the responses many of you kindly offered. Now, I should state that I don't write the headlines and after seeing this one, I can see that if you read the headline and not the column itself, you might automatically assume foreigners can't donate blood in Japan at all, which is not true. The column explains, through many of your responses, that people are not typically disqualified because of lack of Japanese ability, but rather standard protocol, as is common in probably most or all of our home countries and around the world.

The column did not imply that all foreigners are disqualified from giving blood in Japan. The point was to illustrate that not all donation centers are concerned about language ability as long as you understand what's going to happen and are healthy enough to donate, or have no other reason why you can't/shouldn't give blood.

Nonetheless, I received several emails saying that I was essentially pushing some sort of sensationalist, racist agenda, which again, is not true, and was exactly what I was trying to prove (after checking facts) isn't true.

While I suppose it could be possible that some doctors at some blood centers in Japan are racist, I can't prove or disprove any of that, and investigating that isn't the purpose of the column. It's about helping people, finding facts and sharing experiences.

The Japan Red Cross Society is not against foreigners donating blood (they want people to donate blood, for crying out loud). And that was the point I was trying to make.

I hope that clears things up, but just to make sure I clarified things for all of us, today's column details who can and can't give blood in Japan. So if you're looking to donate blood in Japan, please check out this column for nearly everything you need to know: Safe blood requires strict, and detailed, standards

Also, regarding the part on CJD and BSE (mad cow disease) and all the time spent in various European countries, this part was left out but I think it's important (you'll want to read the column to see what (b), (c), (d), (e), (f) and (g) refer to):

Time from (b), (c) and (d) will be combined for a six month total
Time from (b), (c) and (d) will be included with (e)
Time from (b) through (e) and (g) will included with (f)
All categories listed will be combined with (g) for the five-year total

Now, if anyone would like to share their successful blood donation stories, please do! :)

Q&A: Tall and Plus Size Clothing in Japan

2012-05-28T21:36:00.004+09:00

We've talked about the difficulties of finding tall and plus size clothes in Japan before, but today we have a couple questions from readers regarding trying to find specific stores, so I'm hoping those of you in the know in those locations will have some advice (or at the very least, please share this post around so someone who does know might see it and share). I know are individual stores in certain areas offering plus or tall size clothes, but these vary by city and region. I'd like to compile of list of any known stores for future reference.

Of course, we all know ordering online is an option and many stores ship to Japan nowadays, but in this post we're referring specifically to stores in Japan.

Q:

"I'm a 6 foot (around 182cm) guy with 30+cm feet. Where can I buy suits in Tokyo that are light enough for Japanese summer weather and large enough for me, and shoes that fit me without, (pardon the pun) losing my shirt?"

- Kerry

"I'm going to Japan this fall to study abroad for a year and I'm desperately looking for advice from anyone in Japan who might know where I can find plus sized clothing. I'm a size 22 US so I know it's quite a stretch, and I am planning to bring a good supply of clothes with me, but... if the need arises, I'd really like to know where I can find clothes in Japan. Thanks so much! PS: I'll be in Nagoya."

- Victoria

A: All right, let us know, what stores do you know about in Tokyo, Nagoya, or anywhere else in Japan that offer tall and/or plus sized clothing and larger size shoes? I've listed several clothing stores I found below.

(Most of the stores I've listed below are online sites only available in Japanese - you can use a browser translation tool or something like Rikaichan or Rikaikun to help you navigate.)

Men and Women

Uniqlo carries some "plus size" clothing in its online store (up to XXL), for women and men.

Isetan has an online tall size (166-175cm) women's shop and also plus size shops for women.

Isetan also offers a tall and plus size store for men online. (If you live near an Isetan you might want to check out the store also.)

Aoki, a store with shops across Japan that focuses on suits and formal wear, has tall and plus size clothing for men and up to 3L plus size for women (link is to online store). The women's selection isn't as extensive as the men's.

Cecile (online) offers plus size clothes for women, men, teens and kids. Also has larger size bras.

Polopony (online store) has some larger sized tshirts and athletic wear.

Women

Nissen has a tall size online women's shop.

Rope is another Japan-based store that offers tall women's sizes online.

LLQueen focuses specifically on women's plus size clothing (online).

Chayclub also sells women's plus size clothes online.

Shimamura, a fashion store located around Japan, reportedly has some plus-size clothes (thanks -chai- for the tip!)

If you live in a major city with a Costco, you might want to check out their selection (thanks Bruce for the tip!)

Though this is technically ordering online, J.Crew, which used to be in Japan, has a Japan store and ships to Japan, and offers tall and some plus sizes for women, and tall sizes for men. (They also have up to size US size 12 shoes for women, but if you get anything with leather, the import fees can be outrageous.)

L.L.Bean has some US sizing, according to Bruce, and good selection.

While on the topic of American sizes, Gap in Japan sizes with US sizes (some shirts might seem a bit smaller, but overall they are usually the same). You can locate a Gap near you here.

Nagoya: Zara has some tall-size clothes, including dresses and maxi-skirts. Aeon (shopping mall) also has some larger sizes. (Thanks to Haikugirl for the tips).

Tokyo: Haikugirl recommended British store Next.

Men

John suggested this Kanto-area store for men's plus size clothes:

"There is a shop that sells dress shirts, polos, and suits for plus size men (actually all size men). It's called Sakazen and there's quite a few around Tokyo. The stores generally have like 5 or 6 floors. The prices are fairly cheap, but some floors have more "exclusive" brands which are slightly overpriced. It's worth a visit."

Sakazen also appears to have an online shop.

MD (Mido) carries plus size men's clothing, up to 8L.

****

Do you have any other stores or suggestions? Anyone have some recommendations for Kerry or Victoria for Tokyo and Nagoya, respectively? Region-specific is fine, just make a note of the store's location. Many thanks in advance!

If you're looking for outdoor gear (clothes and/or shoes), you can find an extensive list of stores and brands here that sometimes do carry larger sizes.

A new twice-monthly veggie box option from now through November

2012-05-26T20:57:00.000+09:00

Finding safe, pesticide-free, low or no additive, organic and/or radiation-free produce in Japan can be a challenge at times, especially if your Japanese isn't up to par. Not everyone is interested in this, or cares, I understand, but if this is something that concerns you or if you just want the convenience of a vegetable box, rest assured there are options.

I previously wrote about various places in Japan you can order veggie boxes from, some in English, but most in Japanese. Note that most of these places don't just carry vegetables and fruit, but most also offer meat, fish, dairy, eggs, and/or dry goods. I also explained how to sign up for one of the companies, Oisix, online.

If you've already done that and it's working out for you, yay!

If not, but you're still interested in signing up for a veggie box, you might be interested in the service that Wa Navi is providing this year. They're calling it the "Harvest of Hope 2012 Project" and will deliver fresh, low-agrochemical vegetables from Hokkaido Hopeland Farm twice a month starting in May and ending after the harvest season in November. The May order is going out tomorrow so it's too late for that one, but you can start in June. Delivery dates are preset, and you can either sign up for the entire season, or choose when you want to receive a box, as often or as little as you'd like.

The items for each month's box are also set (as an example), but they may vary month to month depending on the weather, market, among other factors.

Here are some examples:

June asparagus (green and white), leafy vegetables (mustard leaf, lettuce, etc), mini tomatoes
July lettuce, broccoli, snap beans, cabbage, green pepper
August tomato, bell peppers, green pepper, eggplant, cucumber, zucchini, goya, shishito peppers
September corn, edamame, kabocha, broccoli, cabbage, tomato, eggplant, green peppers
October potatoes, kabocha, carrots, onions, broccoli, cabbage, daikon
November same as October

I asked what "low-agrochemical" means in this case, and was told that they avoid using chemicals as much as possible at the farm. They don't spray the vegetables, they use natural fertilizers, and hand-pick bugs off the produce. It's also worth mentioning, as I think I've mentioned in the past, that acquiring the organic certification here in Japan is extremely difficult, so many farmers in Japan, even if they farm organically, don't bother with getting the certification.

As an optional extra, Wa Navi said they will also be sourcing organic, non-homogenized and low-temperature pasteurized whole milk and yogurt from Asurano Farm in Hokkaido.

From Wa Navi:

"Their signature milk is produced from free-range cows that eat pesticide-free Hokkaido grass, and is packed and sent directly from Hokkaido. They are also dedicated to their unique pasteurization process which conserves important vitamins, minerals, and protein. The calcium of the milk is quickly absorbed, so it is perfect for children growing up."

Other optional extras includes Ezobuta sausages made from free-range pork and additive-free string cheese made from jersey cow milk, produced at Hopeland Farm.

For every veggie box sold, they will be donating 300 yen to organizations supporting expectant mothers and mothers with young children who were affected by last year's earthquake and tsunami in Tohoku.

Cost (cool ship delivery fees included)

Veggie Box - 3,500 Yen

Dairy - 720 Yen
Includes 1 litre milk (290 yen) and 500 ml sweetened yogurt (350 yen) from Asurano Farm in Hokkaido, Also includes additional 80 yen fee for ice.

Sausage/Cheese - 1,430 Yen
Includes thin-skinned Ezo-buta pork frankfurter-style sausages (1,050 yen) and Momohana string cheese (380 yen)

Course A: Veggie Box Only ￥3,500
Course B: Veggie Box + Dairy ￥4,220
Course C: Veggie Box + Sausage/Cheese ￥4,930
Course D: Veggie Box + Dairy + Sausage/Cheese ￥5,650

Residents in Fukushima prefecture get a 300 yen discount.

How to Order

You can fill out the online form with your contact details and then choose the dates you would like to receive your order. Changes and cancellations can be made in the future, but must be received five days prior to the next delivery date.

A few things to note

I think this box could be a good option for some individuals or families, which is why I'm sharing it here on SiJ. However, the box comes twice a month, so this may not work for you, depending on how much you eat or where you source produce or dairy. We get weekly boxes - you can find some other veggie box places here, but I should mention that most don't have English signup/support, which is a plus for Wa Navi.

The produce isn't certified organic and some chemicals are used in the soil, though the farmers do try to focus on using as few chemicals as possible, as mentioned above, so this could be an issue for some folks.

I wasn't reimbursed in any way to share this. I think it's a helpful resource and Wa Navi is also a non-profit. If you try it out, let us know what you think!

***

You might also be interested in learning how to find a farmer's market in your part of Japan.

HOW TO: Find Shinkansen and Express Train Seating Charts and Train Layouts

2012-05-23T00:43:00.000+09:00

If you're like me, you may have issues getting a seat on the train in an area you'd like to be in, such as, near a bathroom, or away -- far away -- from a smoking car. Of course, most express trains in Japan now are completely smoke-free (it wasn't that way when I first arrived, and oh how I had problems then...), but some shinkansen do still have smoking cars.

That aside, what if you're curious about the basic layout, or perhaps where you're reserved seat might be, or which cars have the unreserved or reserved seats?

Some of you might think, "why would I care? I'll sit anywhere, no problem." If that's the case, don't even worry about checking out the link, but for those of you who might be like me, even a little, you might want to read a recent post I wrote on The Japan Daily Press on how to find JR express train layout charts.

Knowing how to do this comes in handy on most trips I plan that involve JR express trains. And the websites I found are pretty cool, too (mentioned in the post).

45 Japan Links and Tips to Check Out From the Past 2 Weeks - May 20

2012-05-20T19:59:00.000+09:00

Wisteria and a bee at the Wisteria Festival in Fujieda, Shizuoka

There has been a lot of information the past two weeks, so much so that I've hardly been able to share everything via Twitter or Facebook worth sharing. So today we've got 45(!) links, tips, and news about Japan. Everything from where Japan ranks as a place to be a mom; to where to find Reese's peanut butter cups in Japan; J.Crew offering free shipping to JAPAN; how to prepare to leave Japan; a guide to those crazy icons (kaomoji) that are sometimes difficult to understand; a fabulous self-cleaning, tankless toilet; Tokyu Hands now has a cafe; rainy season activities in Japan; and relevant, informative news.

Enjoy!

Living in Japan

The Lord Of Umbrellas. One かさ to rule them all. 晴雨兼用傘 (Dual Use Umbrellas A Must For The Rainy Season) (Japan Subculture Research Center) - Sun or rain, an umbrella comes in very handy.

Among developed countries, Japan ranks 30 out of the best places to be a mom, but third for the children's index, according to Save the Children.

You may have heard, already, but Reese's peanut butter cups can be found at Seiyu. They also have an online store, but you have to register to use it, and it seems that you can only register if you live in certain areas. For some reason, my neighborhood isn't on their list, so I can't register with my real address. You can also find Reese's pieces here.

Nishimatsuya (西松屋), a popular baby store chain, carries the Cherokee brand (USA) as of January this year. (Americans, you might know Cherokee from Target, etc.) Some cute, extremely cheap baby clothes.

Attention J.Crew fans! Free shipping to Japan, free returns and duty-free shopping through May 30 - no code required.

'Population clock' forecasts no children after year 3011 (Japan Times) - If things continue at the rate they've been going, that is. Hopefully policy (and systemic) changes will be made in the coming years to address this.

Declining Birthrate Changing Japan’s Schools (Nippon.com) - Did you know that, because of the birthrate, schools are closing at a rate of 400-500 a year?

Steep rise in expressway tolls likely as funds run out ahead of schedule (Japan Times) - If you enjoy the current discounts, you might want to know that it's possible they could disappear in the future.

Softbank develops blimps for floating emergency cell towers (The Japan Daily Press)

If you're planning to leave Japan anytime soon, you might want to check out The Stress Free Guide to Leaving Japan - updated for 2012-2013 - for some useful information and checklists as you prepare to leave.

Japanese Font With Stroke Order (Asiajin) - This particular font lists small numbers next to each stroke so you can see the stroke order.

Remember that tornado that spun its way through Ibaraki earlier this month, causing a lot of damage and actually injuring several, killing one? @BleuDressNJapan shared this video of it:

And speaking of tornadoes, the accuracy rate for tornado predictions lower than 10% (Japan Times)

Smartphones

SoftBank And PayPal Join Forces In Japan For Smartphone Payment Solution (Asiajin)

If you've ever wondered what exactly all those faces mean, you might want to check out this Visual guide to Japanese kaomoji (emoticons) (JapanSugoi)

KDDI offers movie and TV show streaming to smartphones (The Japan Daily Press)

Fujitsu phone tool to scan skin tone (Japan Times) - I'm wondering just how effective this might be...

Setsuden

This Automatic Door Don’t Need No Stinkin’ Electricity! (RocketNews24)

Toto Unveils Tankless Toilet that Saves Water, Power and Cleans Itself (Japan for Sustainability) - I want this toilet.

Power-saving looms again for this summer (Japan Times)

Aeon supermarkets to open earlier (Japan Times) - Aeon stores are taking advantage of the early morning hours to save electricity and allow folks to get their shopping done while it's cooler outside.

High-tech

Toyama to plant first pollen-free cedar in fall (Japan Times)

AOKI Releases Business Suits for Bicycle Commuters (Japan for Sustainability) - Seems like a cool idea to me; would you wear something like this?

Pioneer reveals new windshield display navigation system (The Japan Daily Press) - Like something out of a video game...

Food

Nikujaga Recipe (No Recipes) - One of my favorites!

Did you know that Tokyu Hands now has a cafe? Only in two stores (Shibuya and Umeda), but it looks pretty good! (Tokyo Eats)

Small fry spawn big dreams (Japan Times) - A fascinating history of salmon in Japan.

Breeding Bluefin Tuna in captivity: A recipe for success? (Ethical Nippon) - Given that Japan could very well eat the Bluefin Tuna to extinction, what do you think?

Travel and Recreation

Luxury restrooms – you’ll want to visit Shibuya Hikarie just to use the ladies’ room! (RocketNews24) - I love me a nice restroom.

JAL builds a social media campaign, one block at a time (Japan Pulse) - If you're looking for a chance to win air miles or a pair of tickets between Tokyo and Boston, check this out.

Lots of airlines launching new services: Peach is now connected to South Korea via Osaka (Japan Times); Hawaiian Airlines will start flying to Sapporo (Japan Today); and China Airlines introduces three new services from Taipei to Kagoshima, Shizuoka and Toyama (Japan Daily Press). On top of that, ANA is now more popular than JAL when counting passengers, and a new runway has been approved for Naha (Okinawa).

Also, you might want to check out The Best and Worst Airlines for Redeeming Rewards Miles (Lifehacker).

Universal Studios Japan to get Harry Potter attraction (The Japan Daily Press) - I'm sure kiddies, and adults, are excited about this one.

This presentation goes into some pretty average, run-of-the-mill Japan travel tips, but aside that, it's surprisingly fun and well-designed:

Travel Tips Learned from Japan! - EP

Here are some things to consider when riding a long-distance bus in Japan, after the awful tour bus crash that occurred during Golden Week. (Japan Times)

Will you be in Japan during the rainy season this year, and not sure what to do, especially if the weather refuses to cooperate? Check out Exploring Japan: Rainy Season Activities for some ideas (by yours truly). (Japan Daily Press)

Fukushima Nuclear Crisis/Tohoku Earthquake and Tsunami

Japan nuke-free for first time since '70 (Japan Times)

'Hot spots' detected at 20 schools [in Fukushima] (Japan Times)

Most willing to accept disaster debris (Japan Times)

Cesium spikes in Tokyo Bay samples (Japan Times)

NISA, Tepco knew in '06 of Fukushima tsunami threat (Japan Times)

Japan Summer Survival Guide 2012

2012-05-18T22:11:00.000+09:00

It's still May, but summer is just around the corner, and the weather lately, at least here in Shizuoka, has certainly felt like summer weather. I've included a roundup of previous summer-related posts below, although note that some, such as the fireworks festival finder websites, haven't been updated yet for 2012 information (but you'll still be able to get an idea of what festivals are held in your area/wherever you're going, and then can look up this year's info later once it's been confirmed.)

More will be added as any relevant new post are published this summer.

The Rainy Season

First of all, the rainy season has already begun in Okinawa, which means it's likely to start earlier than usual on the main islands as well. It's best to be prepared, so check out these 40 tips to survive the rainy season in Japan. After that, why not read 12 more ideas to get through the sticky season of humidity and sweat? If you're stumped as to what to do in the rain, you'll find several ideas here.

The Bugs

Once the temps go up, they come in droves. The high-pitched buzzing sound you might be hearing throughout the night - multiple times - is those obnoxious mosquitoes. Here are some ways to defend yourself against them, and how to take care of the bites they leave behind.

Don't forget the roaches. Learn how you can prevent them from making an appearance in your home and how to get rid of them, here.

Body and Home

If you're looking for an alternative to air-conditioning that uses less electricity and saves money, you want to try a "cool air fan."And to help control mold and humidity, keep your veggies fresh longer, and deodorize the air, bamboo charcoal, or "takesumi", is quite useful for that, with the added bonus that it's natural.

And to protect yourself from the sun, you'll want this useful guide to sunscreen in Japan.

Recreation

Want to go to the movies in Japan but not sure how to go about it, or how to find an English movie, etc.? Here's everything you need to know: 7 tips for going to the movies in Japan

To cool off, why not head to the pool, or even a water park? Not sure how to find them? Read this.

Finally, the fireworks festivals usually happen from July through September here in Japan, and they are definitely an event you won't want to miss, so learn how you can find them here.

What You Should Know About Mental Health in Japan and How to Find Help [Interview]

2012-05-16T00:16:00.002+09:00

As expats, sometimes life can get stressful. Really stressful. Perhaps to the point of needing help in the form of counseling. But how do you get that kind of help in a foreign country, especially if the country's native language isn't English, or your native language?

I wondered about this myself when I was dealing with a bout of labrynthitis a couple years ago and the doctors kept telling me the reason I felt so bad was due to a mental issue. They were wrong, although I suppose it was technically, "all in my head." However, it got me thinking, what if I ever needed counseling here in Japan? Would I be able to find help? Someone that would understand me and not form opinions based on one culture?

So I sought out answers from an expert: psychotherapist and clinical psychologist Andrew Grimes of Tokyo Counseling Services. We discussed a few different things, including:

The most common psychological issues expats in Japan experience
How the work culture in Japan affects emotional well-being
How counseling and psychotherapy are addressed in Japan versus western countries
How to find an English-speaking counselor if you don't live in Tokyo or another major city
What you should be aware of when preparing a move to Japan and ways you should prepare, especially if you have a family
Culture shock, when it happens, what it might look like and how to deal with it
Why getting out of the "expat bubble" sometimes can be good for your mental/emotional health
What mental health professionals in Japan have been doing to help the recovery process in Tohoku

Today we're doing something a little different with this interview - you'll find it below in audio form rather than text (although hopefully I can get it transcribed eventually). It's my first audio interview, so you'll have to excuse the fact I'm not quite as talented as the Japan podcasters out there, but I think the content in this interview if insightful and worth a listen.

Click here to listen to the interview.

*******

Please check out Tokyo Counseling Services:

Tokyo Counseling Services
Address: KS Residence, Daizawa 2-30-21, Setagaya Ward, Tokyo, Japan. 155-0032
Phone: 03-5431-3096
Fax: 03-5431-3097
Email: tokyocounselingservices@gmail.com

Resources for finding an English-speaking psychologist or psychotherapist in Japan

Some were mentioned in the interview, plus a few more:

AMDA International Medical Information Center - They help find medical providers in Japan who speak your native language, including English and several other languages.

Japan Healthcare Info - Help finding an English-speaking medical provider in Japan

The Japan Society of Certified Clinical Psychologists (JSCCP) provides a resource (Japanese-only) that helps locate JSCCP-approved therapists in any part of Japan, and can be searched for by language, among other specifications. You can use a browser translation tool to help you navigate it, or ask someone you trust who can help you read it and search.

Wiki-tell and Tokyo English Life Line (offers free anonymous telephone counseling and online resources)

Himawari - Tokyo Metropolitan Health and Medical Information Center (Tokyo area only) - Find a hospital with English-speaking doctors in the Tokyo area.

Most Helpful Comments on Surviving in Japan - May 11

2012-05-11T22:46:00.002+09:00

We're back with another around of most helpful comments from the past couple weeks. Received a few suggestions regarding where/how to get spices and herbs in Japan, a deodorant tip, one idea to repel mosquitoes, several resources for Japanese law references in English and one place to get eclipse glasses in Hokkaido.

***

From Living abroad, on deodorant in Japan:

"I found a Recycle shop in Minami Gyotoku carries several deodorants including Old Spice, Secret, Suave, Speed Stick and OMG even Teen Spirit! There is also a Men's liquid deodorant in a green bottle here that works really well."

>>>

A few of you had some things to add to the post on spices and herbs in Japan.

Djinnwired recommends the following resource:

"www.ambikajapan.com is amazing... It's an Indian online grocery store. They do bulk spices and rice (most of the Indian restaurants around here buy from ambika) as well as smaller sizes, instant curries, stacks, frozen vege and lentils/dried pulses. If your oder goes over a certain amount (I think 10,000?) you get a free Bollywood DVD!"

Laurel

"I agree that ordering online is the way to go - my No.1 stop for (organic) herbs and spices and nuts/seeds/dried fruit, etc. is this Rakuten shop."

Aussieontheizu

"I can find the basics even in my local 100yen shop (Lemon House) which stocks a decent selection. They had tumeric, paprika and garlic powder too."

Editor's note: You can find Lemon House in Tokyo, Shizuoka, Kanagawa, Aichi, Saitama and Yamagata. You might want to check the 100 yen shops near you to see what they have.

>>>
We're more or less back to mosquito season, and Connie suggested growing citronella, in response to how to keep the mosquitoes at bay.

"When we lived in Michigan, the mosquitos were so big people said they would carry you away! Smoke, the coils work very well - when you combine with real Citronella plants.
Found this for you: Citronella is the most common natural ingredient used in formulating mosquito repellents. The distinctive citronella aroma is a strong smell which masks other attractants to mosquitoes, making it harder for them to find you. Although citronella is used in many forms, such as scented candles, torches and citronella ‘scented’ plants, the living plant is more effective because it has a stronger smell."

>>>

James recommended several resources to reference Japanese laws in English, including:

"A 1974 catalogue published by Eibunhooreisha 「英文法令社」-- 29 pages list the contents of 10 volumes of English translations of Japanese laws, regulations and Cabinet orders. Volume 2 alone includes the Commercial, Criminal and Civil codes."

The Commercial Code of Japan -- an English translation published in the US by a graduate of Waseda University.

The Japanese Ministry of Justice website has English translations of the Japanese laws, with the option to view the laws in English or Japanese or both at the same time.

Japanese Law by Hiroshi Oda. James says, "The book is a well-written overview of the Japanese legal system and laws. (I bought and read the 1992 first edition while still living in Japan and, even though I no longer live there, intend to buy the updated 2009 edtion too.)

Books by J. Mark Ramseyer, in particular, Odd Markets in Japanese History: Law and Economic Growth.

>>>

Still looking for special glasses to view the eclipse on May 20/21? Kimberly recommended Kitamura, and Elizabeth mentioned that Homac in Hokkaido is selling them at the registers.

***

Many thanks to all for sharing your tips and resources!

HOW TO: Find a Clinic or Hospital That Prescribes Birth Control Pills or Emergency Contraception

2012-05-09T21:37:00.001+09:00

You may have an idea of what kind of birth control pills are available in Japan, if that's what you're looking for, or maybe you'd prefer an IUD. But what if you aren't sure where to go for a birth control pill prescription? Or what if you need to find emergency contraception (the morning after pill)? The Japan Family Planning Association has a website that allows you to look up both of these things, and it's quite easy to use, despite being all in Japanese. I've explained how to navigate the site below.

How to find a clinic or hospital in Japan that prescribes birth control pills

Step 1: Go to the JFPA Clinic website.

On the right hand side, at the top, there are two large buttons with text and images inside them. You'll want to click the top one that says "ピルを処方している施設の検索." ピル (piru) means birth control pill, 処方 (しょほう, shohou) means prescription, 施設 (しせつ, shisetsu) means institution, and 検索 (けんさく, kensaku) means search.

Step 2: On the next page, choose the prefecture you live in or want to search for a clinic in. I'm going to click on Aichi (愛知), as an example.

Step 3: The next page shows a list of hospitals and clinics in Aichi prefecture that prescribe birth control pills. There is also a map underneath indicating where each clinic is. Click on any clinic to get more detailed information. Click 次の20件 to see the next 20 results.

After clicking on a clinic, you'll see more information about it, including the name, address, phone number, website, if an appointment is required, consultation hours, when they're closed, and a map. If an appointment is not required, it will probably say 不要 (ふよう, fuyou), and if it is necessary, 必要 (ひつよう, hitsuyou).

How to find a clinic or hospital in Japan that prescribes emergency contraception

Step 1: Go to the JFPA Clinic website.

On the right hand side, at the top, there are two large buttons with text and images inside them. You'll want to click the bottom one that says 緊急避妊薬を処方している施設の検索." 緊急避妊薬 (きんきゅうひにんやく, kinkyuuhininyaku) means emergency contraception, 処方 (しょほう, shohou) means prescription, 施設 (しせつ, shisetsu) means institution, and 検索 (けんさく, kensaku) means search.

Step 2: On the next page, choose the prefecture you live in or want to search for a clinic in. I'm going to click on Aichi (愛知), as an example.

Step 3: The next page shows a list of hospitals and clinics in Aichi prefecture that prescribe emergency contraception. There is also a map underneath indicating where each clinic is. Click on any clinic to get more detailed information. Click 次の20件 to see the next 20 results.

After clicking on a clinic, you'll see information about it, including the name, address, phone number, website, if an appointment is required, consultation hours, when they're closed, and a map. If an appointment is not required, it will probably say 不要 (ふよう, fuyou), and if they are required, 必要 (ひつよう, hitsuyou).

****

And now you have an option to find a clinic or hospital in Japan with a doctor who can prescribe you birth control pills or emergency contraception. If you need to find an English-speaking clinic, you might want to take the list you found and ask the kind folks at Japan Healthcare Info to see if any of them have English-speakers.

You might also want to read more about birth control pills in Japan and other contraception methods.

31 Japan Links You Might Want to Read - May 6

2012-05-06T21:44:00.001+09:00

Fuji Matsuri (Wisteria Festival) in Fujieda, Shizuoka

We've got lots of fascinating stuff this week: Can expats ever truly fit in here in Japan? Rainy season kicked off early in Okinawa (it's COMING, gah!), the new registry system starting soon, what Google Japan's offices look like, exploring Miyajima and Shirakawa-go via panoramas, veggie sushi, super rice balls, and more. Enjoy!

Living in Japan

Time to put away the winter clothes, because Cool Biz is starting early this year! (Japan Times)

Who you buy a home from can make a big difference in price (Japan Times)

Can an expat in Japan ever fit in? Long-term Japan resident @Hikosaemon talks about it on Tokyo Podcast.

Those who've had their hair done in Japan know how nice it can be to have their hair washed and at some salons, get a massage. But what if a robot takes over the hair washing role? Panasonic’s shampoo robot begins public testing [near Osaka] (The Japan Daily Press)

Apparently local rivers might be dangerous for more than one reason... Kanagawa river yields three piranhas (Japan Times)

Children in Limbo: In Japan, what happens to children after their parents divorce? (Japan Subculture Research Center)

Law on new flu outbreaks enacted (Japan Times) - According to the article: "If a new type of flu breaks out in Japan or abroad, the central and local governments will set up task forces, quarantine people attempting to enter Japan, and order doctors to examine those suspected of being infected, according to the new law."

Foreigners to start getting notices for new registry system (Japan Times) - In case you haven't already heard, the current alien registration system will be abolished and a new system, in which foreigners will be registered in the same registry as Japanese citizens, will begin July 9. This also means no more reentry permits for trips outside of Japan if you return within a year.

Rainy season kicks off in Okinawa (Japan Times), and guess what? It's EARLY. So who else is looking forward to an early rainy season this year?

As a result of numerous accidents involving children in school zones and children's walking routes between school and home, the government and National Police Agency are looking to make some changes to make Japan's roads safer for kids. One proposal? Lower speed limits to 40km/hr on roads less than 6m wide. I don't know about you, but that still seems fast for a narrow road... (Japan Today)

Ruling party ends up back where it started with assistance for families (Yen for Living) - It makes the child assistance for families seem pointless.

Retail drug sales on Internet legal (Japan Times) - Hooray! Kenko.com can still sell their OTC drugs!

Just for Fun

I had no idea so much went into titanium glasses frames, and though it might sound kind of boring, I was utterly fascinated reading this and its relation to the birthplace of the frames, Sabae, Fukui. (Nippon.com)

Ever wonder why it sounds like Japanese people speak so fast? Apparently Japanese and English (and other languages) have different information rates. Some are more information dense, meaning less needs to be said comparatively to other languages. Worth a read. (Tofugu)

Ever wonder what the Google Japan offices look like and what food they serve? Check them out here. (tokyo eats)

Travel and Recreation

122 of 136 drivers have been drowsy or fell asleep while on duty, driving? Doesn't make me want to ride a long-distance bus in Japan. (Japan Times)

JAL renews homepage to reflect customer feedback and improve usability (Japan Today) - Much better. English website update coming soon.

Ever heard of a Gigapixel image? No? They're created by combining at least 50 images (sometimes up to a 1,000), so there are over one billion pixels per image. You can check out these fancy images for yourself of the rustic World Heritage Site, Shirakawa-gō, and some 360° panoramas as well. Really cool.

ANA to launch Narita-Seattle route from July 25 (Japan Today) - Well, I'm from Seattle so maybe this most exciting to me, not that I plan to fly ANA unless they're cheaper than everyone else and I get miles for flying...

More neat panoramas, but this time of Miyajima. (Nippon.com)

Tokyo to be treated to rare annular eclipse, Venus transit (Japan Times) - Do you have special glasses to watch the eclipse? Make sure you're prepared.

Food

If you've ever wanted an onigiri (rice ball) to have more than one flavor, you might be interested in "The Super Rice Ball," which has four flavors in one (larger) onigiri. (RocketNews24)

Japanese Soba and the Broth of Life (NY Times)

Vegetarians, you might like trying some "veggie sushi." Not what you might expect. (RocketNews24)

Ever wonder how those plastic food replicas, the ones you see in glass cases outside restaurants, are made? Check out these videos. (RocketNews24)

If you're in the greater Tokyo area, or even visiting at some point, I highly recommend the "bills" restaurant! Get the ricotta hotcakes. Get. Them.

Fukushima Nuclear Crisis/Tohoku Earthquake and Tsunami

Apparently some wholesalers think they can get away with relabeling Fukushima cucumbers to sell in Tokyo. (Japan Today)

Cesium exceeding new limit detected in 51 food items in nine prefectures (Japan Times) - Mushrooms and some seafood seem to be the main culprits.

Utilities may not meet August power demand (Japan Times)

[Fukushima] Plant used bad breaker for decades (Japan Times) - At this point, this hardly comes as a surprise.

Fukushima air to stay radioactive in 2022 (Japan Times)

Dermatology in Japan: What it's like, and answers to your questions [Interview]

2012-05-04T20:30:00.000+09:00

Today I'd like to introduce Dr. Chin-Huai Keong, certified dermatologist and director of Garden Clinic Hiroo in Tokyo. Dr. Keong has kindly taken the time to answer several questions for us, some of which are readers' questions from Facebook (thank you). Some of the things we discuss include:

The most common skin-related problems expats living in Japan experience and what you should do about them
Problems that different ethnic groups might experience
Differences and similarities in how dermatological issues are treated between Japan and other countries
What to keep in mind if you go to a dermatologist in Japan
Treatments for adult acne
Tips for treating eczema or extremely dry, itchy skin in Japan, including some over-the-counter options
Who is allowed to provide cosmetic dermatology services in Japan, such as botox, chemical peels, and permanent hair removal
Ways to find cosmetic dermatology services if you don't live anywhere close to Tokyo

And more. We've covered a lot of information, so let's jump right in!

*****

Ashley: First of all, would you mind telling us a little about you and your clinic?

Dr. Chin-Huai Keong

Dr. Keong: I am a board-certified dermatologist, studied and trained in Japan. Garden Clinic Hiroo is essentially a dermatologist’s clinic specializing in adult and pediatric dermatology and cosmetic dermatology. In addition, we offer testing and advice for allergies related to the skin and the environment (like pollen allergies).

We believe in preventive medicine, so we also offer services for childhood vaccinations and adult travel/college enrollment vaccinations.

Due to the limited number of doctors in Japan familiar with foreigners and medical situations outside of Japan, we offer some services in documentation for travelers/students, etc.

Ashley: What problems do expats living in Japan typically come see you about, and do you have any general advice regarding these issues?

Dr. Keong: The majority of expats in Japan are under 50 -- mostly families and single working adults.

Children come for problems like atopic eczema, impetigo, warts, food allergies and infectious skin diseases like chickenpox, measles, etc.

For teenagers it’s mostly acne, but occasionally infections like athlete’s foot, warts, etc.

Adults see us for a range of problems: from adult acne to athlete’s foot to herpes to chronic skin problems like eczema and psoriasis to age spots to skin cancers. Skin cancers tend to be more of an issue with the Caucasians and less of a problem among Asian or darker-skinned expats.

My best advice: get seen as soon as possible by a specialist if your skin condition is not getting better with OTC medicine or if your physician has treated you but you are not seeing any improvement. Sometimes, your skin condition may have changed for the worse, or the diagnosis may have, even though you may have seen a doctor a while back and received treatment.
Ashley: In your experience working at the International Clinic and with foreigners, how similar or different are dermatological issues treated in Japan versus other countries?

Dr. Keong: As mentioned above, skin problems tend to differ from one nationality (race or skin color) to another. Caucasians tend to have more concerns with moles and skin cancers. Darker skinned individuals like Africans and curly-haired Caucasians tend to suffer from infections related to ingrown hairs (which is almost non-existent among Asians as they have mostly straight hair). We tend to see more cases of conditions like psoriasis and rosacea among Caucasians and less among Asians.

Otherwise, across the board whether Japanese or foreigners, we see the same skin problems like bacterial or fungal infections, warts, acne, eczema, dermatitis, etc.

With cosmetic issues, Asians, including Japanese, tend to be more concerned about skin pigmentation, whereas Caucasians tend to have problems like broken veins, redness of the skin and early skin wrinkling.
Dermatological issues are generally treated with similar methods whether in Japan or elsewhere. There are certain guidelines (like those set by the American Academy of Dermatologist, Japanese Dermatological Association, etc.) that doctors follow, and we read the same books and literature updates.

Having said that, medical treatment in Japan tends to be generally more conservative than many western countries. I can think of two major reasons for this:

Reason (1): the Japanese health insurance system. The health insurance companies decide what services/tests/treatments they will pay and not pay and this applies across the board. Anything not paid for will generally NOT be implemented in Japan. Few doctors would care to bring say, Accutane, into Japan, because (i) the paperwork is a hassle, (ii) it is costly and Japanese patients tend not to want to pay from their own pockets for private treatment and (iii) doctor’s liability insurance will usually not cover us for any accidents or problems that may arise from treatment using medications not approved here. So, unfortunately, what incentive do doctors have to try anything new?

Reason (2): Many new treatments will only be approved for use in Japan only after they has gone through the rigorous testing as required by the Ministry of Health. That means many medications already approved for use by the FDA will have to wait several years for them to be approved in Japan as clinical testing using Japanese as subjects usually takes a few years.

Ashley: A common request among foreigners living in Japan is how to ask about something (e.g., cystic acne, moles, and various other skin conditions) at the doctor's office when they need something looked at or treated. What tips do you have or what should we know about or be aware of when we see a doctor/dermatologist so things don't get lost in translation (in English or Japanese), especially if they don't want surgery if it isn't necessary?

Dr. Keong: I don’t think it’s too common to walk into a clinic and end up getting instant surgery! ☺

Surgery usually requires quite a bit of preparation at my clinic and we usually need a 30 minute appointment and some pre-surgery tests before we venture any further. Of course, when it comes to surgery or any big procedure, it is probably best to visit an English-speaking doctor, or bring along someone who can translate for you. Or, if the issue is not an emergency, see your doctor at home the next time you visit.

As a rule of thumb, I would say you need to feel comfortable with your doctor. Sometimes it is not just a language problem. The doctor may speak perfect English or your Japanese may be near perfect, but if you are not comfortable with each other (yes, I meant each other), then a procedure like surgery or even cosmetic treatments, such as Botox, should not go on.

For dermatology, fortunately or unfortunately, most times, the patient is able to see the skin problem. He or she can often point out to the doctor/dermatologist what he or she is concerned about.

Honestly, it can sometimes be very frustrating for both parties when we do not understand each other. So if the patient is planning to live in Japan for a while, it is best to learn some basic Japanese and this will make life easier. Otherwise, head for one of those doctors who speaks English or your native language. However, sometimes they do not take the Japanese national health insurance and can be expensive…
Himawari is a good website to find doctors who speak a foreign language in your area, if you live in Tokyo, but again, it may not be absolutely accurate either.

Editor’s note: You might also want to check out Japan Healthcare Info to help you find an English-speaking doctor in Japan.

Ashley: Briefly, what are the latest treatments available in Japan for adult, hormonal acne? Also, is Accutane legal in Japan?

Dr. Keong: Adalpalene (Differin gel) has been on the market for about four or five years now and is considered a very effective treatment for acne. It is available via prescription under insurance.

Oral Accutane and its equivalent are not approved for use in Japan and therefore not available for prescription; although it is extremely useful for patients with nodular or cystic acne.

I have occasionally helped monitor patients who want to be on Accutane. This can happen if the patient has a dermatologist in his/her home country willing to prescribe the medication and mail it to the patient. We will not import the medicine on behalf of the patient simply because of the paperwork nightmare. These services are offered on a private basis under special arrangements and will not be covered by Japanese health insurance.

Adult acne is another major problem. While teenage acne usually respond well to treatment with oral antibiotics and adalpalene cream, it is much more difficult to treat adult acne as it is hormonal-related. We may occasionally offer to treat the patient with herbal medications, oral contraceptives, Azelaic acid creams, or Retin-A creams but the latter creams are not covered by insurance in Japan. Some patients may benefit from treatments with lasers, IPL or chemical peeling and ionotophoresis. Some doctors may offer LED lamp treatment.

A number of the “latest” treatments are available, but the majority of non-standard treatments are not covered by insurance. Since almost 100% of the Japanese population comes under that Japanese insurance, you will not find many doctors outside the major cities offering such services as the demand is probably less.

Ashley: Do you have any tips for those living in Japan with eczema or extremely dry, itchy skin? How are these usually treated in Japan? Are there any over-the-counter products that can help?

Dr. Keong: Atopic eczema is a skin condition related to other medical conditions in the atopy family (i.e. asthma, allergic rhinitis like hay fever, and atopic eczema). Most people who do not have an atopic history will likely have just dry skin. For such individuals, OTC moisturizing creams like Curel, Atopico, Nivea or plain old petrolatum jelly (Vaseline) will usually do the trick. However, people tend to be “lazy” and do not apply it frequently. I would say if you have dry skin, consider applying the moisturizer twice daily and make it a daily ritual.

People (especially children) who have atopic eczema have a more serious problem and I recommend that if your skin condition has not improved after you have diligently applied a good moisturizer, then it is time to see a dermatologist.

The earlier the condition is brought under control, the better. You may not be able to cure the condition, but you want to manage it well. Again, your doctor may be able to prescribe the appropriate steroid cream and antihistamines for your needs. For atopic eczema, steroids and tacrolimus creams (protopic) are used, usually combined with one or two oral histamines. Doctors would taper the dose or reduce the potency of steroids once the skin condition improves. Generally, I think treatment of atopic eczema in Japan does not differ very much from that of other countries.

The use of topical moisturizers is encouraged. I usually show my patients HOW they should apply the creams prescribed to them. It is interesting to note that patients may have actually been using the exact same creams with little improvement but would show tremendous improvement once they learned how to properly apply the cream.

There are prescription moisturizers, but petrolatum jelly works well too.

Also, the winters in Japan can get very dry, so I would encourage families with children or even adults with dry skin and atopic eczema to invest in a good humidifier and also a hygrometer (a humidity gauge) to check on the humidity in the room is comfortable.

Ashley: Your clinic also offers cosmetic dermatology services such as botox, chemical peels, and permanent hair removal, among others. In Japan, who/what type of professionals are legally able to provide these types of services?

Dr. Keong: In Japan, only medical professionals are allowed to offer services in cosmetic dermatology. Some doctors may have a nurse perform these cosmetic procedures but they must always be under the supervision of the doctor.

One might find cosmetic dermatology services offered by dermatologists and plastic surgeons. Our services tend to overlap but dermatologists will not offer any cosmetic procedures that would involve a scalpel (i.e. invasive cosmetic procedures like face lifts etc.)

Occasionally one might find fliers from beauty salons offering face peels or permanent hair removal therapies. These salons are certainly NOT using the same equipments as they are not legally allowed to use any of the equipment that doctors use. The equipment used in beauty salons usually have a much weaker output.

Ashley: For folks who don't live anywhere close to Tokyo (where your clinic is located), where might they go for cosmetic dermatology services? Beauty salons, dermatology clinics, hospitals, etc.? Is there a way to find reputable providers of these services in other parts of Japan?

Dr. Keong: A difficult question to answer. Yes, please, definitely come see us in Tokyo!! ☺

It’s best to check with friends who may have had a good experience. Otherwise check websites before walking in. Like I mentioned earlier, check out the clinic or hospital in person and if you are comfortable with the place and the doctor, then go ahead.

For cosmetic procedures, this is what we do: I like to have a chat (basically a consultation) with my clients before starting any cosmetic treatments to make sure we are on the same chapter. We want to have similar expectations. I am also upfront in terms of costs and realistic expectations. We also have our clients sign a letter of consent before we do anything cosmetic.

Occasionally I have to treat patients who come to me because they have received some sort of cosmetic treatment at some other clinic with unsatisfactory or alarming results. They usually tell me that it was some place where they never got to meet the doctor a second time and no one discussed with them the pros and cons of the cosmetic procedure before they went ahead with it. Even worse, the clinic/hospital had refused to treat them for the skin damage that resulted from the cosmetic procedure.

My advice here is, if a patient walked into a clinic and did not get to have a satisfactory discussion with the doctor or nurse before they were guided into the treatment room, they should not go ahead with the treatment.

If you live in a smaller city and do not have the advantage of choices like you do in Tokyo or Osaka, then my advice is to seek out the university hospitals and some of the larger medical institutions that might have a cosmetic dermatology sub-department under the arm of the dermatology department or the plastic surgery department. Many hospitals do not publicize them but they do have lasers and might do botox and fillers as well. Of course, all cosmetic procedures are not covered by health insurance.

Ashley: Dr. Keong, thank you so much for your time and for generously answering our questions. We wish you and your clinic the very best.

****

You can check out more about Garden Clinic Hiroo on their website. You might want to like their Facebook page for useful updates about not only their clinic, but healthcare in Japan (I follow them myself). And if you're in or will be in or around the Tokyo area, here's how to find their clinic:

GARDEN CLINIC HIROO
2F, 7-14-7, Minami-Aoyama
Minato-ku, Tokyo 107-0062

ガーデンクリニック広尾
〒107-0062
東京都港区南青山7-14-7 2F

Garden Clinic Hiroo Office

Spices and Herbs in Japan

2012-05-01T22:03:00.002+09:00

I've heard people say how difficult it is to find spices in Japan and that you should bring your own. While from personal experience I know there are some spices and herbs (like cilantro) that are a little more difficult to find, especially if you, like me, don't live in Tokyo or another huge city, in general it's not (usually) that difficult, and certainly not impossible to find a variety of spices and herbs in Japan. Yes, even if you live far from civilization.

I've also heard some people complain that if it's not at any local stores, then it's basically impossible. Personally, I think ordering online is far easier and faster than going shopping in person, so while yes, it could require a bit more planning ahead of time for whatever exotic meal you plan on cooking up, I wouldn't consider it "impossible." But to be honest, I just adapt dishes when I can't find what I need and I want to make something I'm craving right away. Although sometimes I crave food from specific restaurants that aren't in Japan, but that's not really relevant.

To each his or her own, though.

You might be looking for spice blends as well, similar to those you got back in your home country. You can find quite a few of these online too, I discovered, but it's really easy to make your own spice blend buying the single spices or herbs and mixing things together.

In this post we'll look at some of the common spice/herb brands in Japan, words that you should know, Japanese translations of spices and herbs, where to find spices and herbs in Japan, and some ideas on how to find some of those more elusive seasonings at the end. So let's jump in!

Spice brands in Japan

Some brands you can find in Japan (some may or may not be available where you live):

S&B エスビー (also carries an organic line, "smart spice" line, "value" line and fresh herb line in stores)
Mascot マスコット
Gaban　ギャバン
McCormick マコーミック (by Youki) - I've never seen this brand in regular stores, but if you have, let us know.
FAUCHON (フォション) - Technically these fall under the S&B brand, but they are labeled differently than the regular S&B and the organic line.

My local supermarket also has a brand called Eurasia, which carries far more kinds of spices than most of the other brands the same store also carries (such as Gaban and S&B).

Spice shelf at the supermarket (Gaban brand displayed)

Words to know

Japanese	Hiragana	Romaji	English
香辛料	こうしんりょう	koushinryou	spices
スパイス	-	supaisu	spices
ハーブ	-	ha-bu	herbs
シーズニング	-	shi-zuningu	seasoning
粗びき	あらびき	arabiki	coarsely ground
パウダー	-	pauda-	powder (ground)
粉末	ふんまつ	funmatsu	powdered (ground
ホール	-	ho-ru	whole
原形	げんけい	genkei	"original form", whole

Brand "Eurasia," which is imported, and they have a big selection.

Spice and Herb List

Spice/Herb	Japanese
Allspice	オールスパイス
Anise seed	アニスシード
Basil	バジル
Bay leaf	ベイリーブス, ローレル
Caraway	キャラウェイシード
Cardamom	カルダモン
Cayenne pepper	カイエンヌペッパー
Chili, Chilli, Chile, Chili pepper	唐辛子 (とうがらし)
Chili powder	チリパウダー
Chives	チャイブ
Cilantro, coriander greens, coriander herb	コリアンダー葉, 香菜, パクチー
Cinnamon (Cassia/Indonesian)	シナモン-カシア
Cinnamon (Ceylon)	シナモン, セイロンシナモン
Clove	クローブ
Coriander seed	コリアンダーシード
Cumin	クミンシード
Curry spice/blend	カレーパウダー
Dill	ディルウィード
Dill seed	ディルシード
Fennel	フェンネルシード
Fenugreek	フェネグリーク
Garlic	ガーリック
Ginger	ジンジャー
Horseradish	ホースラディッシュ
Kaffir lime leaf	カフェライムリーフ
Lemongrass	レモングラス
Mace	メース
Nutmeg	ナツメッグ
Oregano	オレガノ
Paprika	パプリカ
Parsley	パセリ
Parsley (Italian)	イタリアンパセリ
Pepper (black)	ブラックペッパー
Pepper (white)	ホワイトペッパー
Pepper (red)	レッドペッパー
Rosemary	ローズマリー
Saffron	サフラン
Sage	セージ
Star anise	スターアニス
Sichuan pepper, Szechuan pepper	花椒 (かしょう)
Tarragon	エストラゴン, タラゴン
Thyme	タイム
Turmeric	ターメリック
Vanilla beans	バニラ

Where to Look for Spices and Herbs in Japan

Your location in Japan will have everything to do with this in terms of what spices and herbs are available in your area. In my experience, most supermarkets carry a set of basics, and some supermarkets carry a larger selection than others. There are a few supermarket chains where I live now, and one of them carries a large selection of spices, herbs and seasonings, but it also carries more imported and organic goods than the other chains do. So my advice is to try and find the supermarkets that carry more imported products near you if possible, as they will probably offer a larger selection.

Some people think ordering online is an inconvenience. I completely disagree (it's faster and easier for me), and you'll usually be able to find what you need. And delivered straight to your door - so easy!

First of all, some of the brand sites above have online shopping.

Otherwise, try:

Spice Luck - Wide variety of spices, herbs and seasonings, most in bulk.

Ohtsuya - Spices, herbs, nuts and other items, often available in bulk (I've ordered bulk nuts from here several times).

Spice Stock - Again, a large selection of spices, herbs and seasonings, most in bulk.

Amazon Japan has thousands of options - spices, herbs, and seasonings. [affiliate link]

Kenko.com - You'll mostly see the types sold in stores here. You can also shop in English, although the selection is a bit smaller.

Tengu Natural Foods - Smaller selection of herbs and spices than the above options, but still a good resource, and in English.

iHerb - They carry the Simply Organic line and some other spice/herb items. [affiliate link]

Rakuten shops - You can use the search function and the keyword of the spice you're looking for.

Import stores - All the ones I've been to have good selections of spices, herbs and seasonings from around the world. Many stores are independent and region specific, but you might try looking for Kaldi or Seijo Ishii (if you have any recommendations of import stores specific to your area, let me know).

Department store basements - You know the places with tons of food and shops? You might come across some spices there. (Thanks Kirsten for the tip).

Shops such as Foreign Buyer's Club, Yoyo Market and The Flying Pig.

Spice Home carries Indian spices. Online store, and if you're in Tokyo, it's across the street from the Grand Hyatt Hotel in Roppongi Hills. (Thanks to Garden Clinic Hiroo for the tip).

Maya Bazaar carries a variety of spices and ingredients for Indian cooking and you can shop in English. They also mention the quality control isn't the same as in Japan as the products are imported.

But, what about...?

Some spices and herbs can be a bit more difficult to find, no matter where you are. Let's look at a few, and if you're stuck trying to find something, let us know in the comments!

Please note you might be able to find these items at other stores, both online and in person. I just want to provide some online options for those who are stuck. All links go straight to the spice listed rather than the site's home page.

Cilantro / Coriander Leaf コリアンダー葉, 香菜, パクチー
My American self didn't realize cilantro was also coriander until more recently! No wonder I had more difficulty tracking this down in Japan. You'll want to search for コリアンダー葉, 香菜, パクチー or similar terms. Interestingly, our local supermarket actually had fresh cilantro the other day! Surprising.

If you can't find it nearby or at an import store, you could try Tengu Natural Foods, Kenko, Spice Luck, iHerb or Ohtsuya.

Paprika パプリカ
I've never had problems finding this one, but I've heard a few people say they've had trouble. In English, try Tengu Natural Foods (or another online store of your choice). In Japanese, these options are helpful: Amazon Japan, Kenko, Spice Luck, Spice Stock, iHerb or Ohtsuya.

Chili powder チリパウダー
Not to be confused with chili pepper or chiles (the red, hot stuff). You may or may not see this one in your local store. I've seen it some, and not in others. You can also find it at Kenko, Ohtsuya, Spice Luck, Spice Stock, iHerb or Amazon Japan.

Sage セージ
Similar to the above: Kenko, Ohtsuya, Spice Luck, Spice Stock and Amazon Japan.

Garlic powder ガーリックパウダー

In English, check out Tengu Natural Foods or iHerb. In Japanese, try Spice Luck, Amazon Japan, Spice Stock and Kenko.

Onion powder オニオンパウダー

Find this item at Kenko, Spice Luck, Ohtsuya, iHerb and Amazon Japan.

***

Remember, too, that you can easily grow herbs here in Japan. I've had some containers of herbs on the balcony and most have done pretty well (at one point my basil plant became a bush and we had pesto every other day for a while). This is a post to go into another day though.

Do you have any resources to add? Any suggestions for where to find spices or herbs where you live?

Yamato (Kuroneko) Overhauls English Website; Redelivery, Pickup Now Available in English Online

2012-04-24T18:31:00.000+09:00

Looks like my previous posts on how to arrange a redelivery via Yamato (Kuroneko) will become almost obsolete! (Though I still recommend them for Japanese/kanji reading practice, if anything).

Yamato completely redid the English version of their website, and now it resembles the Japanese version of the site, unlike the old version, as seen below:

New Yamato (Kuroneko) English website

With the new site, you can request a redelivery online in English (pictured below) via the site, in a seemingly simplified process (versus a multiple-step process on the Japanese site), and it doesn't appear that you need to sign up as you are required to via the Japanese version of the site. Using that same form, you can also request a pickup of package for shipping or to have your luggage taken to the airport (previously, you could only request a pickup in English via phone).

Yamato Online English redelivery, pickup request form

You can also request a redelivery by phone, in English, with the auto-delivery phone service.

They have even explained the redelivery notice in English for those who may not be able to read it.

And of course, they break down all of their other services in English as well. I think this is a great step in the right direction for companies being more accessible to foreigners living in Japan.

In summary, Yamato (Kuroneko) has revamped their English website and now offers the following services (among others):

Internet redelivery in English
Phone redelivery in English (auto)
Online package or luggage pickup request in English

25 Fun and Helpful Japan Links From the Past 2 Weeks - April 22

2012-04-22T21:33:00.003+09:00

Still sakura season!

Back again for another round of top Japan links from the past couple weeks. There wasn't as much to choose from as usual, but I think the selections below are both useful and some of them, fun! Did I miss anything you thought worth being on this list?

Living in Japan

Tokyo Police Department Announces Traffic Restrictions to Follow Major Earthquakes in Tokyo Metro Area (RocketNews24) - In case of a large earthquake, traffic restrictions will be enforced around the greater Tokyo area, followed by secondary restrictions. PDFs with more information are provided in several languages.

Teachers with two left feet struggling with dance classes (Japan Times) - Modern dance will also become a required subject for junior high students in Japan, and while some schools will bring in professionals to help train P.E. teachers, for everyone else it's not clear what will be done. Most gym teachers know nothing about how to teach dance.

Can I sue a former employer for not paying toward my pension? (Japan Times) - Are you in a similar situation? What are your rights?

Ikea opens outlet No. 6 in Fukuoka (Japan Times) - Ikea fans rejoice!

Japanese law: a solid reference book (Japan Times) - Translations of the law are also available online here.

Medicinal direction from both the East and West (Japan Times) - Thoughts on kanpo, or "Chinese medicine" or herbal medicine.

From the common cold to sleeping problems, kanpō can offer natural relief (Japan Times) - Some common kanpo blends, their names in kanji, and what they're good for.

Why good Wi-Fi is so hard to find in Japan (Japan Times) - The question so many ask when they come to Japan. Makes sense to me for the most part, although some might disagree. What do you think?

Retailers, restaurants turning to foreign rice (Japan Times) - California rice in Japan? Yes, it's true.

Bridgestone to recall nearly 10,000 Jobno bicycles with radioactive baskets (Japan Times) -

H&M to open second outlet in Gifu (Japan Times) - H&M just opened in Nagoya, and now heading to Gifu. Where next, I wonder?

Hulu Japan Cuts Price 2/3 To 980 Yen (Asiajin) - One way to watch some of your favorite TV shows and movies, cheaper than before.

Just for Fun

One Week In Japan by Mike Matas - A fun video comprised of still shots from a week in, and all over, Japan.

Eclipse Live From Fujiyama - Did you know there will be a solar eclipse in Japan on May 20-21? Because I didn't. Panasonic is sending a team up to the summit of Fuji-san to live broadcast this event, using only solar power. Might be worth tuning in for! Official website here.

Travel & Recreation

10 alternative things to do in Tokyo (Wanderlust) - A list of mostly not-the-typical things to do in Japan's capital.

Gundam center opens on Tokyo waterfront (Japan Times) - Gundam in (his? its?) new home!

Golden Week exodus at Narita airport projected to surge 16% (Japan Times) - Golden week plans anyone? Think I'll be sticking close to home, as much as I would love a vacation!

@shortsmallsweet shared a fun blog called Tokyo Eats, full of fun photos and Tokyo restaurant reviews. Worth checking out, foodies!

Fukushima Nuclear Crisis/Tohoku Earthquake and Tsunami

17 prefectures may accept debris (Japan Times)

Fukushima miscarriage rate stable (Japan Times)

Bread and bequerels: a year of living dangerously (Japan Times) - Whether you think this is considered to be overly concerned or not, there are a few good links in here for places to order produce and meat from.

Japan to be without nuclear power after May 5 (Japan Today)

Quake assessment projects nearly 10,000 dead in Tokyo (Japan Times) - No one really knows what will happen and when, or even how much damage there will or won't be, but still worth thinking about preparation.

Fukushima: Probability theory is unsafe (Japan Times) - Found this to be a really interesting read.

Kyushu Electric calls on customers to conserve power (Japan Today)

Alternative Work in Japan: Freelancing in Tokyo [Interview]

2012-04-20T22:00:00.000+09:00

Today I'd like to introduce David Chester, who wrote Freelancing in Tokyo: A Unique Guide to Achieving Financial Success in Japan's Most Expensive City. I'm frequently asked about "other types of work" in Japan aside from teaching English, and though it varies, especially depending on where you go in Japan, not everyone has to get locked into teaching English if they don't want to.

I first heard about David's book through his interview on Tokyo Podcast and found it really interesting, so I bought and read the book. I also recommend you check out the Tokyo Podcast interview (after reading this one, of course!), since I heard about David's book there first.

Ashley: First of all, where are you from, how long have you been in Japan, and what do you do?

David: I’m from Los Angeles (California, USA). I came to Tokyo in April 1993 as a musician/songwriter. I am still a musician but have become a screenwriter/filmmaker along the way.

Ashley: Teaching English is commonly believed to be one of the few ways a foreigner can find work in Japan, but your experience has proven otherwise. Do you think freelancing in Tokyo (or another large city in Japan) is a viable option for anyone?

David: I can only speak of Tokyo, because that’s where I’ve applied my skills. Freelancing in Tokyo is best suited for a native English speaker with a college degree and some legitimate work experience. If that work experience is in the field of teaching, writing, editing, acting, singing, or narrating (voiceovers) all the better. Film editing, photography, translation and interpretation are also valuable assets. And as much I do not want to say this, it’s better if you are in your 20s or 30s. After that, it becomes more challenging (but not impossible).

Ashley: What characteristics, skills or knowledge do you think, in your experience, are best suited for this type of work/lifestyle?

David: That’s a broad question and one of the reasons I wrote Freelancing in Tokyo. Again, if someone is seeking freelance work in Tokyo and has interest in following some of the paths I’ve taken, they would need to be a native-English speaker and have some work experience, preferably white-collar. Also, it is really essential that they have a positive outlook on life, because the Japanese respond well to “cheerful” people.

One must also be able to quickly grasp new skills as you are sure to be thrown into situations where any number of things will suddenly be required of you (not to mention expected of you) simply because you are a native-English speaker (e.g. teaching, editing, rewriting, proofreading, voiceovers, etc.). In addition, one really should have a strong, strong desire to understand/appreciate/accept the Japanese culture, language and food, because without that desire, it could be quite difficult to live here.

Ashley: Can you give us some examples of the types of jobs you've had over the years as a freelancer?

David: They are all detailed in my book and the list is extensive, but I’ve done everything in Tokyo from teaching English in all situations imaginable (from private students to politicians), doing voiceovers for corporate videos and anime, acting in commercials with Japanese film and pop music stars, writing for The Japan Times and Metropolis Magazine, and organizing screenwriting/filmmaking events with special guests from Hollywood.

Ashley: To your knowledge, how easy/difficult is it to obtain a work visa as a freelancer for those who don't have one already or aren't in Japan on a dependent visa? Briefly, what is the best way to go about it?

David: In brief, you will need to find a visa sponsor who has a legitimate company who needs your services (teaching, writing, etc.) badly enough to be willing to sponsor you. I've also covered all of this in my book. But every foreigner I’ve met in Japan has a different story about how they “got in,” so I cannot give one clear answer. For some, it seems to be a breeze–for others, a challenge.

I’d also suggest people interested in coming here do extensive research, which is easy to do thanks to all of the resources on the Internet—something unavailable to me when I came here in 1993.

Ashley: Do you feel that the way you network and go about finding jobs is different now with the prevalence of the internet and, in particular, social media?

David: Yes. Gone are the days of scouring The Japan Times on Monday morning in hopes of finding an interesting job (although, on rare occasion, they still have them). Anyone who uses the Internet on a regular basis can find numerous sites with information about jobs and networking opportunities in Tokyo.

In addition, there are networking groups and special interest groups or clubs where people can network to their hearts’ content. Perhaps more importantly, one can start one’s own group through Facebook or Meetup and create their own networking opportunities.

Ashley: Your book is full of incredibly useful resources for anyone potentially looking for work in Tokyo (or other parts of Japan). Would you mind briefly sharing a few of those resources with our audience, just to give us a taste of what Freelancing in Tokyo has to offer?

David: It’s difficult to say which site offers the most help, but gaijinpot.com and sites connected with Metropolis Magazine seem to offer a lot of links that have value for people who are seeking full-time or part-time jobs, apartments, roommates, and more. I’d start with those two sites.

Ashley: Finally, what are your best "living in Japan" tips for SiJ readers?

David: I would say that it’s essential to learn as much Japanese as you can. This is the key to living here successfully as communication quickly becomes an issue if you can’t express yourself and/or get what you need. Yes, there are many Japanese people who can speak English, and yes, they all have to study it, but generally speaking, they are shy and reticent, and if you have made the effort to speak Japanese to them, I find they relax and are more willing to assist in whatever way they can. This makes living here so, so much easier. Even for those who only think they’re going to be here for a year or two, commit to learning the language as much as you can. Trust me, you’ll be glad you did.

David, thank you so much for sharing your knowledge and experience with us!

****

Freelancing in Tokyo contains a wealth of information, not just for freelancers, but other living in Japan tips, resources and links. I definitely recommend it if you want to pursue similar types of work and need ideas and suggestions for how to get your foot in the door.

You can find Freelancing in Tokyo on Amazon in Kindle or Paperback formats. Also be sure to check out the Freelancing in Tokyo website for more information.

New: Most Helpful Comments on Surviving in Japan

2012-04-18T20:29:00.000+09:00

So many of you have offered great advice, additional tips, or other useful suggestions in response to posts here on SiJ and even on Facebook and Twitter. So, although I often add helpful comments into the posts themselves, I've decided to give those comments more eyes and also just to say thank you by regularly highlighting them.

To start things off, I've gathered some feedback from the past few weeks:

Hay Fever Tips

Cee C mentioned local honey would be helpful for hay fever symptoms:

Lost in Ube suggested some special glasses to help block out pollen, along with shaking jackets before heading indoors:

Comments originally appeared on 15 Ways to Survive Hay Fever Season in Japan.

Importing Tips

ExpatButNotAnExpat helpfully expanded on my Japan Import Tax column:

While marzipan2012 shared a useful resource worth checking out called Expat Express:

Comments originally appeared on Japan Import Tax: The Basics.

Travel Insurance Advice

Anonymous and Eleanor Goldsmith offer some possible travel insurance options (if you have any suggestions, please let us know!):

Comments originally appeared on Q&A: Travel insurance options?

Hair Salons in Tokyo

Christy asked for hair salon recommendations in Tokyo (specifically, around Hiroo/Minami-Azabu) and we received the following responses:

Glasses and Opticians in Japan

Q&A: Opticians, Glasses in Japan: The entire comment thread, including Facebook responses and emails, was very helpful. I learned a lot, so please check out the comments there and feel free to leave your own!

That's it for this time around (will post again in a week or two), but many thanks to everyone for your comments, even just the "thank you" ones, as they are very much appreciated!

The Ultimate Guide to Reading Food Labels in Japan

2012-04-10T23:31:00.000+09:00

When I first came to Japan, attempting to read food labels and understand what things were and what was IN what I was buying and eating was a huge obstacle. I could read hiragana, katakana and some kanji, but the majority of the food labels were confusing and I spent extensive amounts of time at the supermarket, smartphone in hand with a Japanese-English dictionary open, trying to decipher ingredients and information. I'd also use the smartphone app, ShinKanji, to search for various kanji and words I couldn't read.

The work paid off, and though now I can't read every single Japanese word without consulting a J-E dictionary or looking up certain kanji, I can usually quickly scan most labels to find what I want to know.

A guide to reading food labels in Japan is also one of the most popular post topic requests I've received. It's something most of us struggle with when we first arrive, and I'd imagine even some of those who are fluent may not have known every word or kanji at first. Deciphering Japanese food labels, the entirety of them anyway, isn't particularly easy, but I've attempted to break them down for you here. Note that I have not covered various ingredients aside from common allergens, as that's something to cover in a separate post (or more than one). This one is already long!

I should note that food labels in Japan aren't always consistent, as you'll see below, and although, for example, you'll usually see information about the total calories, protein, fat, carbohydrates and similar main nutrients, you won't always see much about other minerals or vitamins (though things like fortified cereals, breads, etc., often list these).

I've also tried to include a variety of words you'll see, but some terms/phrases are worded slightly different, although the meaning is generally the same, e.g., "賞味期限" and "消費期限" both mean "best before; best eaten by" or the expiration date.

Also note that throughout the post I have not broken down kanji and words as I normally do - instead, the vocabulary charts break them down, so please reference the charts for a breakdown. (You can also use the "find" feature on your browser and copy/paste a word you want to see in the chart to find it quickly.)

So let's get on with it: how do you read food labels in Japan?

Click any of the links below to go to that section. After each section is a "back to top" link.

Japanese Food Label Vocabulary Chart
Japanese Nutritional Information Vocabulary Chart
How to Understand the Nutritional Information List on a Food Label
How to Understand the Rest of the Food Label
How to Read Food Labels on Imported Goods
Meat and Seafood Labels
Fruit and Vegetable Labels
Allergy Information on Food Labels

Japanese Food Label Vocabulary Chart

Kanji	Hiragana	Romaji	English	Where/how you'll see it
種類別名称	しゅるいべつめいしょう	shuruibetsumeishou	(item/type of product) name	At the beginning of a label
名称	めいしょう	meishou	(item/type of product) name	Same as above.
種類別	しゅるいべつ	shuruibetsu	classification	-
種類	しゅるい	shurui	type/category	種類 + 別 or "種類別" to mean "classification"
商品名	しょうひんめい	shouhinmei	product name	Usually at the top/beginning of a label
品名	ひんめい	hinmei	product name	Same as above.
商品	しょうひん	shouhin	goods	商品 + 名 or "商品名" to mean goods/brand name
原材料名	げんざいりょうめい	genzairyoumei	"raw materials" or ingredients	Somewhere right after "名称" or "種類別"
内容量	ないようりょう	naiyouryou	quantity	Under 原材料名, but sometimes elsewhere
内容	ないよう	naiyou	contents/ substance	内容量 or the quantity of that item
量	りょう	ryou	quantity	内容量 or the quantity of that item
賞味期限	しょうみきげん	shoumikigen	best eaten by/expiration date	Usually a date is listed, but sometimes they might say "on the side of the box" or something like that in Japanese
消費期限	しょうひきげん	shouhikigen	best before/consume by/expiration date	Same as above
保存方法	ほぞんほうほう	hozonhouhou	how to store (after opening)	Listed after the above information.
保存	ほぞん	hozon	preservation	保存方法 or "preservation method"
方法	ほうほう	houhou	method	保存方法 or "preservation method"
主要栄養成分	しゅようえいようせいぶん	shuyoueiyouseibun	(main) nutritional information	Listed at the top of the nutritional information section
栄養成分	えいようせいぶん	eiyouseibun	nutritional information	Same as above
栄養成分表示	えいようせいぶんひょうじ	eiyouseibunhyouji	nutritional information list	Same as above
主要	しゅよう	shuyou	main	主要栄養成分 or "nutritional value/nutrition facts"
栄養	えいよう	eiyou	nutrition	主要栄養成分 or 栄養成分 "nutritional value/nutrition facts"
成分	せいぶん	seibun	ingredients	主要栄養成分 or 栄養成分 "nutritional value/nutrition facts"
表示	ひょうじ	hyouji	list/chart	栄養成分表示 or "nutrition facts"
産地	さんち	sanchi	production center/growing area/origin	Used to indicate where an item is from
原産国名	げんさんこくめい	gensankokumei	country of origin	This is typically listed on imported products.
国産	こくさん	kokusan	domestically produced	This is usually listed on domestic products.
産	さん	san	origin	On signs in the store, product labels, etc., you'll see the name of a place plus 産 to indicate where the product is from.
加工年月日	かこうねんがっぴ	kakounengappi	processed date	On seafood/meat/things that are cut/butchered
養殖	ようしょく	youshoku	farmed	You might see this on fish/seafood
解凍	かいとう	kaitou	"thawed" or previously frozen	Often seen on the label for seafood/meat if it was previously frozen
加熱用	かねつよう	kanetsuyou	add heat (cook before eating)	On seafood/meat
刺身用	さしみよう	sashimiyou	can be used for sashimi	On seafood/meat
生食用	なましょくよう	namashokuyou	can be eaten raw/fresh	On seafood/meat
味付	あじつけ	ajitsuke	seasoned	On seafood or meats that have been seasoned (this is easy to tell just by looking though)
地鶏	じどり	jidori	free range	On chicken
当たり	あたり	atari	"per" or "for"	1箱 (100g) 当たりor "per 1 box (100 g)"
箱	はこ	hako	box	1箱 (100g) 当たりor "per 1 box (100 g)"
パック	-	pakku	pack	1パック (100ml) 当たりor "per 1 pack (100ml)"
本	ーほん, ーぼん, ーぽん	-hon, -bon, -pon	counter for long, cylindrical objects	1本 (53g) あたり
個	こ	ko	general counter	1箱 (100g) 当たりor "per 1 box (100 g)"

Japanese Nutritional Information Vocabulary Chart

The following information is listed on the "nutritional information chart" or "nutrition facts." Usually mentions calories, and basic nutrients. Occasionally, various vitamins and minerals will be listed.

Japanese	Hiragana	Romaji	English	Notes
エネルギー	-	enerugii	food "energy" or calories
熱量	ねつりょう	netsuryou	calories
たんぱく質	たんぱくしつ	tanpakushitsu	protein	Can also be seen as "タンパク質" or "たん白質"
炭水化物	たんすいかぶつ	tansuikabutsu	carbohydrates
ナトリウム	-	natoriumu	sodium
脂質	ししつ	shishitsu	fat
カルシウム	-	karushiumu	calcium
糖類	とうるい	tourui	sugar	Sugar is also "砂糖," which is commonly used for sugar under the ingredients section
鉄	てつ	tetsu	iron
亜鉛	あえん	aen	zinc
葉酸	ようさん	yousan	folic acid
食物繊維	しょくもつせんい	shokumotsuseni	dietary fiber	The kanji for fiber can be listed other ways too.
ビタミン__		bitamin	vitamin __	Products that add vitamins such as cereal or some breads will list vitamins under the ingredients with the corresponding vitamin (such as B, C, etc.)
食塩相当量	しょくえんとうそうりょう	shokuentousouryou	amount of table salt

How to understand the nutritional information list on a food label

The following is an example of some organic ketchup (or catsup, or whatever you might call it where you're from). The top row in the outlined box says "栄養成分表示," which means "nutritional information list" but essentially can be thought of as "nutrition facts" or "nutritional information." To the right of that you can see (100gあたり), which in this case means "per 100g." So the information and numbers listed in the chart are for every 100g (100g is the "serving size," basically).

"あたり" can also be listed as "当たり" or "当り."

Next is the total calories, which in this picture is listed as "エネルギー", but can also be seen as "熱量". For 100g of this ketchup, that means 89kcal, or 89 calories.

Most labels similar to this type will then list total protein (たん白質), fat (脂質), carbohydrates (炭水化物), and sodium (ナトリウム), and some will list sugar, but many count sugar under the "carbohydrate" category and don't always split them so you can see how much of the carbs are sugars. It varies though. On this bottle, sugar is listed (糖類), as is lycopene (リコピン) and the amount of table salt (食塩相当量). Just to reiterate, you won't see these latter nutrients on every label.

Let's go over another example, shall we?

Below you'll see a small box of soy milk (individual size). The "nutrition facts" this time is "栄養成分," which means "nutritional information." The amounts listed are for the entire box, which is 200ml, as it says "1パック(200ml)当たり."

Again we see "エネルギー" for calories, and protein (たんぱく質), fat (脂質), carbohydrates (炭水化物), and sodium (ナトリウム), but there are a few more nutrients listed: calcium (カルシウム), magnesium (マグネシウム), iron (鉄), zinc (亜鉛), lecithin (レシチン), cholesterol (コレステロール), and isoflavones (イソフラボン).

Next, let's look at the nutritional information on a container of yogurt.

Again we see "栄養成分" for the nutritional info, and (100g当たり), meaning the amounts listed are per 100g of yogurt.

This time, calories is listed as "熱量" instead of "エネルギー". This is followed by protein (たんぱく質), fat (脂質), carbohydrates (炭水化物), sodium (ナトリウム) and calcium (カルシウム).

On the right hand side, under 関与成分 (かんよせいぶん, kanyo seibun, "included ingredients"), this particular brand lists the estimated number of the good bacteria strains (the italicized names).

Finally, let's briefly look at this granola label. I've covered the basics above, and as you can see, there are more vitamins and minerals listed. I've listed the corresponding English translation to the Japanese words directly to the left of each word (with the exception of the serving/milk info, which are the headers of the second two columns).

You'll also see that carbohydrates (炭水化物) is divided into sugars (糖類) and dietary fiber (食物繊維) you won't see this all the time).

How to Understand the Rest of the Food Label

Now that we've looked at how to read the nutritional information on food labels, let's examine another section that's included on a variety of food products, especially anything packaged.

Below, on this bottle of ginger ale, you can see the nutrition facts in the top section, similar to what we've covered above, plus the calories, protein, fat, carbohydrates and sodium information.

Underneath that is information regarding the item or product name (品名), ingredients (原材料名), quantity (内容量), best eaten by date (賞味期限), how to store the product (保存方法), and the company/distributor info (販売者) (all are indicated by corresponding numbers in the image).

Let's go back to our yogurt example. On the other side of the package we see more information for this particular yogurt (and information on different brands of yogurt labels varies). The info is indicated by corresponding numbers in the image below, but we can find the type of the product (種類別名称), the percentage of non-fat milk solids in this container (無脂乳固形分), the percentage of milk fat (乳脂肪分), the ingredients (原材料名), quantity (内容量), best eaten by date (賞味期限) (this actually says it's printed on the right side of the container), and storage information (保存方法).

How to Read Food Labels on Imported Goods

Let's take a look at a different kind of food label.

The following is from some imported barbecue chips. At the very top is the brand name and item name (Good Health Avocado Oil Potato Chips - Barcelona BBQ). After that, as indicated by the numbers, we have the item name (type of product) (名称), the ingredients (原材料名), the quantity (内容量), the best eaten by information (賞味期限), storage information (保存方法), country of origin (原産国名), and the importer (輸入者).

Here's another example of an imported item: mozzarella cheese from Australia.

On the very top is the type of product (Australian mozzarella), this time labeled as "商品名". Next is the type of item or "classification" (種類別), which is "natural cheese." Then we see the ingredients (原材料名), quantity (内容量), best by (賞味期限), how to store (保存方法), country of origin (原産国名), and company information.

The following label is much more simple, and is again an imported product (raspberries) but we got this from our local supermarket. On top is the product name (品名), followed by the (unlabeled) quantity (内容量), the production area (産地), or, where the berries are from, and storage information (保存方法).

Meat and Seafood Labels

These labels vary a bit depending on the store, but in general, you'll probably see the following information, or something similar.

Below you'll see salmon, with the label items numbered and the translations of the corresponding words at the bottom of the picture (Numbers are to the left of or directly above). First is the origin, in this case it's Chile, followed by the name (number 2), which says "trout salmon for sashimi use." Sashimi use (刺身用) is one you might see on different types of seafood.

Number 3 (white on black) indicates the fish is farmed (養殖), while 4 tells us the salmon was previously frozen or "thawed" (解凍). Number 5 is the date the fish was processed (加工年月日) and 6 lets us know when we should have devoured this fish by (消費期限). Number 7 is the cost per 100g, 8 is the total weight (内容量), 9 is the storage information (保存方法) and 10 is the total price.

Not let's look at chicken. The label is pretty similar to the salmon, and it includes the standard information such as date processed (加工年月日), expiration date (消費期限), price per 100g, total quantity (内容量), storage information (保存方法) and price. The top differs slightly, and as this is a domestic product, it labels the prefecture (静岡県) plus "産." Directly to the right it says "国産," which means it's a domestic product. Then it lists what it is (chicken breast) and also that it's a bargain product (number 3).

You might see some other words used next to the name or in the part where the black box is on meat or seafood labels (seafood in particular). A couple examples:

Must add heat or "加熱用" (must be cooked before eating/not to be eaten raw) is in the black box in the following image.

This octopus can be used for sashimi, as indicated by "刺身用" in the black box in the upper right hand corner.

Fruit and Vegetable Labels

Japan seems to have an obsession with plastic, as most items tend to be wrapped, and sometimes wrapped again, multiple times. When I first arrived in Japan, I put unwrapped produce in my basket as I had done in the States (I know not everyone does this, but I was used to shopping that way and not using tons of plastic). But every time I got to the register, the cashier put all the items in plastic bags anyway.

So, whether the item is packaged or not (as the items in the image below are), there will usually be information on the sign regarding the item name, where it's from, the price and sometimes other info.

The following two items, a lemon and some ginger, indicate where they are from (California, USA [アメリカ　カリフォルニア州] and Kochi prefecture [高知県], respectively) and the product names (レモン and しょうが). The lemon label also says it is additive-free (無添加, むてんか, mutenka) and the ginger says it's organic (有機, ゆうき, yuuki).

Allergy Information on Food Labels

You might notice some allergy information on packaged items for some top food allergens: eggs, milk, wheat, soba, peanuts, shrimp and crab. It might look something like the table below (outlined in red). The circles mean that this particular item contains those allergens, which in this case is milk (乳), eggs (卵) and wheat (小麦). The notice directly underneath it says that they also process shrimp (えび) and crab (かに) at that particular facility, similar to the peanut notices on items in the US.

This is another example of allergy information on a food label. The red box (outlined by me) tells us that this product (granola) contains milk (乳), wheat (小麦) and soy (大豆). The blue outlined box (also by me), towards the top says that the factory also process eggs (卵) and peanuts (落花生).

Some common food allergens in Japan (note that this doesn't include all possible allergens):

Japanese	Romaji	English
卵 (たまご)	tamago	egg
乳 (ちち or にゅう)	chichi or nyuu	milk/dairy*
小麦 (こむぎ)	komugi	wheat
そば	soba	soba (buckwheat)
落花生 (らっかせい)	rakkasei	peanuts/tree nuts**
えび	ebi	shrimp
かに	kani	crab
あわび	arabi	abalone
いか	ika	squid
いくら	ikura	salmon roe
オレンジ	orenji	orange
キウイフルーツ	kiuifuruutsu	kiwi
牛肉 (ぎゅうにく)	gyuuniku	beef
くるみ	kurumi	walnuts
さけ	sake	sake
さば	saba	mackerel
大豆 (だいず)	daizu	soy/soybean***
鶏肉 (けいにく)	keiniku	chicken****
豚肉 (ぶたにく)	butaniku	pork
まつたけ	matsutake	matsutake mushrooms
もも	momo	peach
やまいも	yamaimo	Japanese yam
りんご	ringo	apple
ゼラチン	zerachin	gelatin
バナナ	banana	banana

*Dairy/cow milk is 牛乳 (ぎゅうにゅう), but by itself the "nyuu" part (also read chichi) refers to "milk," and in this context, dairy milk.

**The word "peanuts" is also commonly listed as ピーナッツ.

***Chicken is also toriniku (鳥肉, とりにく).

****Soy milk is 豆乳 (とうにゅう, tounyuu).

And for those of your with food allergies such as dairy/wheat/gluten/soy, look for an upcoming guest post on that!

Back to top

As for prepared food/deli food, most of the above information should help you out, but they also typically list the time they were prepared. More on that later.

We'll continue this theme in a later post to go over ingredients and such, but as this one took me quite a long time, it won't pop up in your inbox or feed reader for a little while.

What's that? Not subscribed to the helpful Surviving in Japan feed? Click the "RSS" or "email" links directly below this paragraph to get regular updates. You'll be glad you did! (You might also want to check out the Surviving in Japan Facebook page for useful updates and fun discussions, or the @survivingnjapan Twitter account for relevant news, information, how-to's, guides, fun stuff and other important "living in Japan" links.)

35 Valuable Japan Links From the Past 2 Weeks

2012-04-08T22:16:00.001+09:00

This year's sakura!

Another round of top Japan links from the past two weeks for your perusal and enjoyment. Hope you're enjoying the spring blossoms if they've popped up where you are!

Living in Japan

Asia's massive fake meds industry (CNNGo) - If you order prescription meds online, beware!

What can you do if you’re involved in a traffic accident in Japan? (Metropolis Magazine) - This article goes into insurance related issues.

All about the Manaca (Nagoya International Center, via Japan Info Swap) - A travel pass and smart card for Nagoya area residents.

Osaka to keep register of released child sex offenders (Japan Today)

Good news for renters in Japan: Security deposits, key money on the demise (Japan Today)

Fukuoka offers cash rewards for hand grenades (Japan Today) - If you know about them, find them, see them, that is. You can also read more extensive information about this in this interesting article.

Nankai quake scenario menaces Pacific coast (Japan Times) - More earthquake/tsunami preparedness ~~scary stuff~~ information.

Tech

Size Up Your Tsunami Shelter With “AR Tsunami Camera” iPhone App (RocketNews24) - Basically, this free app will tell you if the building you're in will save you in the event of a tsunami.

A Smartphone Controlled Rice Cooker By Panasonic (Asiajin) - Use your Android to control how you cook your rice in this high-end cooker.

Food

Top Tempura Chef Kondō Fumio: The Michelin-Starred Chef Who Lifted Tempura to the “Pinnacle of Cuisine” (nippon.com) - A fascinating read not only about the chef, but tempura in general. I learned a few things.

Kirin Releasing Fat-Busting Cola (RocketNews24) - I do wonder what else is in this, though...

Ebi Chili Recipe (No Recipes)

Restaurants face ban on serving raw beef liver following E. coli discovery (Japan Times)

Miso Mashed Potatoes Recipe (Steamy Kitchen Recipes) - A cool idea, and so easy - can't believe I didn't think about trying this before!

The Perfect Vending Machine – for when you gotta have those fresh cut apples (RocketNews24) - Apples from a vending macine, would you go for those?

Bread Revolution: Flour (I'll Make It Myself!) - A post after my own heart, Leah (who wrote a great guest post on getting an IUD in Japan) provides detailed info about various types of flour in Japan. A must-know for cooking/baking here and something I hope to cover on SiJ eventually, but definitely check out her post and blog!

Travel and Recreation in Japan

Ishin Okinawa hotels to offer rooms for Y3,000-5,000 per night (Japan Today) - A great deal (if only I could jet off to Okinawa right now...), and valid for stays between March 21 and June 30 (2012) for Okinawa Port Hotel and Okinawa Nahana Hotel & Spa, and March 21 to April 26 (2012) for Sunmarina Hotel.

'Sakura, Sakura, Sakura 2012' Yamanate Museum of Art (Japan Times) - A springtime exhibit.

Marriage in Wonderland! Now you can have a real life fairytale wedding in the land of Magic and Fantasy (RocketNews24) - How about a wedding in Japan, at Tokyo Disneyland?

Helping Tokyo menus to get found in translation (Japan Times) - Probably particularly helpful for tourists. Although, in my experience at least, you can often get English menus when eating out - more often than you think.

Special train deal offered for tourists (Japan Times) - Short term travelers can get five day rail passes good for unlimited travel in western Japan (minus a few lines), and a Kyushu-only pass is also available.

What to do when you need to find a good sushi restaurant – hire a Sushi Taxi, and get some sightseeing done at the same time! (RocketNews24) - Located in Kanazawa, this new tourist service will help you find a sushi restaurant and take you sightseeing.

Catch a glimpse of geisha at annual spring dance event in Kyoto (Japan Times) - Through April.

Misc.

How much money do rice farmers need to make from farming? (Yen for Living) - Good info about TPP and rice farming.

What Does the Term 'Hapa' Mean? (Multicultural Familia) - I enjoyed watching this fun and insightful video clip.

Documentary on lives of Shizuoka Japanese-Brazilian youths completed (Japan Times) - This would be fascinating to check out.

Fukushima Nuclear Crisis/Tohoku Earthquake and Tsunami

60% of big municipalities test school meals' cesium (Japan Times)

Toshiba Develops Portable Gamma Camera for Visualizing Radiation Hot Spots (Japan for Sustainability)

Officials gird for more food testing (Japan Times)

Three evacuated municipalities in Fukushima to be reclassified so some residents can return home (Japan Times)

High levels of cesium found in tanks at 18 Yokohama schools (Japan Today) - Scary...

Five cities in Niigata to accept 3/11 debris (Japan Times)

Long-term no-go areas considered; cesium found in smelt (Japan Times)

Radiation expert takes on red tape in disaster zone (Japan Times)

Strontium from No. 1 plant taints Pacific (Japan Times)

Q&A: Opticians, Glasses in Japan

2012-04-03T22:51:00.001+09:00

Q: What do you know about Opticians in Japan? I wear glasses and although I am not blind without them but I am a little paranoid of breaking/losing my specs whilst on holiday or hopefully if I get to live in Japan someday. If you know anything about eye tests and the cost of glasses in Japan that would be really helpful!

-Laura

A: Readers, I turn this one over to you - what does a glasses/contact lens wearer need to know about opticians in Japan? And anything else relevant to this topic?

Thanks so much to those of you who've offered your advice so far! Lots of helpful info and definitely something to turn into a future post, I think.

Carly says:

I went to a JINS eyeglasses store and got two pairs recently. I picked out the frames I wanted and then did an eye exam. They do a free in-house eye exam to check your vision, nothing fancy like an astigmatism test or anything. They asked if I knew my prescription power (correct term?) so I told the clerk the same numbers I have on my American contact prescription, and that helped them out before testing me. The catch is that the chart you read is in hiragana, but if you can read that you'll be fine. If there are a lot of people waiting for exams or having glasses made they give you a time estimate of how long it'll take so you can go do other things. The whole process took less than three hours and I went home with my glasses. I paid the price displayed in the shop (less than $200 for two pairs of prescription glasses!) and the frames are insured for 6 months.
Hope that helps! It was a fairly painless process and so much more convenient than in America.

Bruce suggests:

Megane Ichiban. Frames and lenses for a little over 18,000 Yen. I have prescription from US doctor and have no problem. Or they can copy from your current lenses. Have already bought several eye glasses from there with no problems.

From Chris:

Glasses seemed insanely cheap compared to Australia at first. But then I found out the "dirty little secret". The cheaper glass stores (those in the 5,000 - 20,000 yen range) don't custom make lens for your eyes. They do the eye test, of course, but then they dip into a box of standard lens either available in store or ordered, and make a "best match" for your eye condition. If you are only moderately short sighted then you will almost definitely be OK. However, if you are severely long or short sighted and have one or more additional eye conditions then you might end up with a pair of glasses that results in eye strain.
As I fall into the later category I went to a more expensive optician who custom makes lens and paid 70,000 yen for my glasses. I used to always pay $400-600 in Australia where almost all lens are made to order so this matched up with my expectation. Unfortunately government health care doesn't include any rebate for glasses here.

Emma says:

I bought some glasses last year at the Optician in the Hiroo shopping street. I just walked in and they tested my eyes using an automatic machine and compared with my old glasses. They were very helpful and spoke enough English to get by. Of course taking a Japanese friend is helpful but I am guessing most opticians would have basic English skills.

I have a strong astigmatism and whenever I buy glasses in Australia they always get sent off to Japan to be specially ground so i thought that I may as well just buy them here. They were not cheap but on par with what I pay in Australia.

Always a pleasure to go back and get the glasses adjusted when I need to and they clean them so beautifully including a quick buzz in the ultrasonic bath!!! Love it!

From Jennifer:

I'm not sure about opticians because they're not really trained to do eye exams (so I hear), but only help you choose and fit eyeglasses. However, I have been to the optometrist here in Japan several times to get my eyes checked and purchase my contacts. Unlike the states, where I only got my eyes checked once every two years, the office here has me come in every 6 months. (I've had to go a couple of extra times for when I changed the brand of contacts I was using and they wanted to make sure I was okay and to get allergy eye drops.) The eye exam seems pretty routine and similar to my exams at home: I read a chart with different size Cs pointing in different directions (it would be good to know your up, down, left, and right in Japanese), identify whether the red or green side of the screen was brighter, had the puff of air blown into my eye, and have a doctor look at my eyes more closely.

Also, I used to wear soft lenses that I disposed of every month, but I didn't get that option here (and I've been to two different places) and now use 1 day lenses. I think 2 week lenses are also available, but the 1 days work for me. I no longer have to buy solution! However, I don''t know how the experience would be for hard lens wearers.

Responses from folks on Facebook:

Cecilia adds:

I have lived in Japan for almost 2 years. Last year I had my eyes examined and got new glasses. The examination was very similar, with only a few differences, to exams I have had in the US. The main difference was the process of ordering the glasses. Many more questions were asked. I remember having to select the company from which the lens would come. I was fortunate in that for this whole process I was with a Japanese friend who is an eye doctor. He led me through EVERYTHING and helped me to respond to questions when ordering the glasses. This was especially helpful since it was all done in Japanese and I speak no Japanese. My advice to anyone going through the process is to make sure that you are accompanied by a trusted, friend who if very literate in Japanese. I would not hesitate to go through the process again. I don't remember the exact cost. I remember thinking that it was not excessively expensive. I got a pair of regular glasses and a pair of prescription sunglasses. I remember being less than impressed with the selection of styles of frames available. However, I was long overdue for an exam and the variety of frames available here may be representative of what's available in the states.
All in all, the process is a good process here and I encourage others to take the plunge!

inverse says:

I went to Zoff (you can find them in most PARCO department stores) and I was really impressed by both the selection of frames and the service from the staff. I didn't originally intend to go there shopping for glasses, I just happened to find a cute pair and I had to have them!
- I was wearing contacts at the time. I don't know my prescription for my lenses offhand, so they asked me to take out my contacts (they have supplies to do this at the store), wait 10 minutes for my eyes to "adjust," then gave me a vision test. The test they gave me was using the alphabet, and using the standard test of "Which one's better? One or two?" The clerk couldn't speak only a little English, but it was enough to do the test.- I don't believe the staff of the store are licensed optometrists or anything, but interestingly enough, they gave me the same lens prescription that I have on my contacts, without knowing it. So they got it right.
- After waiting about 20 minutes, I got my glasses, a case and the eye exam for about ¥5,000. Pretty cheap and convenient, compared to the US, at least!

Do you have anything to add? Let us know in the comments below!

HOW TO: Ship electronics with lithium ion batteries from Japan

2012-03-30T22:54:00.002+09:00

I recently tried to ship an old MacBook Pro and iPhone to my sister in the U.S. We took them to the post office, paid 8,000 yen, and went on our merry way. A postal worker called us later to say that they couldn't ship the items as they contain lithium ion batteries, which fall under the "dangerous goods" category. We asked about shipping by sea, but were told this was not an option.

This then led to researching various other options for shipping these items abroad, although in the end, the cheapest option is to ship just the laptop without the battery in it (it's dead, anyway).

However, we also discovered that although Japan Post says you can't ship electronics with lithium ion batteries overseas, another pdf on their site says that you CAN ship some electronics with lithium ion batteries, but only to certain countries, and only by sea (surface) mail (船便, ふなびん, funabin). Of course, the U.S. is not one of them (which would explain why we couldn't send the laptop and cell phone), but Canada, England, the Philippines, Singapore, South Africa and several other countries are. You can find the pdf here, although it's all in Japanese.

Also, you can send the tiny little wristwatch batteries by airmail through Japan Post.

So what are some other possible options for shipping your lithium-ion-battery-containing electronics from Japan?

FedEx

FedEx will ship lithium ion batteries, although there are specifications for whether they are contained within electronics, separate but packed with equipment, or shipped alone.

For those contained within the electronics, I was told there are no special packaging requirements (I packaged the items in the materials they came in), and that there are several forms to fill out. I had to fill out a "航空貨物安全宣言書兼爆発物検査承諾書" or "Air Shipment Security Declaration and Explosives Inspection Consent" form.

In my case, as I was shipping to the US from Japan, I also had to fill out a Commercial Invoice and a "Statement Regarding the Importation of Radio Frequency Devices Capable of Causing Harmful Interference" or "FCC" form. If you ship via FedEx and are sending to a country other than the U.S., you should contact FedEx directly to inquire about any necessary forms for the country you're sending to.

You'll also need to fill out the Air Way Bill (which you receive when you ship the box) - I was told to write "Lithium Ion Batteries not restricted as per PI967"on the Air Way Bill.

Just for reference, I was told it would cost between 20,000 and 30,000 yen to ship the laptop from Shizuoka, Japan to Hawaii.

English speakers are available.

Contact information

Toll-free number: 0120-003200
Number to call if toll-free number doesn't work:
043-298-1919
You can also email them here.

Customer Service Hours:
Monday - Friday: 8 am to 8 pm
Saturday: 8:30 am to 5:30 pm
Public Holidays other than Sunday: 9 am to 6 pm

Their Customer Service page can be found here.

DHL

DHL said no special packaging is required for batteries contained in electronics, but each box can only contain one item (so a laptop and cell phone would need to be packaged separately). A commercial invoice and Air Way Bill would also be required, but they said an FCC form would not be required on my end (but could be required from the recipient).

You can find detailed policy information and instructions for DHL here.

The price to ship the laptop from Shizuoka, Japan to Hawaii was similar to FedEx, between 20,000 and 30,000 yen. You can get more information and a rate and time quote by visiting the DHL Japan site.

English speakers are available.

Contact information

Toll-free number: 0120-39-2580
You can also email them here.

Customer Service Hours:
Monday - Thursday: 8 am to 7 pm
Friday and days before holidays: 8 am to 8 pm
Saturday and holidays: 8:30 am to 2 pm

Their Contact page can be found here.

***

I contacted UPS as well, but they only ship lithium ion batteries for those who have contracts with their company. Yamato's website states they do not ship lithium ion batteries.

If you know of any other possible resources, please let us know!

30 Clickable Japan Links From the Past 2 Weeks

2012-03-25T22:56:00.003+09:00

Flowers are budding and blooming everywhere, and how refreshing it is! Spring is here folks (although I wish the weather would warm up here in Shizuoka). Here's another round of top Japan links from the past two weeks for you. Maybe enjoy it with a sakura treat or two? ;)

Living in Japan

Over 60% of early quake warnings since 3/11 false alarms (Japan Times) - At least we'll always be "prepared"?

Domino’s Pizza runs Buy 1 Get 1 Free campaign (Japan Today) - Although, unfortunately for many of us, Domino's is only available in some locations around Japan. Speaking of pizza though, did you know Sbarro exists in Japan?

Six Tokyo Starbucks Try All-You-Can-Read Offer (RocketNews24) - Enjoy your beverage and a good book at the same time. Without the price of the book.

Push to replace Tokyo's aging expressways with tunnel routes revived (Japan Times) - Will Tokyo get a facelift?

Facial ID system mulled to speed up airport immigration (Japan Times) - Speaking of faces, the Ministry of Justice may introduce a new facial ID system to speed things along at ports of entry. Looks like they may start testing it on Japanese nationals this summer (foreigners, you will still be fingerprinted, at least for now).

Food poisoning deaths jumped in '11 (Japan Times)

Reason to skip judo class (Japan Times) - Parents of junior high kids in public school will definitely want to read this.

Uniqlo opens mega-store in Ginza, with 100 foreign staff (Japan Today) - After a few days the line was still ridiculously long. So I didn't go in. Maybe next time I'm in Tokyo.

Columbia Sportswear Co opens store in Harajuku (Japan Today) - More gear-purchasing options for you outdoor lovers! By the way, you might also be interested in this comprehensive post listing gear stores online and throughout Japan.

Hand-Crank Vending Machine for Emergencies (Japan Trends) - Other than solar power, here's another "powerful" concept.

72 evacuation routes established along tsunami-damaged Hachinohe Line in Aomori and Iwate prefectures (Daily Yomiuri)

Improved JLPT Registration Process (Ishikawa JET) - You can now sign up for the JLPT online.

Hyogo bans smoking at schools, hospitals (Japan Times) - It's surprising to me that smoking wasn't banned in these places before...

Um, what?

Elecom Wireless Projection Keyboard is All Keys and No Board (RocketNews24) - Expensive, but kind of cool.

Tokyo Mob Blocks Ambulance. “You should be ashamed, Japan!” (RocketNews24) - Some city folks said this didn't surprise them. I was personally shocked. Isn't moving for an ambulance an ingrained thing? So sad.

Food

Japanese Beef and Potato Croquettes (Korokke) (Lovely Lanvin)

Recipe for red sea bream sashimi with cherry blossom (Japan Times)

Top-class sukiyaki at a fraction of the price (Japan Times)

Natural Lawson takes it to the next level (Japan Pulse) - I wish they had Natural Lawson outside of the Tokyo/Yokohama area. :( By that I mean I wish they had it also in Shizuoka...

Seafood Miso Noodle Soup Recipe (Steamy Kitchen Recipes)

Hamburg Steak Recipe (Hambāgu) [No Recipes]

Fukushima Nuclear Crisis/Tohoku Earthquake and Tsunami

Third of Fukushima kids got first radiation lessons from disaster: poll (Japan Times)

Aichi to build quake debris incinerator (Japan Times)

80% in Japan support nuclear phase-out (Japan Today)

App displays photos of disaster area (Japan Times)

Volunteers still needed in Tohoku (Japan Today)

New regime for food radiation tests (Japan Times)

Japan remembers, rebuilds one year after tsunami (The Big Picture - Boston.com)

Japan's nuclear refugees (The Big Picture - Boston.com)

Chronology of major events related to the nuclear crisis (Japan Times)

15 Ways to Survive Hay Fever Season in Japan

2012-03-23T23:45:00.002+09:00

Plum blossoms are blooming, cherry blossoms are either budding or blooming, depending on where you are in Japan, and various other types of trees and flowers are starting to show their spring colors. Graduation ceremonies are being held (or have already happened) all over Japan, as one year ends and another is about to begin.

Then there's the pollen. Hay fever season in Japan has also arrived. And if you have allergies, it might have already hit you hard (or will...). How do you get through allergy season in Japan? You'll find some ideas below.

A few words to know:

花粉症　かふんしょう kafunshou hay fever
花粉　　かふん　　 kafun pollen
アレルギー　　　　 arerugii allergy

Now, a few ideas to help you survive hay fever season in Japan:

1. Wear a mask outside. Even if you didn't wear one in your home country, "do as the locals do" or "when in Rome..." or something like that. I personally can't stand wearing them, but I know some people who now like wearing them.

2. Use a mask spray. Apparently if you spray your mask with this stuff it makes the mask more effective at keeping unwanted particles out.

Source: kenko.com via Ashley on Pinterest

3. Try a "nose mask" - (pictured below) It's basically something that you attach to the underside of your nose and each side goes in a nostril. It acts as a filter for pollen and other airborne particles.

4. Refill those allergy medicine prescriptions. It is possible to get Claritin, Allegra, Zyrtec and Flonase (フルナーズ) in Japan - consult a doctor about possibilities. You could also try contacting Japan Healthcare Info if you're not sure where to look or who to ask. Some possible prescription non-drowsy or "mostly" non-drowsy meds in Japan include: Allegra (アレグラ), Claritin (クラリチン), Alesion (アレジオン), エバステル, Talion (タリオン), and Zyrtec (ジルテック). [Source]

Source: allabout.co.jp via Ashley on Pinterest

You can get some over-the-counter anti-allergy medication, but most, if not all, are drowsy, and probably not as effective as those you can get by prescription. (Let us know, though, if you've found something that works well and isn't too sleep-inducing). Mmmfruit mentioned Zaditen as an option. David and I have both used Stonarhini (ストナリニ), and while David didn't get too drowsy, I felt like I had just taken a Benadryl (it knocked me out for hours). It claims to use less of the ingredients that make you drowsy, but it may be best to try it on a day you don't have to go out and do anything, just to see how your body reacts first.

5. Buy an air purifier for your home. We've got a Zojirushi model that doubles as a humidifier, which cost less than 10,000 yen or so when we bought it a few years ago. Look for 空気清浄機 (くうきせいじょうき, kuukiseijouki). 空気 (くうき) means "air," 清浄 (せいじょう) means "clean" or "pure," and 機 (き), in this case, combined with the other two words/meanings, means machine. If you want one with a humidifier, look for 加湿機 also. You can find a bunch on Amazon Japan, but I also recommend checking your local electronics store for deals.

6. Hang dry your laundry indoors. Yes, it takes longer than hanging it out in the sun and wind, but if you want to avoid getting pollen all over your clothes. Or...

7. Put a cover over your laundry and/or futon if you hang them outdoors. The following is an example of a futon cover. 干し means drying, and 袋 means bag.

Source: photo.kenko.com via Ashley on Pinterest

8. Take probiotics. I've read in English and Japanese that these little guys might help alleviate some allergy symptoms. Whether it will help or not, probiotics are still great to take for a variety of other health reasons. I take Kyo-Dophilus from Wakunaga, but there are many types. Yogurt, miso, natto, kimchi and other fermented foods are great sources of "good bacteria," or probiotics as well.

Source: iherb.com via Ashley on Pinterest

9. Try quercetin. This product, which is found naturally in apples, grapes and some other foods, helps balance histamine levels. I use it and find it actually does make a difference. You can find quercetin easily at iHerb [affiliate link].

Source: iherb.com via Ashley on Pinterest

10. Drink tea. Specifically, try one of these types: nettle tea (ネトル茶), beni fuuki (べにふうき, pictured below), tencha, or Chinese tea (甜茶), and gauva tea (グアバ茶). You can read this Japan Times article on nettle tea. Beni fuuki is a concentrated type of green tea, which means there are a higher number of catechins than regular green tea. According to this study, drinking beni fuuki one and a half months before the cedar pollen season resulted in fewer or less extreme allergy symptoms.

Source: amazon.co.jp via Ashley on Pinterest

11. Try a "clothes block" spray. Supposedly helps prevent pollen from getting all over your clothes.

Source: kenko.com via Ashley on Pinterest

12. Try eye drops or anti-allergy eye drops. Personally I don't have experience with eye drops, but many people have told me they use them to help their irritated eyes. I also found some anti-allergy eye drops on kenko, though there aren't any reviews there. Cosme.net has a few and they seem all right. The price seems like a big drawback.

13. Use a neti pot. I've used it and still occasionally use it. Though uncomfortable at first, it really works to clean out your nasal passages, lessen your allergy symptoms and helps prevent you from getting sick.

14. Wear glasses/sunglasses when outside. I'm not sure why sunglasses aren't that popular in Japan, but I wear them all the time outside anyway. May as well help protect your eyes from pollen.

15. Know when the pollen is really bad. If you know when the pollen count outside is high, you can hopefully plan ahead (for example, not hanging out your laundry, not exercising outside that day, or planning to exercise in the evening, etc.) Check out how to find pollen counts in Japan for more.

Many of these ideas and some additional images I've pinned on my "Hay Fever in Japan (Kafunsho)" Pinterest board. If you're on Pinterest and know of additional product ideas to pin, let me know and I'll add you as a contributor to the board.

Lifehacker also recently posted an article on how to help control your allergies.

Do you have any additional ideas for how to beat hay fever in Japan? Please share with us below to add to the list!

Disclaimer: The above information contains general information about possible medical treatments for seasonal allergic rhinitis. This information is based on personal experience or personal research and should not be substituted for a doctor's advice. You must not rely on this information as an alternative to medical advice from your doctor or other professional healthcare provider. If you have any specific questions about any medical matter you should consult your doctor or other professional healthcare provider. If you think you may be suffering from any medical condition you should seek immediate medical attention. You should never delay seeking medical advice, disregard medical advice, or discontinue medical treatment because of information on this website.

Japan Import Tax: The Basics

2012-03-21T20:08:00.001+09:00

If you live in Japan, it's probably likely you've ordered something from overseas at some point in time, whether it's clothes, shoes, or dry goods, among other things. If you've ordered anything expensive, or made from leather, then you've probably, most likely, had to pay import tax.

On the other hand, if you have your mom or your best friend or someone send you stuff (or in my case, have some things sent to mom to save on shipping by stuffing everything into a space bag to fit into a flat-rate box...), you may not have had to pay any import taxes at all.

Why is that? For obvious reasons, we know some things will inevitably attract the attention of customs officers (leather shoes ordered from somewhere, for example), while a box of your favorite snacks from your friend worth less than 10,000 yen will probably not be given much more than a glance.

If you're interested in understanding the very basics of the personal imports system (it's more complex than one article, of course), I covered it in last week's Lifelines column:

Import tax: a complex, seemingly arbitrary minefield (Japan Times, March 13, 2012)

One import tax "loophole" many of you may already know about and take advantage of is labeling the package as a "gift." As long as it's sent from an individual and worth less than 10,000 yen, you shouldn't have to pay any tariffs on it. If my mom or someone sends me things, I usually have them do this and make sure the amount listed is less than 10,000 yen (or in their case, $100 USD, not counting the exchange rate). So far so good.

Have you had to pay tariffs on anything you've received from overseas while living in Japan? If so, what type of items were they? Have you had to pay anything for "gifts"? Let us know below!

Q&A: Travel insurance options?

2012-03-16T18:00:00.000+09:00

Kathleen recently wrote in asking about travel insurance options.

Q: Do you have any recommendations or information on travel insurance (ex missed flights/connections etc).?

A: I've never used travel insurance myself (though I think one of our credit cards might have some kind of plan), so I don't have any personal recommendations.

If you have travel insurance (or have used it before), do you have any suggestions for Kathleen? I'll compile your answers here.