The One-Click Movement to Change the World with Love

Here is my new blog site in English, ‘Tokuko’s 365 Days of Pep Talk for NMT’!
http://tokukospeptalk.blog.jp/ 👈CLICK HERE!
At Hannan Chuo Hospital in Osaka, Japan, inpatients can ask Dr. Kenji Sato questions every day, which can reduce our anxiety🥰. However, it is impossible to offer the same environment here individually for the world sufferers so I made a decision to start another blog in English to get you closer to that blessed environment💗…That is the one above.
Despite being busy as the leader of non-steroidal doctors in Japan, Dr. Sato is thinking about suffering patients around the world and provides as much time as possible to oversee this new blog too.  So I can provide correct information there too😍.  The blog also is a very blessed one…and you are blessed too!  I’ll try to post articles as often as possible.
By the way, this time, I have a small favor to ask of you.  When you see a new post, please try to open and hit Like👍 or Share or Applause👏 or whatever you like.
It doesn’t mean I’d like to be praised by you…LOL😂!
That little one-click spreads to the world as a grand gesture to change our society better for sufferers who don’t want to use steroids, in the long run.  To accumulate such small actions is necessary for our future.😊
You may have complained about your symptoms this morning…Or you may have cried to see your face earlier having no support by doctors…I understand it very much😞.  However, if you are asked by someone, “Then what did you do today to change your situation?”…Can you answer that?
It is not the few doctors who create a society where non-steroidal treatment can be chosen. It is an accumulation of small actions by a huge number of sufferers around the world🌎🌍🌏.  You can participate in making the new world trend, not using steroids, just with one click even sitting on the couch in your living room.
Please join💝The OneClick Movement to Change the World with Love💝!’
It is time to realize that we are the ones to make our society better!.💝💝💝
Hang in there, friends!
Healing happens to you too!
Copyright © 2020 Tokuko Abfab All Rights Reserved.

Tokuko’s New Blog Has Been Launched! – ‘Tokuko’s 365 Days of Pep Talk for NMT’


NMT family members, I started another new blog as of today! 

                          👇 Click Here! 👇

The title is, Tokuko’s 365 Days of Pep Talk for NMT.


Well, here in Japan, if we were able to enter Hannan Chuo Hospital, inpatients can ask questions every day to NMT doctors and of course, all of us have Dr. Kenji Sato’s thick book by the bed to review our knowledge, however, your situation is different from us.  You need to learn it by yourself very seriously because your correct knowledge will be the only supporter to accomplish NMT.  I fully understand your situation but it is impossible to provide personal support for answering each one’s questions by myself because I receive 3 digits of messages every day from all over the world. 


That is why I established NMT Education Group (Facebook) to educate it more and The NMT Healed Club (Facebook) to encourage you with healed/improved pictures and to show chronological orders of healing process.

↑ NMT Education Group

↑ The NMT Healed Club


NMT groups’ admins on Facebook are amazing people who mastered NMT with provided information only by themselves.  They learned it to read articles of this blog and posts in the groups above over and over again and then, they have been working so hard voluntarily to help TSW sufferers who’d like to achieve NMT.  Their love for TSW sufferers is incredibly deep and they spend their precious time helping sufferers with selfless love.  And also there are many many supporters who’d like to help us spontaneously.  Every action is helpful and I always appreciate it…however, it also has a limit.  


So this time, I started a new blog for sufferers who need more assistance.  You can visit it every day and read articles repeatedly.  Such daily efforts will fix your knowledge.  The title says ‘365 Days’ but it doesn’t mean it would take such a long time🤣.  If you do NMT correctly, you don’t have to suffer for so long.  I’ll try to add articles (shorter ones than this blog) as often as possible.  (…I also don’t have enough time to update it 365 days…lol )


If you have just known about NMT lately, please read and learn basic 2 articles below.  You shouldn’t run over but read them carefully making your personal notebook.📓


How to get over Topical Steroid Withdrawal asap!


What can be Moisturizers? – For fellows launching ‘No Moisturizing Treatment (NMT)’


And next course is to read and learn ALL Recommended posts in this blog.


Then, you can learn more detailed protocol with Facebook official NMT groups utilizing ‘Search bar’.


Then, finally, you got one more chance to learn NMT and to be encouraged to stay positive (for your faster healing) with my new blog!  Lucky you!!!!😎

                        👇 Click Here! 👇

 Tokuko’s 365 Days of Pep Talk for NMT.




To see TSW (Topical Steroid Withdrawal) sufferers who have been struggling against horrible symptoms for ’years’ in the world, I was determined to help them with my experience because I knew that they didn’t need to be in the agony such a long time since everybody is discharged from Hannan Chuo Hospital within 3 months to be healed or improved tremendously.  It was in Nov 2017 when I started to disseminate NMT (No Moisturizing Treatment) with English version worldwide and it has been spreading all over the world at incredible speed day by day because SO many sufferers are healed/improved rapidly to learn it with this blog.  It turned to be a sensation for many sufferers because to moisturize dry skin has been the dominant concept in the world but the idea of completely overturning it has led to dramatic improvements.


As most of this blog readers know, I have experienced super and ultra severe TSW 😱 and looked like a Monster or a Zombie or ‘Rock Man’  (☚click!)🤣in the movie ‘Fantastic Four’….but not human beings at that time.  The symptom continued intermittently for years, meaning, it got a little bit better sometimes but my appearance was not in a so-called ‘normal’ one even while it was better.


Of course, I had already read about NMT with books in Japanese before but the protocol that requires further drying original abnormally dry skin was terrifying me just to imagine, so I didn’t have the courage to start it before I meet NMT doctors.


Also, as most of you do, I had checked the online reviews about NMT when I had read it long time ago but wasn’t able to find healed/improved sufferers’ voice except NMT doctors side’s information.  Online reviews can be a BIG assistance if you research things carefully but TSW sufferers tend to not voice about their symptoms with miserable appearance, and especially, typical Japanese do not prefer to stand out.  However, the biggest reason that they don’t speak out may be that they don’t want to be subject to intensive attacks by opponents.  Majority of doctors prescribe TS (Topical Steroids) for Atopic Dermatitis and Eczema because it is designated as standard treatment in Japan.  So it is no wonder why I wasn’t able to find them.  Nowadays, anyone can broadcast what they want so the numbers who share it are increasing but at that time, I wasn’t able to find any decisive information that I feel like trying this method.

Now, it is urgent to spread this information because tons of TSW sufferers are badly afflicted with the horrible symptoms all over the world.  They are struggling to have no solutions….I can imagine how tough it is…


Even if we have great method to be healed/improved rapidly, if the information didn’t reach people who eagerly need it, they can’t see the light from the dark tunnel as I hadn’t tried NMT for years.  This experience shows that it is very important that experienced people speak out

When you found any good information, whatever it is, it would be kind to share it generously.  Choice is always up to the person but you just can share it.


If your current symptom is too tough, please realize that there are things that you can do. 

I mean….You can voice. 

If you don’t act, nothing is going to start.  I’m not suggesting to participate in the demonstrations or say such a reckless thing…lol😅  I mean, since you are reading this blog now, you can hit Like on SNS or share any information to notify the danger of Steroids, Protopic, Neoral (Cyclosporine), etc…to make our society easier to live.   Since the symptom is very painful, we tend to vent here and there but when each of us use that energy in a single click to make our situation better, it will be a big wave.


Please imagine.  We don’t have many non-steroidal doctors in the world but there are tons of TSW sufferers all over the world.  Do you think which ones’ action is effective to change the world….?  By doctors or by sufferers?  The answer is obvious.  If each of us took a tiny action every day, we can make it happen.  That is why I keep taking tiny actions every day like this.  You also can express yourself with just single click.  It’s a seemingly small step, but can be a big one in changing our living world.   You won’t get nowhere unless you take one step forward.  Such actions will eventually lead to the protection of future children too.😊


If you find something helpful in the blog, please share.  If you like even one line, please talk about it to your friends.  ‘We’ are the ones who change the world because we are experienced people.


Hope my new blog will be a help for your faster healing.


Hang in there friends!  Wishing your healing happens in the near future. 



‘Tokuko’s 365 Days of Pep Talk for NMT’




Copyright © 2020 Tokuko Abfab All Rights Reserved.


P.S.  I wanted to make the new blog with the same internet server but while I was doing programming, I was scared to lose all data and articles of this blog by mistake so I chose free Japanese blog this time.  Hope links popping out will not annoy you.  Thanks!


バンクーバーより、ちょこっと遠征編! -  カナダレポート・その3 Day’s outing from Vancouver! – Canada Report Part 3







★ ドリームタウン・バンクーバー!- カナダレポート・その1 The Dream Town Vancouver, Canada! – Part 1


★ 絵になる街バンクーバー! - カナダレポート・その2 Everywhere Looks Picture Perfect in Vancouver – Canada Report Part 2


それではまずこちら、キャピラノ渓谷 Capilano Canyon をご案内しましょう。






Capilano Suspension Bridge です。

This suspension bridge is 137 m long. – Capilano Canyon






キャピラノ吊橋 Capilano Suspension Bridge – 70 m high!  It swings so much!  Remembered the movie, ‘Indian Jones and the Temple of Doom’.





Capilano Canyon – What do you think this arrow indicates?


崖っぷちウォーキングのアトラクション。(笑) 👇

キャニオンルックアウト Canyon Lookout


Let me show you to zoom in on it….Wow! This is one of activities here to walk along the cliff!  So thrilling!…lol




In this park, there are a lot of boardwalks. – Capilano Canyon






There are tunnels, stairs, suspension bridges, etc…They are decorated during Christmas Season.  The routes of boardwalks are not very tough to take a walk, however…..(^_^;




Treetops Adventure👇 は、





They have various kinds of thrilling attractions!!!  For example, this is called ‘Treetops Adventure’ that has several suspension bridges at 33 m high!…lol   (;^_^A


クリフウォーク Cliffwalk 👇なんていうのもございますにょよ~。




This attraction is called ‘Cliffwalk’. – Capilano Canyon




You can see  the bottom of valley down there…..It is far away!…lol – Capilano Canyon



The Cliffwalk looks like this to see from the higher place. – Capilano Canyon



Canyon Lights at Capilano Suspension Bridge




Christmas decoration is beautiful at night.







Treetops Adventure is a series of seven suspension bridges attached to eight 250 years old Douglas-firs with viewing platforms, reaching up to 110 feet above the forest floor.





The suspension bridges of ‘Treetops Adventure’ swing so much and everybody walks very slowly….lol





You can go in Capilano Canyon again as long as it is the same day so I recommend you go twice during the day time and at night.









Grouse Mountain という名所がすぐそばなんです。



Until it gets dark to wait for Christmas decoration in Capilano Canyon, you can go to Grouse Mountain where is 15 minutes away by bus.




You can see downtown Vancouver from the peak – Grouse Mountain


The sunset from Grouse Mountain is well known with its beauty.





Freighters in the sunset look fantastical like an ink brush painting.





ウィスラー Whistler というマウンテン・リゾートです。













こちらはグリーンレイク 👇Green Lake と言って、






Green Lake near Whistler – The entire lake becomes beautiful green during summer.





The bus driver took some passengers far away passing by original destination to show beautiful valley, mountain, etc…Very lucky!











名もなきこんな素敵な山々が右に左に・・・カナダの大自然に圧倒されます。Felt devastating force of nature at Pemberton.  What a beautiful country Canada is!




Whistler Villageという歩行者専用の街になっていて、


Whistler Village – There are more than 300 shops and restaurant in this ski resort.




Whistler Village – No cars are allowed inside the village


Vancouver Olympic ski competition was taken place at Whistler.



There are many restaurants in Whistler Village.


Whistler Village has a lot of visitors all year long.





There are hotels, lodges, supermarkets, etc…so Whistler Village is crowded until late.







ヴィクトリア Victoria です。







The capital of British Columbia States, Victoria, is an island and you can go there by ship or airplane or seaplane.




1 hour and 40 minutes trip to Victoria by ship



I chose Cafeteria for my breakfast. There was a long line right after boarding.






カナダ人全員が失敗しているわけではないようです (笑) 。


‘Costal Benny’ at the Cafeteria on the ship.  I wasn’t able to imagine what kind of cuisine it was by name.  It was very good.



The Butchart Gardens



石灰を掘った後の窪地を利用して庭園にしたサンケン・ガーデン Sunken Garden – At Butchart Gardens


総面積22ha の庭園は、5つのエリアに分かれています。



This location used to be a mine of limestone. – Butchart Gardens



This garden is separated by 5 areas like Japanese Garden, Italian Garden, etc…




日本人の技術者に作らせたという日本庭園エリアも。Japanese Garden – At The Butchart Gardens




Italian Garden – Butchart Gardens













まず、インナーハーバー Inner Harbour と言われるエリアに。


Inner Harbour – Victoria



街のシンボル的存在の州議事堂👇 Legislative Assembly of BC です。

Along the Inner Harbour, there is a beautiful Romanesque style buildings….It looks like a castle in Europe!



Legislative Assembly of B.C. – Victoria


When you get closer, you’ll see detailed design. – Legislative Assembly of B.C. – Victoria



The Fairmont Empressもあります。

Along the Inner Harbour, you can see another beautiful building looks like a castle.






This is The Fairmont Empress.  You can enjoy high tea.


こちらはガバメント通り Government Street と言って、



Government Street is the main street of this downtown in Victoria.










A soft ice cream at ‘Ice Cream with a Twist’ in Victoria




The beautiful buildings surround this yacht harbor.  You can breathe in bracing air in this huge area.



The downtown in Victoria has European atmosphere.


It is interesting to feel British atmosphere in Victoria.






On my way back to Vancouver, I took an all-you-can-eat restaurant.





Oh my goodness….I’ve done it again…Took too much food as usual!…LOL!






Well…it is time to go home….I feel like staying here more!!! – YVR Airport in Vancouver





Nowadays, everything turned to be automatic everywhere, even in Tokyo and Vancouver too..I miss that time to get stamps on passports at immigration. (^_~)b






YVR has fast food restaurants only so I took a hamburger set this time.




Near the gates area, they have greenery decoration.








Aww….It’s time to go…I don’t wanna leave….(^o^)o   However, I closed my laptop and headed for the gate.  Good by Vancouver!  See you, my loved friends….I’ll be back!





































Pemberton in Canada




#キャピラノ吊橋 #ヴィクトリア州議事堂 #ウィスラー #グラウスマウンテン #グリーンレーク #ブリティッシュコロンビア州 #ヴィクトリア #ペンバートン #GrouseMountain #GreenLake #Victoria #Capilano #Whistler #Pemberton

絵になる街バンクーバー! ― カナダレポート・その2 Everywhere Looks Picture Perfect in Vancouver! – Canada Report Part2





  ドリームタウン・バンクーバー!ー カナダレポート・その1 The Dream Town Vancouver, Canada! Part 1











イェールタウンのヨットハーバー。ここにはあちこちの観光地に向かうミニフェリーも出ています。Mini Ferries stop by this Yacht Harbor in Yaletown.



During the trip by mini ferries, you feel gentle breeze and can enjoy this beautiful scenery.

この小さなフェリー・アクアバスAqua Bus)👇


The Aqua Bus took me to Granville Island!


グランビルアイランドGranville Islandです。




Granville Island – There are markets, restaurants, a brewery, shops, etc…Just walking around is fun!






Granville Public Market と言います。


Abundance of food here in Granville Public Market

どうです?この食べ物の豊富感。👆 👇





There are various kinds of tropical fruits. Ordinal supermarkets don’t have these many.  I feel like eating them up!



ドラゴンフルーツ、シュガーアップル(バンレイシ)、キワノ(ツノニガウリ)、ロンガン、ランブータン、スターフルーツ、等々 Dragon Fruit, Sugar Apple, Horned Melon, Rongan, Rambutan, Star Fruit, etc….




Their technique to display is amazing.



No need to explain….this display makes me feel irresistible!





Cakes, pies, tarts…..Patisserie corner also is iiiiiiiiirresistible!



Each fillet is 5 times bigger than Japanese ordinal size!




They have smoked fish corner!






Even in a restaurant, provided fish for dinner is much bigger than Japan.

上の料理はイェールタウンの評判のお店で戴きました。Had great dinner at ’Blue Water Cafe’ in Yaletown



There are various kinds of chorizo and hams.



Each fillet of meat is BIG for ordinary Japanese!  However, I prefer this!…lol


Vegetables are more expensive than Japan but each bunch is bigger than ours.


The floral shop is beautiful too.






I’ve seen this situation in Vancouver very often. Dogs are very good while waiting for their mama doing shopping.







This also was taken in front of Starbucks. This dog had been very good while waiting without a leash. It doesn’t care people come and go and just waits for its mama coming back….lol










                                               The night view from Granville island is beautiful too.

グランビルアイランドはこのグランビル橋の向こう側に見えている辺りです。Granville Bridge – Granville Island is the other side of the bridge on the left.




こちらは、B.C. プレイス・スタジアム

B.C. Place Stadium




B.C. Place Stadium – This stadium was built as an indoor structure with air-supported roof  in 1983.



Telus World of Science 👇の丸い建物。



Telus World of Science –  Families with children can enjoy seeing wonders of science.








You can see this kind of beautiful scenery here and there in Vancouver. This is not a river but sea. Vancouver is surrounded by creeks and bays and that’s why this town looks very beautiful!




Vancouver City Centre Station👇 







Vancouver City Centre Stn. – Behind the entrance of the station, you can see Vancouver Block Bldg, in the middle of this pic.  Completed in 1912.  The clock dials measuring 6.7 meters in diameter.  Designated as a ‘Heritage Bldg.’








Vancouver Art Gallery 👇です。



Vancouver Art Gallery




Vancouver Public Library 👇です。

Vancouver Public Library



At the entrance of Vancouver Public Library


Pacific Centre です。

Pacific Centre and Hotel Four Seasons. Underground of this area is a huge shopping mall connected 2 blocks.




The other side of Pacific Center, next to the Vancouver City Centre Station.






Pacific Centre








この中心街を走るジョージアストリート Georgia St.

それと並行して走っているロブソンストリート Robson St.


ジョージア・ストリート Georgia St.



ロブソンストリート Robson Street


バラード駅 Burrard Stn. というのも中心街にありますが、


The Fairmont Hotel Vancouver and a Church near the Burrard Stn.

Near the Burrard Station







Lions Gate Bridge です。👇


ライオンズ・ゲート・ブリッジ Lions Gate Bridge – The view from the Prospect Point.


Prospect Pointからの眺めが一番よく見えるので、



The night view of Lions Gate Bridge – You can see the light of houses in North Vancouver.





キャンビー橋 Cambie Bridge


Cambie Bridge – Just press the shutter! You can take this kind of beautiful pictures here and there. That’s Vancouver!



The night view of downtown – It’s a must-see.  The view from Stanley Park is a stunning beauty!





You can see blue lights of Canada Place too on the left of this picture!



You can see Lion Gate Bridge too from Stanley Park.




North Vancouver です。




You can see Lions Gate Bridge and North Vancouver too from Stanley Park.    North area is the other side of a bay and has beautiful nature. Vancouver is at the perfect location to enjoy both modern town and nature.




中心になるのが、スカイトレイン Sky Train という地上も走る地下鉄ですが、










Sky Train – It is unattended operation.  This has been operated since 1985, one year prior to Vancouver Expo.


Inside the Sky Train






Bus route network also is fullfilling all over Vancouver.  There are two types things to notify the driver to get off.  One is buttons but the other is pulling this string. この紐をひっぱると「次、停まります~。」



False Creek FerryAquabusは、観光客に大人気。



Mini Ferries stop by both sides of the Creek. They are very popular for travelers.





Vancouver is a really beautiful town!  The lagoon city of Venice is well known but there is a different type of lagoon modern city.  You can take beautiful pictures anywhere!


















テルアス・ワールド・オブ・サイエンス Telus World of Science





#グランビルマーケット #グランビル・アイランド #ライオンゲート・ブリッジ #スタンレーパーク #カナダプレイス #パシフィックセンター #バンクーバー中央図書館 #バンクーバー美術館 #BCプレイススタジアム #テルアス・ワールド・オブ・サイエンス #ロブソン・ストリート #lionsgatebridge #canadaplace #vancouverartgallery #pacificcentre #stanleypark #vancouverpubliclibrary #granvilleisland #bc place stadium #telus world of science

ドリームタウン・バンクーバー! ー カナダレポート・その1 The Dream Town Vancouver, Canada! Part 1

















En route to Vancouver, due to tailwind of westerlies, it takes approximately 8 hrs from Tokyo but on our way back, it takes about 10 hrs. It’s a very big difference to across the Pacific Ocean.




When you are about to arrive at Canada, you can see huge mountains area. It’s amazingly beautiful!


“Yeeeaaaaahhhh! It’s so soon!!!”  I’m excited to see this view approaching to Vancouver AP because I can see my loved people there!











宿泊したイェールタウン Yaletown は、ダウンタウン(都心)の隣の駅。



Yaletown. It’s a VERY beautiful town close to Yaletown-Roundhouse Station of Canada Line. You can get there by the Aquabus too.




Behind the big cruiser, you can see a yacht harbor and many yachts of citizens are tied up there.




The view of Yacht harbor from the land.  Fantastic atmosphere!



ここからスカイトレイン Sky Train(日本で言うなら地下鉄)の


その駅は、中心街 シティセンター駅

Vancouver City Centre Station の隣の駅であり、





これをシーウォール Seawall と呼ぶのですが・・・

It was an astonishment for me to see the beauty of Seawall!!



The Seawall has a sidewalk and a bike path separately. Very safe circumstance and peaceful atmosphere.











シーウォールの歩行者道路側  To see the Seawall, I gave their government credit for it.  It is amazingly wonderful!




こういった一般市民のヨットハーバー 👇があちこちにいっぱいあり、








チョリソーのスクランブルとフレンチフライ。こちらのポテトはまっ茶色になるまで揚げてることが多いです。お皿右上の白いココットの中がそのポテト。At Provence Marinaside in Yaletown




忙しい日本社会にいると、なんだかヨユー♪ に見えてしまう。(笑)

有名なスーパー・アーバンフェア内のレストランで、チョリソーとチーズがたっぷり入ったラップ。デカさが日本人感覚からかけ離れてますね。 At a restaurant in Urban Fare, Yaletown




The sign of sidewalk



口をとんがらせていらっしゃるやもしれないあなたに (笑)、さらにお見せすると・・・



もしかすると、みなさんの家の前の車道より広い・・・ってこともありますよね。 (笑)

VERY huge space for people! We don’t have this wide sidewalk in Japan!



The bike path also is wide and very safe.


「いや、まだ納得いかない。」とおっしゃるやもしれないあなたに (笑)、








Look at the entire view! Wide bike path, wide sidewalk and beautiful scenery! Their government did great job!





There are many many benches along the sidewalks. Very kind town.








From right to left, there are a huge sidewalk, benches, a bike path, trees and condominiums. The environment is amazing!















イヌクシュク Inuksuk at English Bay Beach:  I know you feel like you have seen this…yes, this was an official monument of Vancouver Olympic!







のどかなイングリッシュベイEnglish Bay Beach





English Bay Beach is well known for the beauty of the sunset.










Senior citizens also were enjoying talking at the bench.  Seeing the sun goes down, I had very peaceful feeling.


Waterfowls are used to people. Even if we get closer to them, they don’t care. They know this town is safe.


で、そんな私はちゃっかり料理を食べながらの夕日。(笑) 👇



Ahem….Do you think I was enjoying food but not the sunset…? (;^_^A     Nooooooo!…lol

Seeing the sunset at CACTUS CLUB CAFE beside English Bay Beach:  There is a restaurant at a perfect location to enjoy the sunset!


スタンレーパーク Stanley Park は市民の憩いの場ですが、






公園内のトーテムポール・パーク。先住民の9つの部族が作ったアートです。Totem Poles





My favorite brunch seeing the BEAUTIFUL beach (English Bay).  This is my beloved lady’s favorite too.  Enjoyed it with her family.  Had a fantastic time!



歴史のあるギャスタウン Gastown です。



Water Front Stationを降りて・・・

Water Front Station of Canada Line (Sky Train)


駅を出て、面しているコルドバ通り(Cordova St.) をそのまま左に進むと・・・

Waterfront Station. Looks gorgeous!





Gastown:  The birthplace of Vancouver



Cars come one after another and park both sides of this beautiful street so it is hard to take pictures without them. This was taken to get 1 sec without cars passing by finally…lol – Gastown




The steam clock at Gastown in Vancouver – It is always surrounded by many tourists taking pictures.






お得意のポーズを持っていらっしゃる。(笑) これはスゴイ。




その中にはシャッターチャンスを待つ、辛抱強い徳子の姿も (笑)。






現代のランドマーク、👇ハーバーセンター Harbour Centre が。



Can you see the steam clock in this picture? Yes, it is very small but it has a power to assemble many people. / The building in the middle is Harbor Centre. The view from the lookout is wonderful!




The color of mailboxes is kind of interesting for foreigners.



There are stylish shops, restaurants, etc…Great to visit for travelers. – Gastown in Vancouver





Gastown looks more beautiful with colored leaves.



As you see, there are modern buildings near this town. Only this area remains nostalgic atmosphere.


The main street of Gastown is a very busy road. And both sides of it are full of parked cars always. It is hard to press the shutter without cars. I did good job getting 1 second of photo opportunity!…lol



ギャッシー・ジャック像  Gassy Jackです。👇





Gassy Jack



チャイナタウン China Town👇があります。







大きなメインストリートのヘイスティングス通り(Hastings St.)なども、






China Town in Vancouver



China Town



China Town and trolley buses in Vancouver




トローリーバス Trolley Busを見かけます。



トローリーバス Trolley Bus




Harbour Centre (Lookout)は、地上168mの展望台。



Harbour Centre (Lookout) – The 360 degrees view is amazing!




↑ フォールス・クリーク岸に立つBCプレイス・スタジアム BC Place Stadium in front of False Creek

↑ ダウンタウン・イーストサイド Downtown Eastside

↑ マウント・ベーカー。バンクーバーは大都会をちょっと行くと大自然、という恵まれた環境にあります。Mt. Baker – You can enjoy great outdoors with a short trip from Vancouver. Amazingly great circumstances.

↑ バンクーバー港。遠くにドックが見えます。 Port of Vancouver – Ships are laid up in dock.

海(湾、入り江)に囲まれた大都会バンクーバー。その周囲には山々もあり、それらのすぐそばに高層ビル群が。自然と都会の融合した街です。They have skyscrapers, mountains, creeks, bays, Inlets, etc…Vancouver has beautiful circumstances!

これがバンクーバーの街並みの一部。中心街の隣のターミナル駅ですが、高層ビルがいっぱいです。Near the Water Front Stn.



シンクレア・センター Sinclair Centre – Near the Waterfront Station.  You can see beautiful buildings here and there.  This building used to be the first post office in Vancouver.  It turned to be an expensive brand department store in 1986.






カナダ・プレイス Canada Placeです。







フライオーバーFlyover Canada


Flyover Canada












Vancouver Convention Centre (West Building)

Vancouver Convention Centre (West Building)



水上飛行機 Seaplaneが発着しています。

水上飛行機 The Seaplane to Victoria in British Columbia States















  絵になる街バンクーバー - カナダレポート・その2 Everywhere Looks Picture Perfect in Vancouver! – Canada Report Part 2

  バンクーバーより、ちょこっと遠征編! — カナダレポート・その3 Day’s outing from Vancouver! – Canada Report


Gastown in Vancouver




#Vancouver #flyover canada #gastown #harbour centre #stanley park #yaletown #Gassy Jack #Steamclock  #バンクーバー #フライオーバーカナダ #ギャスタウン #ハーバーセンター #スタンレーパーク #イェールタウン #ウォーターフロント駅 #ギャッシージャック  #蒸気時計  #フライオーバーカナダ

NMT Caregivers’ Reports – For Children And Babies


As most of you know, the only NMT (No Steroidal and No Moisturizing Treatment) doctors are in Japan.  This method was advocated by Dr. Kenji Sato (Osaka, Japan) officially in 1994, but he discovered the condition of TSW (Topical Steroid Withdrawal) long before he publicly shared.  He actually started the protocol prior to 1994 trying to learn from the patients.  Then he discovered that TSW couldn’t be healed with just ceasing steroids, meaning, you need to cease/stop use of steroids as well as ALL kinds of moisturizers in order for the protocol to be successful. 

***This included wearing loose fitting garments rather than tight against the skin, avoiding to wrap up with bandages or to put on thick comfortersnot over cleaning or bathing with soaps or other chemicals and so on…Most of us tend to imagine to apply lotions or creams once we hear moisturizers but these types activities and more similar ones are ways that unintentionally act as ‘moisturizing’ treatments. ***

      **Refer below article forMoisturizers
      What can be Moisturizers? – For fellows lanuching ‘No Moisturizing Treatment (NMT)’

However, it is not socially accepted as a major treatment though even the results are amazing.  ‘Topical Steroids’ is the major and standard treatment designated for Atopic dermatitis by the dermatologists’ academic conference in Japan even though there’s no evidence of healing results.  Most dermatologists prescribe them and it is very difficult to find non steroidal doctors even in Japan.


Dr. Sato has been advocating NMT and has been helping tons of TSW sufferers for more than 3 decades with successful results.  Patients are visiting Osaka to be seen by him from all over Japan. 


Dr. Kenji Sato gives free large scale lecture meetings frequently with other NMT doctors (Dr. Mitsuko Satou, Dr. Shigeki Fujisawa and Dr. Satoko Minaguchi) traveling all over Japan for awareness of the danger of Steroids, Protopic and Neoral (=Ciclosporin/Cyclo).  He also holds classes after work for inpatients, answering questions on the website with his wife Dr. Mitsuko Satou (a NMT super pediatrician), teaches NMT for doctors who are interested in, guides other young doctors, etc….As you can see, his busy life makes it hard for him to share the info with the world.  However, his message is spreading as patients’ groups supporting him and other NMT doctors are growing.


I wrote an article to share this great method to the world in English getting approval from Dr. Sato (in Nov 2017).  How to get over Topical Steroid Withdrawal asap!  

Since I’m the testimony who got well amazingly from VERY severe case within 3 months with NMT, I thought I had to share this great method for all TSW sufferers in the world.  I totally understand how tough the symptoms are so I really wanted to help others who are struggling without solutions.

Fortunately, the article spread all over the world very rapidly and it reached many worldwide as you can see below.

The distribution map of readers of my blog ‘Tokuko’s Room To Feel Uplifted’. (=Genki ga deru Tokuko no heya) This means so many TSW sufferers are struggling without having solution.


A lot of TSW sufferers started to learn NMT with this blog and NMT support groups that I established last year at the same time.

NMT (No Moisturizing Treatment) Education Group

The NMT Healed Club (No Moisturizing Treatment)

Tokuko’s Room To Feel Uplifted


Within a few months, I began to receive SO many messages with appreciation from all over the world.  (**Sorry, I can’t respond to all of them but thank you very much for your nice messages! )  They mastered NMT and were healed or improved amazingly


And then, unbelievably, the healed members started to share the information spontaneously! 

It was a game changer for them so they were glad to pay it forward sharing the protocol. 

The NMT masters’ dedication is really energetic and they started to help the world sufferers together!  The numbers of sharing people are increasing day by day!


Some shared it with SNS, (Facebook, Twitter, Instagram, Reddit, etc….)

some brought my blog to their dermatologists asking their support to accomplish NMT,

some shared theirBefore and Afterpics to encourage and help other sufferers,

some shared the pictures to show the healing process with chronological order and explanation,

some shared their personal notes about what they learned in their language,

some offered me to help the operation of support groups,

some translated my blog articles to each language,

some got interviews to share their experience bravely with medias and other non-steroidal groups,

some established NMT support groups in each language,

…and so on!


It’s actually spreading throughout the world day by day rapidlySo many people are taking actions to help other sufferers/caregivers to experience the agony of the side effect of Topical Steroids and amazing recovery with NMT.  They are working with their deep love to others.  Don’t you think it’s REALLY wonderful? 


Today, let me introduce two of NMT masters’ (caregivers) reports.


First report below is written by Ms Jannelyn Lechelle from UK.  She learned NMT reading this blog articles over and over and her son got well amazingly fast.  Her NMT knowledge is excellent!  After she became a master of NMT, she has been helping sufferers as one of admins of the support groups.  





Here is another update on the progress of my son’s ankle.  He is currently 168 days NMT and 8 months TSW.

As you know from my last post, he has been swimming for almost 8 weeks with no reaction to the chlorine in the water.  His whole body is clear – not a sign of normal eczema starting either.


As for the NMT protocol, he is drinking whenever he is thirsty so no water restriction.  He has quick showers twice a week and doesn’t apply any type of cream or moisturizer on his skin after a shower.  He continues to sleep 9-10 hrs a night and can eat all types of foods without any reaction.  A balanced diet is still important for a growing child so I maintain this.


Last month, the top part of his ankle had this ‘thick and spongy texture’ accompanied with fine, white powder/dust.  I call this elephant skin.  This month, from my observations, the thickness has lessened considerably and the powder is gone.  The skin is now a little scaly and no longer sheds.  It also appears dry but it is not itchy.


Looking back at the whole TSW nightmare, we tend to worry about the possible infections, about the many symptoms, how bad it looks, wondering when it will get better or is it becoming worse?

Having gone through this journey with my son for 8 months, what kept me going as a parent was acceptance and a positive mental outlook.  Even before I stumbled upon NMT and Tokuko’s Blog page, I kept reading, doing research, finding out as much as I could about how to heal my son from his terrible symptoms.  Without this determination, I have no idea what I would have done. 


I followed the NMT protocol blindly without doubting it, and just kept going.  Seeing the before and after pictures of Tokuko was a game-changer for me.  I thought if she could heal from her symptomsthen so can my son. 

The suffering my son went through taught me patience.  Then patience taught me perseveranceThe perseverance then gave me hope – hope that one day, he would heal.


I am forever grateful that this NMT group exists because Tokuko has worked so hard to spread the NMT awareness out there.  I see many more parents who are willing to try the NMT protocol to heal their childIf you do commit to it, patience and perseverance is keyDon’t dwell on the symptoms or worry too much.  The protocol is your guide, so learn it well, read it over and over again and make sure you don’t miss a thing.


Everyone will have different healing times and some parts may take longer to heal.  Try not to compare your healing journey to others, this will only discourage you.  Not everyone will heal in 90 days either as most of us are not at the hospital with Dr Sato watching over us all.


Below, I have complied a guideline of the different stages the skin goes through when healing.  This information is taken from my notes, photos and the close observations I made with my son.  Some of you may find it useful, others may not, but feel free to use it as you wish.



1. The Inflammation Stage

Symptoms: Red, hot, bumpy, broken skin, sometimes swollen, itchy, wet, oozy, painful

This is the stage where the skin goes into shock as the medicine usage has ceased and the skin and body need to re-adjust itself.  Blood vessels dilate to allow essential cells; antibodies, white blood cells, growth factors, enzymes and nutrients to reach the skin area.  This may lead to a rise in exudate levels so the surrounding skin needs to be closely monitored. 

Limiting all types of moisture (bathing/creams/intake of fluids) at this stage is important to reduce ooze and the possibility of infection setting in.  Sleeping during the hours of 10am – 2am is crucial for healing as growth factors are released during this time at night.  A balanced diet will help the skin obtain all the nutrients it needs. My son was stuck in this Inflammation stage for two and a half months because of the daily foot-baths and creams applied to his skin.  Too much moisture.  If anything, his skin became a lot worse.  As soon as we initiated NMT at the beginning of January, his skin started to change and move to the next stage which only took around seven days.



2. The Proliferation Stage

Symptoms: Less redness, Intense deep itching, increased dryness, stiff skin, thick crusts, lots of flakes, ooze and blood, swelling, skin feels hot, nerve pain, zingers, possible infection

Allow crusts to fall off by themselves.  Do not pick or force crusts off.
If dried out properly, skin can start to form crusts/flakes over the surface to protect the rebuilding of new skin underneath.  The body produces collagen to form new skin tissues – protein and fats in diet are required to do this.  The unbelievable ‘deep’ itch results from the new network of nerve cells and blood vessels being formed underneath the new skin. 

As new temporary layers of skin are pushed up, the skin sheds very quickly, producing lots of flakes!  This is encouraged by itching and scratching until the skin becomes thicker and drier.  Tokuko describes this stage as having ‘ugly skin’ and many tend to think that the skin is aggravatedSome give up during this stage and return to bathing and applying creams.  Then the Inflammation Stage starts all over again.
My son stayed in the Proliferation stage for 97 days before moving on to the last stage of healing.  Believe it or not – the repetition of scratching and drying made his skin stronger.



3. The Maturation Stage

Symptoms: Dry skin, fine white powder, white dust, less itch, no redness, softer skin, spongy feeling, elephant skin

This final stage is when the new skin no longer breaks when scratched.  The new skin feels thickened and spongy as the tissue used to create this is slightly different.  The Fine, white powdery surface can take some time to thin out.  This phase involves remodelling of collagen from type III down to type I. 

Cellular activity reduces and the number of blood vessels in the skin area regresses and decreases until the skin produces its own oils and is normalised back to soft, smooth skin.  This is the stage my son started swimming and is currently at Day 57 and still counting.  The bottom and middle part of his ankle are already normalised, just allowing the top part to continue to smoothen out slowly.


Thank you for reading.  Happy healing to you all 💗





The Next report is written by Ms. Joyce Fang from Australia.  Her understanding of NMT also is outstanding and she has been helping parents who have TSW/AD kids and babies in Chinese speaking society as a bilingual.  Her support for world sufferers is excellent working as an admin in the NMT support groups.





Some thoughts on babies, about solid food, breastmilk, formula.

And some healing photos

It’s created a little bit controversial tonight, since I’m a mum who is breastfeeding my 16 months son and receives a great result from NMT within half year, I’d like to share some of my thoughts and experiences on this. Please do correct me if anything wrong.  And please follow NMT doctor’s instructions as strictly as you can, you will have great result!



Firstly, I think breastmilk is still good during NMT, like people mentioned here, for immunity.  Good immune system accelerate healing and reduce the risk of infection.  Also, breastfeeding is a great comfort tool during NMT.  Happier baby, happier mum, faster healing.  Breastmilk has too many other benefits compare to formula, like long chain fatty acids to support brain development, etc.  I believe NMT doctors fully understand and have more knowledges than us, as Tokuko mentioned this.



However, breastmilk has less protein compared to formula.  And we all know protein loss is a problem during TSW for many people, we need to increase protein and fat intake (although breastmilk has higher fat compared to formula).  We also know too much water intake delays recovery.  So, this is the downside of breastmilk, since we can’t reduce water in breastmilk.  If we try to increase protein intake from breastmilk, we increase large amount of water too.  It’s a dilemma here.  On the other hand, it’s easier to control the water volume and plus it has higher protein in formula.  So, for the babies who need to boost their protein level and who hasn’t on solid, switching to formula is a choice.



But it doesn’t mean every NMT baby needs to stop breastfeeding.  That’s why Tokuko mentioned babies can have solid food earlier.  Someone may argue baby under 6 months shouldn’t have solid.  But the reality to this really depends on each baby, someone just can if they are ready.  Tokuko mentioned.  My son started solid on 4 months even we didn’t have TSW.
Breastfeeding or not, or when should baby start on solid is really depending on each one’s real situation.



Here are some experiences and thoughts from me and some other breastfeeding mums who are doing NMT currently:
To mums who don’t want to switch to formula, and determined to get benefits from breastmilk for long run and do NMT at the same time:
I would firstly eat more protein and fat and a bunch of nutritional dense vegetables (not too much fruits) myself.



1.  Baby Within 6-month-old or hasn’t on solid: I could switch to a mixed feeding strategy, but maybe majority is formula for a while if the baby lost too much protein (usually sever oozing stage).  I could feed formula first and maybe some bites of breastmilk for comfort and immunity.  I could at the same time pump breastmilk out to maintain milk supply.  I may increase breastmilk and reduce formula when skin is getting better, and maybe baby starts solid already.  Also, I believe sever TSW for such young baby is not too common.
In addtion, 4 months old can start solid if they are ready, first food can be high protein food like meat.  Diet is probably another controversial topic nowadays.  



2.  6-month-old to 1 year old:  Apart from same strategy above, I could feed him only high protein and fat solid food at this stage, which means no carbs from solid, especially during sever oozing stage. If baby have lots of high protein solid and skin is getting better, I may increase breastmilk or switch back to breastmilk.


3.  1 year above:  It’s easy to control protein intake now, and baby needs much less milk.  High protein and fat solid plus breastmilk only or mixed feeding, moderate protein and fat solid plus more formula or normal milk plus some breastmilk or no breastmilk.  There are too many combinations according to skin’s progress.  Just remember dry is better, protein and fat are essential during NMT. If you have time, do a record or digitalise eventing, you can figure out how much water and nutrition your child needs according to different circumstances.



To mums who stop breastfeeding because of NMT or other reasons:
• Although there are so many benefits with breastmilk, but babies can do also well without breastmilk.  Formula gives lots of mums relieves, it’s also easier to count water intake and increase protein level for many babies.

• We always want to give our kids everything, but sometimes we should consider the most important things for different circumstances.  We still can boost baby’s immunity in other ways, like giving them lots of love, letting them play around as excise, a balanced diet, etc.


Last, don’t be too stressful for what we haven’t done enough.  If you have time and energy, you can choose to continue breastfeeding and NMT.  If you don’t, you can try to find helper.  If you don’t have time and helper and want to stop for healing purpose, just stop.  If you have confusion, we have so many people here to help.  If you feel depressed, you can vent into NMT support group or other TSW group, or messaging lots of people here. LOL


Thank Tokuko Kameda again and all the NMT/TSW doctors.


I will add some improvement photos to reassure NMT.  My son is breastfeeding and doing great with NMT.  I probably ask my friend to add her son’s photo later, her son takes formula and heals with NMT too.  We both almost finish this hell within half year!
Wish everyone has a quick and happy healing!





Well, these reports are written by ‘mothers‘ who mastered NMT with this blog and NMT (No Moisturizing Treatment) Education Group on Facebook.  To experience their child’s healing, they wrote and posted these reports in the group spontaneously to pay it forward.  I was moved so much by their love to other TSW sufferers/caregivers because this is just what I really wanted 


NMT doctors are limited but there are many more numbers of sufferers than them all over the world…I thought “We must be able to utilize sheer force of numbers…!” 

Even if you have zero NMT doctors in your country, if we assemble our knowledge, the power is going to be bigger than several doctors’ one.  Once we put learned knowledge together in the group, a lot of sufferers can trust the information and can help each other…I believed that it would be the only solution without having NMT doctors except Japan.  That is one of the reasons why I established NMT (No Moisturizing Treatment) Education Group.  


As I expected, a lot of healed members began to post their experiences in the group to help others.  However, since visual confirmation also is necessary always for sufferers, I established The NMT Healed Club (No Moisturizing Treatment) too.  Right after that, healed members started to post their Before and Afterpictures there one after another to help and encourage others.  Sufferers got to learn the process to do the comparison in need visually.


It’s not often but admins in our groups have heard that some members need to vent in the groups.  We understand their feelings very much but believe that our groups’ role is different from other TSW support groups.  Our groups should be the ones to provide solutions as much as possible from our experiences with NMT because many sufferers have been struggling without having any solutions for years.  At the same time, we know sufferers’ sad stories won’t help others at all and affects to others’ symptoms and to the person’s too.  Trying to use positive words will help you after all and it is the part of NMT.   So we ask your agreement to our policy when we get requests to join us.  We just want to help as many as possible effectively.  Hope sufferers understand our groups’ role (=to share NMT accurate info) and my intention (the reason why I established the groups).  Everybody should be able to get out of the agony asap to get effective solutions and no one should obstruct it, meaning, we need to think about others too in any situation.  I believe, fundamentally, support groups are supposed to be like that.


You also can be a Master of NMT and your efforts to learn NMT will help your children from TSW.  In other words, they will be helped by your accurate NMT knowledge.


Actually, tons of babies and little children are healed by Dr. Mitsuko Satou in Japan and many babies and children are coming with parents to be seen by her from all over Japan.  Healed children’s parents listened to her and just followed NMT protocol seriouslyI just can share this fact and you are the one who makes a decisionNone of us forces you and choice is always up to you but once you had a strong determination to accomplish NMT, try to learn it hard and commit.   Again, your accurate knowledge will help you.


     The Key Tips Of NMT For Babies And Children

     Healing Happens to Kids and Babies with NMT

    ***You need to learn and read all RECOMMENDED POSTS IN ENGLISH of this blog making your personal notebook and learn more in the groups.


The skin needs to dry before healing and at the dried stage, the appearance becomes bad and the subjective feeling of itch also becomes stronger.  So your child needs to repeatScratch and Dry over and over and it is uncontrollable for human beings.  Parents tend to misunderstand that their child got aggravated to see the condition, however, need to understand that the skin lesions are getting better, meaning, completely dried skin is the beginning of healing processParents need to endure this tough phase.  Just make sure that your child doesn’t have other sickness or infections and gaining weight normally with balanced meal getting his/her doctor’s advice.


I’m looking forward to seeing many other reports by caregivers who are trying to help other sufferers with their experiences on NMT Education Group.  At the same time, I’m waiting for many more posts withBefore and Afterpictures in The NMT Healed Club so a lot of caregivers can learn the process of NMT more and more. 


We can help each other.  Again, in any situation, we have to think about others who are in agony.  Healed people are the ones who can understand the condition very well and can help others.  Please do not finish your journey after healing.  You will get the power to change the world then.


Healing happens to your child too!  For your loved one’s wonderful future, hang in there for a while!




2019.11 北海道大学キャンパス内




Hoe je zo snel mogelijk geneest van TSW of Topical Steroid Withdrawal!

How to get over TSW asap! ◆ Dutch Version



Hoe je zo snel mogelijk geneest van TSW of Topical Steroid Withdrawal!


Ik zie zoveel mensen die lijden aan TSW (Topical Steroids Withdrawal of cortisonecreme afhankelijkheid) oftewel mensen die verslaafd zijn aan hormonenzalven/cortisonezalven. Dit over de hele wereld. Hoewel er zoveel mensen hieraan lijden worden er nog steeds hormonenzalven voorgeschreven voor atopische eczeem en andere huidproblemen.

Ik geloof dat de tijd rijp is dat de wereld moet realiseren dat diezelfde medicatie je niet kan genezen maar zelfs een gif kan zijn voor je huid.


Als je twijfelt aan de verschrikkelijke neveneffecten van hormonenzalf, kijk dan naar de foto’s onderaan. Ze zijn niet prettig om naar te kijken. Mensen die deze liever niet willen zien, geef ik daarom de keuze door ze onderaan te plaatsen.




Wel, voor diegenen die de foto’s al zagen… Mijn excuses om jullie deze lelijke foto’s van me te tonen. Maar je zag wel de duidelijke verbetering op de derde foto van mijn been, niet? Het moet heel moeilijk te geloven zijn dat ik geen enkele zalf, crème of balsem heb gebruikt, om te genezen. Dus daarom wil ik graag de beste manier uitleggen hoe ik uit die TSW hel ben geraakt aan jullie die hiermee op dit moment te maken hebben. Ik begrijp als de beste hoe hard en moeilijk het is. Daarom wil ik jullie aanmoedigen en jullie hiermee helpen!



Ik heb altijd de sterkste cortisonezalven (hormoonzalven) gebruikt voor mijn atopisch eczeem. Dit gedurende meer dan 50 jaar en dit sinds ik 6 maanden oud was. Die zalven hebben me nooit echt genezen maar zonder deze zalven kon ik geen normaal leven leiden omdat ze de ontsteking maar voor heel even wegtrokken. Tijdelijk dus.


Geleidelijk aan hielpen ze me minder en minder en uiteindelijk stopten ze zelfs met werken. Nadat ik gestopt was ze te gebruiken, kreeg ik helse afkickverschijnselen/bijwerkingen. Zoals je kan zien kwam dit 4 keer voor in de laatste 5 jaar. Het spreidde uit over mijn gehele lichaam. Ik zag eruit als een monster. Ik verloor twee maal mijn haar, ik verloor op 1 week 12 kg aan gewicht doordat ik zo hard vloeistof (ooze) uit mijn wonden verloor,…


Soms zag ik helemaal rood van top tot teen alsof mijn gehele lichaam verbrand was. Daarna kreeg ik overal korsten en leek ik op een vis. Daarna werd ik terug rood met ooze zoals een brandslachtoffer en daarna kreeg ik weer korsten… De symptomen kwamen terug en gingen weg en kwamen terug en gingen weer weg. Altijd in cyclussen werd alles herhaald.


Ik had zo’n erge bijwerkingen doordat ik zo lang cortisonezalven heb gebruikt maar de meeste dermatologen zeggen nog steeds dat dit atopisch eczeem is. Denk jij dat ook als je naar mijn foto’s kijkt?

Nee, het is GEEN atopisch eczeem.

We zijn misschien geen dokters maar zelfs amateurs kunnen zeggen, ‘Dit kan niet normaal zijn!’, als ze hieronder de foto’s bekijken. Iedereen kan hieraan zien dat de zalf zijn scherpe tanden laat zien. En dat ze heel toxisch is. Het heeft duidelijk bijwerkingen. Dus cortisonezalven zouden niet langer gebruikt mogen worden voor huidproblemen.



Zelfs als je symptomen zo erg zijn en ziekenhuiszorg nodig hebt, zijn er niet al te veel ziekenhuizen in de wereld die TSW accepteren. De situatie hier in Japan is juist dezelfde.

Downtown Tokyo with the tallest tower ‘Sky Tree’ in the middle

Echte zieke patiënten voelen zich zoals afgewezen vluchtelingen in een ziekenhuis. Ikzelf vond geen hulp in het grootste ziekenhuis in Tokyo-Japan. Maar gelukkig verwees de beroemde Japanse dermatoloog (Dr. Fujisawa) me door naar het Hannan Chuo Ziekenhuis in Osaka, Japan na de derde verslechtering van mijn huid.

En ik vond eindelijk de beste behandeling van mijn leven. En dat is

No Steroidal and No Moisturizing Treatment (NMT) = Geen cortisonen en geen hydratatie Behandeling

(Dit is verschillend van Moisture Wedrawal (MW of hydratatiezalf-ontwenning). Dit gaat dieper dan dat.)


Het lijkt onmogelijk dat mensen die een super droge huid hebben, zoals atopisch eczeem patiënten hebben, om deze behandeling te proberen (NMT). Zo dacht ik er ook over maar er gebeurde een mirakel bij deze behandeling. Toen ik gewoon stopte met cortisonezalven te gebruiken, verbeterde ik niet zo goed maar toen ik ook stopte met elke soort van hydratatie en meer deed dan enkel maar MW (hydratatiezalf ontwenning) en dit allemaal tegelijkertijd, verbeterden mijn symptomen in een miraculeuze snelle periode.



De eerste foto van de eerste 3 (been links) dateert van 29 oktober, de 2e van 18 november en de 3e van 17 december 2015.

Nu ben je een echte getuige hiervan. Zelfs als je de ergste symptomen vertoont, ben je genezen na ongeveer 2 maanden van de behandeling. Eigenlijk in andere woorden; met ‘geen behandeling’.


Ik ben genezen door Dr. Kenji Sato’s behandeling in Osaka, Japan. Ik was zijn patiënt voor een periode van 3 maanden. Hij is de leider tegen cortisone zalven hier in Japan.

Osaka, Japan


Hij schrijft geen cortisone zalven of Protipic (Tacrolimus) of Neoral (Ciclosporin) voor.

Hij schrijft bijna niets voor wanneer je in het ziekenhuis bent. (behalve slaappillen, anti-jeuk pillen op de vraag van de patiënten,…)


Wel, wat doe je daar dan? Waarom kan het dan genezen op die manier? 


Ik zou je graag vertellen wat we daar doen en wat we daar hebben geleerd in het Hannan Chuo ziekenhuis.

**** als je je afvraagt dat de bovenste medicatie zou werken, klik onderaan de site***


      De feiten dat je zeker moet weten – voor TSW patiënten

      The fact you definitely have to know – For Fellows with TSW



Patienten moeten een bepaalde bedtijd hanteren, goed slapen, gezond eten en sporten om het metabolisme te verhogen om nieuwe, gezonde huid te genereren.




Diep slapen gedurende de beste huid-uren. Dit wil zegggen van 22u00 tot 02u00. Dit is echt belangrijk. Zorg ervoor tijdens je dagelijkse leven dat je in slaap valt om 21u30 elke dag. Wees dus geen nachtuil. (Groeihormonen die je metalbolisme verhogen worden gegenereerd tussen 22u en 02u ’s nachts.) Het maakt nieuwe huid. Je gaat een groot verschil zien als dit elke dag lukt.



Maak tijd voor sport

Elke dag sport is nodig om je metabolisme te boosten want het versnelt de aanmaak van nieuwe huid.

Als het mogelijk is, sport meer dan 1 uur per dag. Bv, jogging, wogging of snel wandelen. Dokters raden aan om dit te doen tot je een minimum zweet.

Als het niet altijd lukt, schiet je dan niet af. In mijn opinie, je mind-set beinvloedt je huid.

Blijf vredig in je hoofd. Blijf rustig want dit is ook heel belangrijk om snel te kunnen genezen. Er is altijd een morgen!



Dr. Sato raadt niet aan om vaak in bad te gaan of een douche te nemen

Het verwijdert vocht (ook normale bacteriële flora) van je huid. De douche wast het weg en het loopt weg in het bad. Wanneer je symptomen erg zijn, moet je dit niet doen. Ik wist dit persoonlijk niet wanneer ik thuis was. Ik ging elke dag in bad omdat ik zo erg oozde over mijn gehele lichaam. Soms had ik overal korsten op mijn lichaam die dan in het bad eraf gingen. Het water werd dan wit in een heel korte tijd. Ik verloor dus heel wat proteïne. Dit was dus heel gevaarlijk.

Ik mocht geen douches nemen in het begin. Daarna mocht ik om de 3 à 4 dagen douchen in het ziekenhuis. Dit heel kort. Als je het kan doen in een paar minuten, is het goed maar altijd zo kort mogelijk.

De belangrijkste reden om te douchen/bad nemen is om infecties weg te houden. Om de bacteriën te verminderen dus.

Omdat het warme water zo een intense jeuk kan teweegbrengen, moet je dit dus heel vlug en kort doen. Hot springs (Spa’s) kunnen ook hydraterend zijn.


Mensen wassen zich tegenwoordig te veel door al de reclame en producten die op de markt zijn maar we hebben echt geen zeep of shampoo nodig omdat voor een droge huid het sowieso moeilijker is om vuil te worden dan een normale huid.


Als je het echt wil gebruiken, gebruik dan een echt stuk zeep en niets vloeibaars. Om zeep vloeibaar te maken gebruiken de bedrijven een petrochemisch product. Dit is niet goed voor je huid. Deze vloeibare zeep blijft in de huid zitten, zelfs als je denkt dat je je goed afgespoeld hebt. Dus gebruik een vast stuk zeep in plaats van shampoo als je echt zeep wil gebruiken.



Eens je bent gestopt met cortisonezalven,  hydrateer/bevochtig niet. Dit is zo belangrijk. Doe dit dus heel diepgaand.  

Draag bv niet te veel kleren.  Dat kan ook een hydradatie/bevochtiger zijn. Ook al heb je

stoornissen van thermoregulatie door TSW zoals bv rillingen, je koud voelen, probeer om minder kleding te dragen. Ik droeg losse katoenen t-shirts en dunne katoenen shorts zoals ze me aanraadden in het ziekenhuis.

Dikke truien, jassen, beddengoed kunnen ook bevochitgers/hydraterend zijn.


Geen creme, lotion of natuurlijke oliën om te hydrateren. Je moet je huid hydrateren met je natuurlijke vermogen van je eigen lichaam. Anders moet je deze externe producten voor altijd blijven gebruiken omdat je huid maar blijft wachten op datgene dat het steeds krijgt van buitenaf.

(Ik smeerde totaal niets in het ziekenhuis en zelfs nu smeer ik nog steeds niets.)


Ik weet dat het erger wordt wanneer je krabt maar laat dat stuk gewoon drogen aan de lucht. ‘Het is niet nodig om cremes te smeren’.


Huid geneest sneller als je het gewoon laat drogen.  (Dit wist ik niet tot ik Dr. Sato ontmoette.)

Als je te veel oozt (sijpelende vloeistof) neem een stuk proper gaas op dezelfde grootte als de wond. Je moet het op voorhand eerst wassen met water en drogen om de stimulatie van de huid te verminderen. Dit gaas wordt dan zogezegd gebruikt in plaats van een natuurlijke korst. Gebruik maar 1 stukje gaas, geen 2 of meer. Als het gedeeltelijk los komt, snij dan enkel dat losse stukje eraf en laat de rest zitten. Als je je doucht, laat het erop en laat het gewoon drogen zoals het is. Je kan het gaas erop laten voor maximum 1 week. Haal het er zeker niet zomaar af.



Nadat je je gekrabd hebt, druipt er soms ooze uit de huid. Dit gebeurt omdat je wellicht te veel water in je lichaam hebt. Wij hadden een strikte regel om niet veel water te drinken in het ziekenhuis. 

Ik had een limiet van 1000 ml in totaal aan water-inname per dag. 2 maanden later, 1200 ml.

Dit alles inclusief fruit, konfituur, yoghurt, etc… (In mijn specifiek geval). Het was hard voor me omdat ik heel veel ooze had die sijpelend en rollend uit me kwam over heel mijn lichaam. Ik hunkerde zo hard naar water zoals een stervend persoon in de woestijn… lol.


Zoals ik hier boven al uitlegde, verloor ik 12kg tijdens de eerste 7 dagen door de continue lopende ooze uit mijn lichaam. (Ahem… ik zal wel in één van de records staan in het ziekenhuis, denk ik lol). De waterlimiet deed het oozen compleet stoppen over mijn hele lichaam en verminderde het oozen na het krabben. Als ik deze richtlijn niet had, dan was ik echt in gevaar want ik verloor zoveel aan proteïne tot ik aan een kritiek punt kwam door hypoalbuminemia. Ooze bevat veel proteïne. Dus het zomaar uit je lichaam laten lopen, laat je heel wat belangrijke voedingsstoffen kwijt spelen. (afvallende korsten bevatten ook proteïne!)

Dit vereist medische supervisie. (je kan hypernatremia, hypoproteinemia, hypoalbuminemia enzovoort zelf opzoeken).

Alleen medische professionelen kunnen deze gevaarijke symptomen diagnosticeren. Of ze kunnen laxitieven voorschrijven als het nodig is.

Zelfs nu ik ontslagen ben uit het ziekenhuis, probeer ik niet zoveel water te drinken.



Wanneer je buiten gaat, vergeet niet  om een hoed te dragen of een parasol om je huid af te schermen van UV stralen. Omdat je geen zonneproduct mag smeren (zonnebrandcreme, SPF) moet je er altijd een dragen.




Wat eten betreft, kan je eigenlijk eten wat je wil maar eet, gebruik geen Liquorice (Licorice) Glycyrrhizin (Glycyrrhiza/Glycyrrhizae Radix)  als je ze ziet in de ingrediënten. Namen kunnen verschillen maar ze zijn allemaal hetzelfde. Het zit toegevoegd in eten, Chinese mecicijnen en cosmetica. Als je ze neemt dan vergist je brein dat het terug cortisone heeft ingenomen.

Probeer ook gezouten eten te vermijden. Dat zal je enkel dorstiger maken en dan wil je meer water. Ik wist dit niet in het begin en ik kocht soya saus in het ziekenhuis. Maar Dr Sato had het direct gevonden. Hij vroeg me: ‘Wat is dit?’ en ik antwoordde al grappend, ‘Dat is om mijn kamer te decoreren.’ Lol.

Uiteraard zijn goede, uitgebalaceerde maaltijden heel belangrijk. Probeer proteïnes, omdat proteïne de huid aanmaken, zeker bewust te nuttigen.



Wel, dit is alles wat we doen in het ziekenhuis. Door deze simpele procedure te doen gedurende een paar maanden verbeterden alle patiënten van al hun symptomen. Het was miraculeus voor me.


Ik had meer dan 50 jaar met cortisonezalf gesmeerd voor mijn atopisch eczeem en ze hebben me nooit genezen. Maar met niets te smeren of te gebruiken, geen cremes, geen lotions,… is mijn huid zo fel verbeterd voor de eerste keer in mijn leven. Ik realiseer me nu echt volledig dat hormoonzalven/cortisonezalven zo fel verslavend werken en andere huidproblemen in stand houden.


Desalniettemin, de meest intense en meedogenloze jeuk dat een mens kan voelen is nog steeds oncontroleerbaar. Wanneer je zo een sterke jeuk voelt wanneer zo een jeukaanval start, dan begin je als een gek te krabben. Het is gewoonweg adembenemend.

  Ja, ik weet dat je je dan voelt alsof je dat gedeelte volledig wil uithollen totdat je op je innerlijke botten of organen zit. Je denkt of hoopt dat dat gedeelte zo snel mogelijk van je lichaam afvalt tijdens deze jeuk-aanval. En zelfs erger, nadat je je hebt gekrabd voel je spijt en het doet pijn. Maar je kan er niet aan doen want niemand kan die jeuk doen stoppen. Dat is ons groot probleem. Ik denk dat je dan ijspakketten kan gebruiken of anti-jeuk medicijnen kan nemen om de jeuk te verminderen. Dat doen we in het ziekenhuis ook maar toch zoals je weet, ze werken niet altijd perfect.



Dr. Sato zegt, Maak je geen zorgen over het krabben. Het is ok om te krabben omdat het zon jeukende ziekte is. Als dokters zeggen dat je moet stoppen met krabben, dan verwoest je het vertrouwen tussen dokter en patiënt. Jeuk is het ergste symptoom van deze ziekte, dus het is ok. Krab en laat het dan drogen. Krab en droog. Krab en droog. Door deze herhaling zal je huid beetje bij beetje sterker worden. Maar vergeet niet: de laatste krab moet je zachtjes doen.


….Dit overweldigde me zo om dit te horen en toen wist ik dat hij een echte dokter was. Iedereen had me verteld om niet te krabben gedurende mijn hele leven maar ik wist dat dit iets oncontroleerbaar was voor de mens. Ik kan echt zeggen dat geen enkel menselijk wezen deze intense jeuk kan stoppen. Tegen jullie allemaal zal wel gezegd zijn: “Stop met krabben” door dokters, familie, vrienden… Dus ik weet dat jullie gemotiveerd zullen zijn bij het lezen van deze bovenste zinnen. Het moet toch een opluchting zijn dat patiënten dit horen. Het is ok om te krabben. Voel je je alsjeblieft niet schuldig.



Ik volgde Dr Sato’s richting in het ziekenhuis. Ik kon niet anders dan te krabben want het was sterker dan mezelf maar ik droogde mijn huid elke keer erna. Als ik begon te oozen, gebruikte ik een stukje gaas en droogde het op die manier. Zoals je kan zien in de foto’s beneden, had ik dikke bruine korsten op mijn beide benen. Ik krabte zelfs aan zo’n delen totdat alle korsten er afkwamen. Maar ik droogde ze ook. Ik herhaalde het telkens en telkens weer… Dan werd mijn huid beetje bij beetje sterker en sterker tot ik miraculeus genas binnen de 3 maanden.


De derde foto is het resultaat. (De foto’s tonen enkel het resultaat na 2 maanden, maar ik was 3 maanden in het ziekenhuis). Het was verbazingwekkend omdat de behandeling eigenlijk ‘geen behandeling’ was.

De meeste patiënten zijn echt heel gezond na de behandeling wanneer ze ontslagen worden uit het ziekenhuis. Ze hebben een gezonde huid. En meer nog, mijn gekrabte huid ziet er zo veel sterker uit nu.


Ik wil hierbij verklaren dat je TSW kan genezen met ‘No Steroidal and No Moisturizing Treatment (NMT).

Ik wist dat we geen cortisone creme nodig hebben van in het begin.



Cortisone cremes (hormooncremes) hebben een sterk potentieel tot verslaving en houden je huidproblemen in stand. En de bijwerkingen en het afkicken zijn verschrikkelijk. Het is een echte solide keuze dat je stopte met cortisone zalven voor je huidproblemen!


Ik weet perfect hoe hard TSW (Topical Steroid Withdrawal – hormoonzalf/cortisonezalf afkicken) is omdat ik uit ervaring spreek. Als ik het mag zeggen, heb ik waarschijnlijk zelfs de ergste TSW-symptomen gehad. Ik ben één van diegenen die de sterkste hormoonzalven heb gebruikt voor de langste periode wereldwijd of zelfs ruimte-wijd lol

Dus, Ik zou graag de misstap van het gebruik van cortisonezalven/hormoonzalven wereldwijd verspreiden

Cortisone zou alleen mogen gebruikt worden bij een levensbedreigende situatie. Immuno’s zouden niet gebruikt mogen worden tegen huidproblemen zoals atopisch eczeem.



Ik ben bang om dit te zeggen maar het is een lange weg om TSW te verslaan. Maar eens het bij je is gebeurd, dan moet je erdoor en jij bent de enige die dit moet doen. Je moet gewoon begrijpen dat het tijd vraagt. Ik weet zeker dat je het weet maar we vergeten het altijd zo snel.


Als het zeker is dat je niet ineens van vandaag op morgen kan worden genezen, dan is het beter om van de kleine, positieve dingen van de dag te genieten. Er zijn zovele dankbare dingen rondom je heen! Zelfs als je huilt of lacht; je ziekte zal de volgende dag nog dezelfde zijn. Dus het is tijdverspilling om je tijd al droevend door te komen want tenslotte is tijd je leven.


Voor de snelste genezing, adviseer ik je de therapie hierboven. Zover en zolang ik weet zien alle andere patienten die deze behandeling hebben ondergaan geen enkele dokter meer die cortisonezalven voorschrijft. Zij nemen deze therapie; de No Topical Steroids and No Moisturizing Treatment (NMT)’ terug op in het geval dat ze wederom een opstoot krijgen.



Vertrouw je eigen natuurlijk lichaamsvermogen om te genezen!  Je bent oké zonder enige medicatie. Ik ben niet meer bang, zefs wanneer ik terug een terugslag zou hebben in de toekomst want ik leerde de beste techniek hierboven.


Probeer positief te blijven in elke situatie! Onze mentale gezondheid is zo belangrijk voor een snelle genezing.



Het moet niet perfect . Als je 1 klein goed stukje gevonden hebt, zegen het!


Als je tegen iemand zegt: ‘Deze vinger is zo erg!’ Dan heb je iets gemist.

Zegen je andere 9 vingers.


Glimlach eerst, dan kan je gelukkig zijn. Het brengt je geluk. Glimlachen is niet datgene wat je doet nadat je gelukkig bent. Die volgorde is belangrijk om je leven wonderlijk te maken.


Je zal snel oké zijn. Hou vol!




  ***Ik adviseer dat je deze therapie probeert met een dokter waarop je kan rekenen. Want misschien krijg je te maken met een infectie dat kan verspreiden, hypernatremia door de extreme waterrestrictie, hypoproteinemia en hypoalbuminemia door het te groot verlies aan proteine of er kan zich een andere ziekte aanmelden. Ik ging regelmatig naar dermatologen wanneer ik thuis uitrustte. Het maakt niet uit of de dermatoloog TSW kent of niet. Maar alleen medische professionelen kunnen oordelen over gevaarlijke symptomen.


**** Vooraleer je aan NMT begint, probeer alsjeblief eerst andere artikels te lezen over TSW van de ‘POSTS IN ENGLISH’ tab. Mis niets om je einddoel en de snelste resultaten te bereiken.


☟ Niet geschikt voor de gevoelige kijker: Ernstige Dermatitis Foto’s hieronder







☟    Niet geschikt voor de gevoelige kijker: Ernstige Dermatitis Foto’s hieronder



☟    閲覧注意(皮膚炎の写真があります)



☟    Niet geschikt voor de gevoelige kijker: Ernstige Dermatitis Foto’s hieronder



☟ 閲覧注意(皮膚炎の写真があります)



<<<My left lower leg >>> 

From Oct 29 to Dec 17, 2015 at Hannan Chuo Hospital in Osaka, Japan

Oct 29, 2015

Nov 18, 2015

Dec 17, 2015




<<<My left ring finger>>>

I did no treatment during the period below.  Just dried even after I scratched.

Scratch and dry and scratch and dry and scratch….I didn’t put any topical products or bandages too.  Even if it was bleeding, I just dried.

And finally…..see the last picture!  The skin became way too strong!  It is amazing!







          ********If you are brave and would like to see more pictures of my symptoms and improvements, go to another  

      page below.  It is written in Japanese but pictures are at the very bottom of the page.


               ☟ Click here. ☟

                The 4th Happy Anniversary after stopped using Topical Steroids - 脱ステ4年記念日に - ステロイドをやめて変わったこと                 

脱ステ4年記念日に - ステロイドをやめて変わったこと



            *******You can see kids’ improved pictures in a study below.


    ☟ Click here. ☟

             A prospective study of atopic dermatitis managed without topical corticosteroids for a 6-month period 


You can manage Atopic Dermatits without Topical Corticosteroids!



                                      To share the original English Version,                      

                                     ☟ Click here! ☟

                                     How To Get Over TSW ASAP!

How to get over Topical Steroid Withdrawal asap!


                                      To share Spanish Version,                      

                                     ☟ Click here! ☟

                                  Cómo superar el rebote de esteroides tópicos lo antes possible

Cómo superar el rebote de esteroides tópicos lo antes posible


                                     To share Arabic Version,                      

                                     ☟ Click here! ☟

                                    كيف تتخلص من أعراض الانسحاب من الاستوريد الموضعي (الكورتيزون الموضعي) بأسرع وقت ممكن

خلص من أعراض الانسحاب من الاستوريد الموضعي (الكورتيزون الموضعي) بأسرع وقت ممكن


Written by Tokuko Abfab

Translated by Els Spiessens



Downtown Tokyo from the sky




#Tokuko’s Room to Feel Uplifted    #tokuko’sroomtofeeluplifted   #Dutchversiontokuko’sroomtofeeluplifted #TSW  #Dutch 

خلص من أعراض الانسحاب من الاستوريد الموضعي (الكورتيزون الموضعي) بأسرع وقت ممكن

How to get over TSW asap! ◆ Arabic Version



!كيف تتخلص من أعراض الانسحاب من الاستوريد الموضعي (الكورتيزون الموضعي) بأسرع وقت ممكن 


محاربو الانسحاب من الكورتيزون

أرى الكثير من الناس يعانون من اعراض الانسحاب من الكورتيزون

في جميع أنحاء العالم .المرضى يعانون للتتخلص منه , معظم أطباء الجلديه يصرفون كورتيزون موضعي بالخصيص لمرضى الاكزيما التهاب الجلد التأتبي و الكثير من المشاكل الجلديه . اعتقد انه حان الوقت ليدرك العالم ان العلاج لا يشفي بل هو سام للجلد

انظر للصور في اسفل الصفحه اذا كنت جاهز لترى فظاعة الاعراض الجانبيه للكورتيزون الموضعي . وضعتهم في اسفل الاسفل ليكون لك الخيار اذا اردت ان تراهم ام لا .




للاصدقاء اللذين رئو الصور ….اتأسف لاني جعلتكم ترون هذه الصور البشعه عني في الاسفل , لكنكم رئيتم التحسن الواضح في الصوره الثالثه لاسفل رجلي . ألم تروها ؟ للأكيد سيكون من الصعب تصديق ولكن لم استخدم اي من منتجات الكورتيزون الموضعي كالراهم والكريمات لأتعافى. لهذا سأشرح أفضل طريقه في حياتي ساعدتني للتخلص من جحيم أعراض الانسحاب من الكورتيزون للناس اللتي تعاني منه. أتفهم كم هي صعبه وقاسيه لذالك اود ان احفزكم للمساعده.



كنت استخدم أقوى انواع الكورتيزون الموضعي طوال الوقت بسبب الاكزيما الشديده لاكثر من 50 سنه من عمري 6 اشهر . لم اتعافى وأشفى بها ولكن لم استطيع الحصول على حياة طبيعيه ..

مع ذالك الدواء يفقد فعاليته تدريجيا مع الوقت الى ان يتوقف عن العمل نهائيا في النهايه.

عندما توقفت (اقلعت) عن استخدامها , مررت باعراض انسحاب او اعراض جانبيه فظيعه 4 مرات على مدار 5 سنوات

تكونت على كامل جسدي الى ان اصبحت اشبه الوحش فقدت شعري مرتين , ونقص وزني 12 كجم في اسبوع وذالك لفقدان وترشح السوائل من سطح الجلد .

كنت أظهر حمراء بالكامل (متلازمة الجلد الاحمر) وكأنما كامل جسمي يعاني من حروق شديده ومن ثم تتكون القشور على كامل جسمي كالسمكه ومن ثم تصبح حمراء مره اخرى مع سوائل ترتشح وتخرج من الجلد ومن ثم تتكون القشور وهكذا دواليك الاعراض تعيد نفسها مرارا وتكرارا.

تعرضت لاعراض سيئه وشديده وذالك لاستخدام الكورتيزونات الموضعيه لفتراة طويله ولكن معظم أطباء الجلديه كانو يشخصونها ك أكزيما . هل تعتقد ذالك بعد رؤية صوري؟

لا , انها ليسة أكزيما .

قد لا نكون أطباء , ولكن حتى الناس خارج القطاع الصحي يستطيعون ان يقولو (هذا غير طبيعي) عند رؤية صوري بالاسفل و أي احد يستطيع ان يقول ان الدواء كشر عن انيابه كماده عالي السميه. انها اعراض جانبيه واضحه. الكورتيزون الموضعي يجب ان لا يوصف بعد الان للمشاكل الجلديه.



Downtown Tokyo with the tallest tower ‘Sky Tree’ in the middle.

حتلى ان اردت ان تكون تحت الرعايه الصحيه في المستشفى ليس هناك العديد من المستشفيات لتقبل أعراض الانسحاب من الكورتيزون في العالم وكذالك الحال في اليابان ايضا. المرضى كلاجئين مرفوضين يبحثون عن مستشفى لجسدهم المريض بشده وانا لم استطيع لاجد حتى في أكبر مستشفيات طوكيو في اليابان.

لحسن الحظ تم تعريفي بمستشفى عن طريق طبيب معروف اسمه


وتم ادخالي المستشفى بعد ثالث محاوله وتفاقم حالت جلدي بشده في مستشفى

Hannan Chuo في اوساكا اليابان

واخيرا وجدت أفضل علاج في حياتي هناك, واللذي كان

(العلاج بعدم استخدام المرطبات والكورتيزون الموضعي)

(NMT= No Steroidal and No Moisturizing Treatment)


هذا يختلف عن الانسحاب من المرطبات .فالاكيد انه من الصعب التصديق ان العلاج بعدم الترطيب ومحاولة تجربته مستحيل خصيصا لمن يعاني من جلد جاف بشده ك الاكزيما وقاد كان عندي نفس التفكير والمخاوف الى ان ظهرت المعجزه في هذا العلاج .لم تنفع بشده عندما توقفت عن استخدام الكورتيزون الموضعي فقط ولكن عندما توقفت عن استخدام المرطبات وانسحبت من المرطبات بنفس الوقت , الاعراض تحسنت بشكل اعجازي وبسرعه بفتره قصيره

اول صوره من الثلاثه (اسفل الرجل اليسرى ) كانت في 29 اوكتوبر , الصوره الثانيه كانت في 18 نوفمبر والثالثه كانت في 17 ديسمب


الان انت شاهد . حتى لو كانت الاعراض بهذه البشاعه والشده ,تعافيت وتشافة بعد شهرين تقريبا من العلاج , وبمعنى اخر العلاج من غيرالعلاج

توصلت لهذه المعجزه الشفائيه بالعلاج مع

Dr.Kenji sato

في اوساكا اليابان كمريض منوم تحت الرعايه الصحيه لمدة 3 اشهر . هو الرائد في مجاله اللذي يعارض استخدام الكورتيزون الموضعي في اليابان

  الموضعي في اليابان

Osaka, Japan

لا يصرف الكورتيزون الموضعي او مادة التكلارمس مرهم البروتوبك مثبط المناعه ولا دواء نيورال سايكلوسبورين واللتي هي حبوب مثبطة مناعه اطلاقا , تقريبا من غير دواء او مرهم موضعيه عند التنويم في المستشفى .(ماعدا ادوييه منومه عند الحاجه ,ادويه مضاده للحكه عند حاجة المريض …الخ)

أذا ماذا تفعلون هناك؟ كيف لها ان تتعافى؟

سأقول لكم مااذا نفعل وماذا تعلمنا في مستشفى  

Hannan chuo

أذا كنت تظن ان الادويه اللتي بالاعلى تعمل اضغط على الرابط في الاسفل


في برنامج الرعايه الداخلي المرضى يحافظون على النوم في الاوقات المحدده, ينامون بعمق , يأكلون جيدا ,ويمارسون الرياضه لزيادة ورفع معدل الايض لتكوين جلد صحي




النوم بعمق في الاوقت المثالي للجلد بمعنى اخر من الساعه 10 مساء الى الساعه 2 صباحا هو بالفعل مهم

يجب ان تنظم حياتك لتغرق في النوم بين الساعه 9:30 مساء امن كل يوم.

لا تكن بوم ليلي.

هرمون النمو اللذي يسرع عملية الايض يفرز بين 10 مساء و 2 صباحا.هذا يشكل جلد جديد) سترى فرق كبير وتحسن اذا استطعت ان تفعلها


Mt. Fuji, Japan


خصص وقت للرياضه يوميا

ممارسة الرياضه يوميا مهمه لتنشيط معدل الأيض وكما انها تسرع عمليت اعادة تكوين جلد جديد

اذ امكن اركض او هرول او مارس المشي السريع لمدة ساعه.

ينصح الاطباء ان تفعل هذا حتى تبدأ أن تتعرق لو حتى القيل

ومع ذالك ان لم تستطيع ان تفعلها لا تؤنب نفسك.

مع ان هذه وجهة نظري الشخصيه , حالتك الذهنيه تؤثر على حالتك الجلديه.



ابقا بحالة ذهنيه مسالمه للحصول على شفاء مبكر. هناك غداد

 د.ساتو لا ينصح بالاستحمام في أكثر الاحيان


لانها تزيل الترطيب الطبيعي (البكتيرا النافعه عى الجلد)

الاستحمام يزيل البكتيريا النافعه ةالترطيب الطبيعي للجلد لتصبح في حوض الاستحمام.

بينما تكون الاعراض شديده يجب عدم الاستحمام. لم اكن اعرف هذه المعلومه عندما كنت في بيتي وكنت استحم يوميا

بسبب ارتشاح وخروج السوائل من كامل جسمي. احياننا كانت تتكون قشور وتغطي كامل جسمي تتقشر في حوض الاستحمام ويتحول لون الماء الى ابيض بوقت قصير.

كنت افقد الكثير البروتينات من جسمي انذاك كان الوضع خطير جدا

منعت من الاستحمام لمده من الزمن, الى ان حصلت على موافقة من المستشفى بالاستحمام السريع كل 3 او 4 ايام .اذا اردت ان تستحم فيجب ان يكون ذالك لفتره زمنيه قصيره. اذا استطعت ان تنتهي من الاستحمام ببعض الدقا~ق سيكون ذالك جيدا ولكن لاقصر وقت ممكن.

السبب الرئيسي للاستحمام في حالتنا هي لمنع العدوى الجلديه و التقليل من البكتيريا الضاره على الجلد

المياه الساخنه تسبب الشعور الحاد للحكه ولذالك يجب ان تنتهي من الاستحمام بسرعه,

الشلالات الساخنه او الاستحمام بمياه ساخنه يعد ترطيب



 يحرص الناس هذه الايام على الاستحمام بكثره هذه الايام بسبب الترندات اللتي تنتشر بسبب التسويق التجاري ,في حالتنا لا يجب علينا استخدام الصابون او الشامبو .لان الجلد الجاف تكون قابليته للتلوث او الاتساخ اقل بالمقارنه بالجلد الطبيعي. ان اردت ان تستخدم الصابون على الاقل استخدم الصابون القطع وليس الصابون السائل . لصناعة الصابون السائل يستخدمون مركبات ذات فعاليه سطحيه واللتي هي مواد بتروكيميائيه ومن الواضح انها مواد ليسة جيده للجلد. الصابون السائل يبقى في جلدك حتى لو ظننت انك غسلته وتخلصت منه.

استخدم قطع الصابون بدل الشامبو السائل اذا اضطريت لاستخدام الصابون في اي حال



عند توقفك عن استخدام الكورتيزون الموضعي تأكد من ان تقف عن استخادم المرطبات في نفس الوقت مهم جدا.

يجب ان تفعل ذالك بالتزامن .



لا تلبس الكثير من الملابس فهي ايضا تعد ترطيب

حتى لو تعرضت لخلل او عدم انتظام في حرارة الجسم مثل الشعور بالبرد الشديد او التجمد وذالك بسبب اعراض الانسحاب من الكورتيزون , حاول ان تلبس اقل قدر من الملابس. اعتدت على لبس ملابس قطنيه قصيره وتيشيرتات واسعه كما نصح بها الاطباء في المستشفى

البطانيات السميكه ايضا تعد ترطيب

يمنع استخدام الكريمات المخصصه للجلد واللوشن والزيوت الطبيعيه.

يجب ان تسمح لجلدك ان يترطب طبيعيا. والا فسوف عليك ان تستخمهم ما حييت, وجلدك لن يقوم بترطيب نفسه وسيبقى منتظرا الترطيب الخارجي .

لم اضع اي مستحضرات جلديه موضعيه خلال بقائي في المستشفى والى الان حتى



عندما تهرش او تحك اعرف انها تزيد الحاله سوء ولكن فقط اجعل المنطقه تنشف بالهواء منغير ان تضع مرطبات او كريمات

الجلد يتعافى ويتجدد اسرع عندما يكون جاف او عندما تجففه (لم اكن اعلم هذه المعلومه حتى التقيت ب الدكتور ساتو)


اذا كانت هناك الكثير من السوائل المرتشحه والخارجه من الجلد فقط اكتفي بوضع قطعه نظيفه من القماش

او الشاش الطبي

بنفس حجم الجزء المتضرر.يغسل الشاش الطبي بالماء ويجفف قبل الاستخدام وذالك لتقليلي تهيج الجلد .

يجب وضع طبقه واحده من الشاش الطبي فقط بدل قشرة الجرح ليس اكثر من طبقه بالتأكيد

فاذا بدأ جزء من الشاش الطبي ان يقشر مع الوقت فقص فقط الجزء المقشور فقط وليس كامل الشاش الموجود على المكان المتضرر اللاصق على الجلد. عند الاستحمام دع قطعة الشاش الطبي كما هي وعند الانتهاء من الاستحمام جففها كما هي من غير ان تنزعها من مكانها. يمكنك ان تبقي الشاش بمكانه لمدة اسبوع ولا تزيلها عنوه.



وبالعاده بعد ان تحك او تهرش هناك مواد سائله ترتشح من الجلد وهذا بسبب وجود الكثير من الماء في الجسم.أثناء وجودنا في المستشفى يطبق علينا قوانين صارمه لتقليل كمية المياه المتناوله في الوجبات والمياه المشروبه.


كان يسمح لي 1لتر او 1000 مل لتر بالاجمالي من الماء المشروب او الموجود في الطعام بدايتا اما بعد شهرين فسمح لي ب 1200مل لتر من اجمالي الماء المشروب او الموجود في الطعام. كان ذالك صعب جدا علي لان حالتي كانت متقدمه والكثير من الماء والسوائل ترتشح من جلدي المتقطع والجاف على كامل جسمي. كنت اشتهي الماء كما لو اني شخص يموت عطشا في


الصحراء. كما شرحت في الاعللى اني فقدت 12 كجم من وزني في اول 7 ايام وذالك بسبب الارتشاح المتواصل للسوائل والماء من جلدي (ولذالك تقليل منسوب شرب المياه يجب ان يتم تحت الرعايه الصحيه) وهذه القوانين الصارمه اتجاه تقليل نسبة شرب المياه جعلت ارتشاح السوائل من جلدي يتوقف نهائيا وخصيصا بعد الحك او الهرش. اذا لم انصح بتقليل نسبة شرب المياه لكانت حياتي في خطر وذالك لاني كنت افقدد الكثير من البروتينات حتى كدت اصل الى وضع حرج وهو قلة الالبيومين ين. السوائل المرتشحه السوائل المرتشحه تحتوي على الكثير من البروتينات ولذالك السماح للسوائل المرتشحه بالخروج تجعلك تفقد عناصر مهمه من الجسم (وكذالك القشور المتكونه المهدوره تحتوي على الكثير من البروتينات)

ولذالك انصح بان يتم ذالك تحت الرعايه الصحيه في المستشفى (لانك لا تستطيع ان تعرف ان ما كان ينقصك الالبومين او تعاني من ارتفاع الصوديوم او ارتفاع البروتين في الدم . وحدها الرعايه الصحيه تستطيع عان تشخص الحالات الحرجه او الخطره .او انهم يصرفون لك ملينانت في الحالات المستدعيه)

حتا بعد خروجي من المستشفى أحاول أن لا أشرب الكثير من المياه.



عند الخروج الى الخارج, رجاءا لا تنسى القبعه او استخدم مظله لتحجب الاشعه الفوق بنفسجيه عن الجلد. (بما أنك لا تضع واقي الشمس كالكريمات واللوشنات ) , يجب عليك دواما أن تقتني واحده منهم.




أما بالنسبه للأكل تستطيع أن تأكل كل شيء ولكن لا تأكل أو تشرب أي شيء يحتوي على العرقسوس أو خلاصة العرقسوس اذا رأيتهم في المكونات. تتعدد الاسماء ولكنها هي نفسها الموجوده في الطعام في الطب الصيني وفي مستحضرات التجميل. اذا استخدمتها فالدماغ سيسيء فهمها وكأنها كورتيزون موضعي من جديد.

أكل اي نوع من الطعام لا مشكله به ولكن رجاءا لا تأكل الاكل المالح. لأنها تشعرك بالعطش وستشرب المزيد من الماء . كنت لا أعلم هذا فأحد المرات أحضرت معي الى المستشفى الصويا فرأني الطبيب ساتو وقال لي : ما هذا ؟ فقلت ممازحه انها زينه لغرفتي .

بالتأكيد أكل الطعام المتوازن مهم جدا وبالأخص ان البروتين يعيد تكوين الجلد فعليك ان تتناوله بأستمرار.



هذا ما نفعل في المستشفى وبهذا الاجراء البسيط لعدة أشهر , جميع المرضى المقيمين يستطيعون ان يحسنو أعراضهم بشكل كبير. كانت حقيقه مذهله لي.

كنت أستخدم الكورتيزونات الموضعيه على أجزاء جسمي المتضرره من الأكزيما لأكثر من 50 سنه ولم تعالج أعراضي ابدا , ولكن من دون ان أضع أي كريم أو مرهم , جلدي تحسن جدا لأول مره في حياتي .حينها أدركت أن الكورتيزون الموضعي يجعل الجسم مدمن عليه وانه يجعل مشاكل الجلد أعند.


مع ذالك أقوى رغبه في الحكه هي شيء لا يستطيع الانسان ان يتحكم به في الأغلب.عندما تأتيك هجمات الحك الشديده , تقوم بحك المنطقه بجنون وهي تقطع الأنفاس . نعم أعلم بأنك تشعر أنك ستقوم بحك المكان بجنون تحدث فيه فجوه الى أن تصل الى العضم أو الجزء الداخلي من الجسم وتشعر أنك تريد تمزيق هذا الجزء أثناء الهجمات. وأسواء من ذالك بعد ان قمت بحك جسمك , دائما ما تشعر بالندم و المنطقه تؤالم. ولكن لا أحد يستطيع مساعدتك لأن لا أحد يستطيع ان يوقف احساس الحكه . هي مشكلتنا الكبيره. أعتقد انك يجب ان تجرب كمادات الثلج او ان تستخدم مضادات الهيستامين لتقلل شعور الحكه , ولكنها لا تخفي الأعراض بشكل كامل كما تعلم.


يقول د.ساتو : لا تقلق بالنسبه للحكه .لا ما نع ان تحك لانها مرض الحكه .ما ان حذر الطبيب المريض او منعه من الحكه , علاقة الثقه المتبادله تنتهي في اللحظه . الحكه هي من أعظم الأعراض وأشدها لهذا المرض ولهذا فلا امانع من الحكه.

..حك ثم جفف , حك ثم جفف . تكرار هذا النموذج يجعل جلدك يقوى شيء فشيء. لا تنسى ان تكون أخر حكه بلطف



ذهلت وسررت جدا بسماع هذا وعرفت وقتها أنه الطبيب الحقيقي. الجميع كان يقول لي بلطف “توقفي عن الحك” ولكني أعرف أن الشعور بالحك لا يستطيع أن يتحكم به الأنسان.أستطيع ان أجزم ان لا أحد يستطيع ان يتحكم بهذا الشعور ويوقف الحك , ولكنكم سمعتم من الجميع ان تقفو عن الحك أطبائكم , أصدقائكم وأفراد أسرتكم.. الخ..لذالك أوؤمن انك ستتشجع بمقولة الدكتور ساتو

لابد أنه من المريح سماع ذالك للمريض. لا بأس من الحك.رجاءا لا تشعر بالغضب اتجاه نفسك.



اتبعت طريقة الدكتور ساتو الأصليه في المستشفى. لم أستطيع ان اسيطر على الحك ولكني قمت بتجفيفها بعد كل مره.وعند خروج بعض السوائل المرتشحه , كنت أضع قطعه من الشاش الطبي لتجف.كما ترون في الصوره في الأسفل

كنت أعاني من بقع بنيه ذات قشور سميكه في كلا ساقاي قمت بحكها كلها الا ان سقطت جميع القشور وفي تلك الحاله ايضا جففت المنطقه ايضا. كررت هذا مرارا وتكرارا , فكان جلدي يصبح أقوى فأقوى شيء ف شيء وفي النهايه,واخيرا حصلت على شفاء أعجوبي في خلال ثلاث أشهر. ثالث صوره في الأسفل هي النتيجه. ( الصور تظهر نتائج شهرين فقط مع أني مكثت ثلاثة أشهر).

كانت مذهله لأن العلاج كان بالنهايه كأنما بلى علاج او بلى دواء.

معظم المرضى اللذين اقامو في المستشفى تحسنو جدا بهذه الطريقه وخرجو وكأنما جلدهم صحي سليم . بالاضافه الى ذالك ان جلدي المحكوك يظهر أقوى الأن.

أحب ان أصرح انك ايضا تستطيع التخلص من أعراض الانسحاب من الكورتيزون الموضعي ب “عدم استخدام الكورتيزون الموضعي ” و “العلاج بعدم الترطيب”

كنت أعرف انه كان علينا بالاصل ان لا نستخدم ونضع الكورتيزون الموضعي من البدايه.



الكورتيزونات الموضعيه لها قوه عاليه لاحتمال ادمان الجلد والجسم عليها وتجعل المشكله الجلديه أعند ومقاومه للعلاج وممانعه. والأعراض الجانبيه وأعراض الانسحاب فظيعه ومروعه و مرعبه. انه تفكير صحيح وسليم ان تتوقف عن استخدام الكورتيزون الموضعي للمشاكل الجلديه!



أتفهم وبشكل كامل كم هي صعبه أعراض الانسحاب من الكورتيزون لأني المجربه واذا كان باستطاعتي ان اقول قد أكون من أصعب و أشد الحالات لاعراض الانسحاب من الكورتيزون في العالم . انا واحده من أطول مستخدمي الكورتيزون الموضعي لسنين طويل في العالم


لهذا أو ان أنشر وأعلن للعالم بأسره زلة وأعراض الكورتيزون الموضعي.

الستيرويدس او الكورتيزونات يجب ان تستخدم في الأوقات الحرجه لحياة الانسان فقط .

مثبطات المناعه يجب ان لا تستخدم للأمراض الجلديه ك الأكزيما .



يؤسفني ويؤلمني أن أقول ان رحلة أعراض الانسحاب من الكورتيزون طويله ومتعبه , وحين تحدث فيجب عليك أن تخرج منها وتتغلب عليها وأنت الشخص الوحيد القادر على الخروج منها . يجب عليك ان تفهم انها تتطلب الوقت.انا واثقه اننا نعرف ولكننا ننساها.

اذا اردت بالتأكيد ان تكون غدا قد شفيت تماما, فيجب عليك الاستمتاع بكل النعم اللتي تملكها الان. هناك نعم كثيره هنا وهناك حواليك. حتى ان ضحكت او بكيت اليوم التالي يحتوي على نفس الاعراض فمن السيء انا تمضي وقتك تشعر بالحزن . الوقت حياتك.

لأسرع تشافي وتعافي , أنصح بما جاء في الأعلى من علاج.



وبما اني أعلم ان كل من تعرض لهذه الاعراض وواجه تلك المشاكل لن يذهب لطبيب يصف الكورتيزونات الموضعيه مره اخرى وسيختار العلاج المتعلم ” العلاج بعدم استخدام الكورتيزونات الموضعيه و العلاج بعدم الترطيب”. في حال تعرضو لانتكاسه مستقبلا.

! ثق بقدرة الجسم على التعافي طبيعيا 

ستكون بخير منغير الادويه. انا لست خائفه بعد الان حتا لوتعرضت لانتكاسه ونفس الاعراض من جديد في المستقبل فقد تعلمت طريقه فعاله في الاعلى للتخلص منها .


حاول ان تكون ايجابي في كل الظروف ! الصحه الذهنيه مهمه جدا لشفاء سريع.


ليس من الضروره ان يكون كل شيء مثالي. اذا وجدت نعمه صغيره ف تنعم بها.

عندما تشتكي لأحد من أن اصبعك يؤلمك فقد فاتك شيء . نعمة التسع أصابع الأخرى.


ابتسم أولا , وبعدها تستطيع ان تشعر بالسعاده. تحضر السعاده لك. الابتسامه ليست شيء تفعله بعد ان تتعرض لشيء يسعدك .

الترتيب مهم


جميعكم ستكونون بخير قريبا . تمسكو بهذه اللحظه.






******انصح ان تجرب هذه الطريقه للعلاج مع طبيب تستطيع ان تعتمد وتثق به في حال تعرضت لعدوءى اللتي قد تنتشر , او ارتفاع الصوديم الحاد في الجسم وذالك لنقص الماء الحاد في الجسم وقلة البروتينات والالبيومين في الجسم وذالك لفقدان البروتين الكثير من الجسم . وبعض الامراض اللتي قد تحدث تداعيا للحاله ثانويا.كنت ارى أطباء الجلديه كثيرا حتى عندما كنت في فترة استراحتي في المنزل لا يهم ان كانو يستطيعون التعامل مع أعراض الانسحاب من الكورتيزون الموضعي أو لا فقط القطاع الصحي قادر على تشخيص الأعراض الخطيره****


****قبل ان تبدأ بالعلاج بعدم الترطيب , رجاء اقرأ المقالات الأخرى المتعلقه بأعراض الانسحاب من الكورتيزون من خلال خانة البوستات الانجليزيه . لا تفوت شيئ لتحقق أسرع نتائج

صور أكزيما شديده في الاسفل


☟ Viewer discretion advised:  Severe Dermatitis Pictures below







☟   Viewer discretion advised:  Severe Dermatitis Pictures below



☟   閲覧注意(皮膚炎の写真があります)



☟   Viewer discretion advised:  Severe Dermatitis Pictures below



☟ 閲覧注意(皮膚炎の写真があります)




((أسفل رجلي اليسرى))

From Oct 29 to Dec 17, 2015 at Hannan Chuo Hospital in Osaka, Japan


Oct 29, 2015

Nov 18, 2015

Dec 17, 2015



(((اصبع يدي اليسرى)))


لم استخدم اي علاج خلال هذه الفتره في الاسفل .فقط قمت بتجفيف المكان حتا بعد ان اقوم بحك المنطقه.قمت بحك المكان وتجفيفه حكه وتجفيفه…. لم استخدم اي علاج حتى ولو نزفت فقط قمت بتجفيف المكان لم استخدم اي ضماد ايضا حتى أثناء النزف احيانا فقط اكتفيت بتجفيف المكان

واخيرا ….انظرو الى الصوره في الاسفل ! الجلد أصبح أقوى! هذا مذهل









**** اذا كنت شجاعا واردت ان تشاهد صور اخرى عن اعراضي وتحسنها اذهب الى صفحتي الاخرى في الاسفل . الصفحه باليابانيه لاكن الصور في قاع الصفحه .


                                 ☟ Click here! ☟

         The 4th Happy Anniversary After Stopped Using Topical Steroids

脱ステ4年記念日に - ステロイドをやめて変わったこと


*******You can see kids’ improved pictures in a study below.


                         ☟ Click here! ☟

                                    A prospective study of atopic dermatitis managed without topical corticosteroids for a 6-month period 

You can manage Atopic Dermatits without Topical Corticosteroids!


                                      To share the original English Version,                      

                                     ☟ Click here! ☟

                                     How To Get Over TSW ASAP!

How to get over Topical Steroid Withdrawal asap!


                                      To share Spanish Version,                      

                                     ☟ Click here! ☟

                                  Cómo superar el rebote de esteroides tópicos lo antes posible

Cómo superar el rebote de esteroides tópicos lo antes posible


                                       To share Dutch Version,                      

                                     ☟ Click here! ☟

Hoe je zo snel mogelijk geneest van TSW of Topical Steroid Withdrawal!


Written by Tokuko Abfab

Translated by Omar Shaikh Debs


Down Town Tokyo with Tokyo Tower (From the airplane window)




#tokukosroomtofeeluplifted  #tokuko’s room to feel uplifted  #topical steroid withdrawal  #nmt  #nomoisturizingtreatment  #tsw

Tokuko Got An Interview! – Part 2


👇  Here is Part 1 of the interview! 👇 Please read this first. 

Tokuko Got An Interview! – Part 1

Tokuko Got An Interview – Part 1  👈CLICK HERE!




                                  – Tokuko Got An Intervew –  Part 2 – 


MARLENE: Your blog has 5 categories:  MY Tweets, Travels, TSW & Atopic DermatitisSpiritual Posts, and Posts in English.  Recently, you have felt deep concern over the high suicide rate in Japan.  Have you tried to address this in your blog?


TOKUKO:  Yes, I have done it and the article also was a big hit and was shared by many.  We have a culture like “Being modest and quiet is beauty.” so typical Japanese don’t voice so often and tend to have stress for that.  Stress causes various kinds of sickness so I try to encourage my blog readers to let them feel uplifted.


I have many more readers in Japan than foreign countries and I add various kinds of topics in Japanese since Japanese is my first language.  The majority of popular topics are my unique mindsets to live happily, encouragement like self-development and TSW & atopic dermatitis
I certainly try to get a positive message out on my English site, too.  I think the most healing takes place when the spirits are positive and people move on from isolation.



MARLENE:  You have developed a strong relationship with all the Japanese NMT doctors, but of course, you have the most contact with the extremely busy Dr. Sato.  What can you tell us about his work?


TOKUKO:   I think Dr. Sato chose to see both inpatients and outpatients but not being a clinic doctor to see outpatients only for a few minutes once a few months or so.  I believe his choice gave this doctor’s eyes more excellent diagnostic capability but not only his natural talent and effortsHis diagnosis and advice are always AMAZINGLY accurate


For example, when he says ‘4 days.’ to see a patient’s specific part, the flare disappears 4 days later

If he said ‘7 days.’ you’d see it clears up 7 days later definitely

When he gives a direction like, “Diminish water to 1100 ml.” the patient gets amazingly well so quickly

When he says, You have done XXXXX, haven’t you?” the patient is surprised and confesses, “Yes, as a matter of fact, I did.”…lol


His eyes are a miracle and patients always run across such scenes in the hospital.  There’s no doubt he realized the condition of TSW long time ago and found the great method more than 30 years ago.


He runs free big lecture meetings all over Japan, provides free classes in the hospital, gives training/lessons for other doctors who are interested in NMT, gives advice for questions from patients who he doesn’t know on the website (in Japanese) without a fee, etc. etc.  His dedication for patients is unbelievable.



MARLENE:  What does a day in the life of Dr. Sato look like.  Can you tell us in your own words?

Many of Dr. Sato’s healed patients all over Japan gave him a gift with collage pics of used-to-be inpatients. Everybody loves him! Look at his warm smile!


TOKUKO:  Dr. Sato shows up in the hospital early in the morning.  After inpatients have finished breakfast, he sees us one by one and gives us very appropriate advice.  Then, he sees outpatients.  The reception closes the day’s appointments in the morning but he sees so many outpatients from all over Japan until evening and sometimes until late at night.


Then after he finished to see all of them, he checks all of the clinical records including young doctors’ ones.  He has so many things to do taking care of MANY patients.  Late at night, we sometimes see him sitting in front of the computer to complete things.


After that, he sometimes responds to the Japanese Q & A site that I mentioned earlier and answers questions for patients he doesn’t even know.  He doesn’t charge for this.  Dr. Mitsuko Satou (NMT super pediatrician) gives advice there too.  The site has a lot of people’s access and we can get helpful information there.  Usually, next morning, inpatients find their work and say, “Guess what?  Dr. Sato answered some questions after midnight yesterday too…When does he sleep?”


And every two or three weeks, he provides NMT classes for inpatients after dinner, actually at night.  It is VERY helpful and we learn what we have to do or what we shouldn’t do.  I post it in my blog in Japanese.  He teaches us about skin too so we get much knowledge at the classes.  During the classes, he sometimes sees inpatients again per inpatients’ request though he already saw us in the morning.  He memorizes each inpatients’ symptom and gives very appropriate advice.  We patients merrily wait in line to be seen by him again because it is fun to talk to him. 

As you also wondered already, patients always wonder “When does Dr. Sato have his meals?…His days are such hectic.

On weekends, a lot of patients say, “Awww….weekend again….I don’t know if I can get through it without Dr. Sato!”  All the inpatients love him so much.

Dr. Sato’s favorite food, ‘Yakisoba Noodle’. He might eat up three plates as long as it is this size…??? (=standard size)…lol


One day, while I was in the hospital, finally, my horrible affected part dried up completely and I was very happy for that.  I showed off the part proudly to him at the night class. 

To see it at one glance, he said, “You will scratch it tonight definitely.😙” ….It was so funny for me. 🤣

I said, “Nooooo!!!  Dr. Sato!  It took a looong time to dry up and I finally reached this phase😬.  Definitely, I won’t scratch tonight!” (^o^)o

Then he goes,  “Nope.  You can’t control it.  You’ll scratch it definitely.😎”, then I go, “Noooo!  I won’t!….”, then he goes, “Yes, you will scratch🤪.”, then I go, “Nope!  I won’t.”….we exchanged such funny conversation.


Ahen…well….I DID scratch the part at the night and all the thick crusts came off…LOL!

It was uncontrollable though it is my body…He says things as if he can foresee everything and it is always right.


Also, since mental status affects to our symptoms very much, Dr. Sato cares about it for each inpatients and notices each one’s mental status exquisitely.  Yes, he notices everything…lol  I’ve heard he has spent his time even for one hour to listen to a patient who feels down at night though he is super busy!  He lavishes his time on helping patients.  Of course, the patient’s symptom increased rapidly after that.



Most of TSW inpatients are discharged around 45 days usually and 90 days at the longest from the hospital.  We cannot stay longer than 3 months in Japan.  I was the longest inpatient that stayed. (for about 3 months)

It was amazing to see inpatients who are leaving because all of them look like a normal people!



MARLENE: It seems like there is a lot of hero worship going on in his patient community.  Can you tell us details of Dr. Sato’s professional history regarding his teaching of NMT?


TOKUKO:  Please refer the followings.



📂Dr. Sato presented a paper that No Moisturizing Treatment was effective for TSW (Topical Steroid Withdrawal) in 1994.
【Atopic Dermatitis and Dermatopathy Induced by Topical Steroids; The Appropriate Treatment and the Information of the medication】 – By Dr. Kenji Sato
The Informed Prescriber 1994;9:31-34(in Japanese)
📂Then, he announced statistical data of NMT in 1996.
【Withdrawal of Topical Steroids for the treatment of severe “Adult-type” atopic dermatitis】; Skin Research 1996;38:440-447 (in Japanese, English summary) – By Dr. Kenji Sato, Dr. Hironori Minami and 3 other doctors.
In the summary, it states as follows;
—-The skin symptoms exacerbated, and reached to the peak on average seven days later, then gradually subsided in a month. At this time, the use of the nonsteroidal agents was stopped, and exacerbation restarted, reaching to the peak in about 5 days, followed by slow improvement for about one and a half month.—-
📂Also, as for the problem of the use of topical steroids for atopic dermatitis had been explained already in his medical paper in 1985.  Dr. Sato had already recognized the condition then.  He was providing non-steroidal treatment already at that time.
【Transition of Incidence of Steroid-induced Dermatitis from 1979 to 1984】; – By Dr. Kenji Sato and Dr. Naoko Mizukoshi
Skin Research, 1985; 27: 1166-71


📂 Published ‘Treatment Derived from Clinical Observation of Prolonged Adult Atopic Dermatitis Patients – No Steroidal and No Moisturizing Treatment‘ (in Japanese) – 2008

📂 Published ‘Say No to Steroids – Treatment of Atopic Dermatitis for Babies and Children‘ (in Japanese) – 2010 by Dr. Kenji Sato & Dr. Mitsuko Sato

📂 Published ‘New Edition: Treatment Derived from Clinical Observation of Prolonged Adult Atopic Dermatitis Patients – No Steroidal and No Moisturizing Treatment‘ (in Japanese) – 2015


by Dr. Kenji Sato

by Dr. Kenji Sato/Dr. Mitsuko Satou










MARLENE: Is Dr. Sato active in other Professional Groups?


TOKUKO: Dr. Sato has lecture meetings very often.  He travels all over Japan with other NMT doctors on weekends and Japanese national holidays to have very big meetings with them.  The meetings are usually free even though they are very expensive to organize, I guess.  Recently, I attended a conference along with other NMT doctors.  It was well attended by adult patients, parents and even some dermatologists.



MARLENE:  I understand that Dr. Kenji Sato and Dr. Mitsuko Satou are members of the Education group.  This shows great respect for your work disseminating NMT information.


TOKUKO:  Yes, they are VERY supportive to help group members and are always thinking about TSW sufferers who they even have never met.  When I have questions for group members, they help me a lot.  To avoid confusion, they have approved our group as the official site of NMT and are trying to monitor as much as possible so group members can trust the information that we provide.  Translating medical things is very difficult for me but when my translation is not applicable, Dr. Sato always gives me an advice how to express it.  It is blessing!


Also, I see all the NMT doctors at conferences, meetings and parties, and at the same time, hear from many of Dr. Sato’s patients and supporters.  It is always a learning experience for me. 



Well, I recently added Dr. Mitsuko Satou‘s work with babies and children to my blog.  To see her long experience where she healed tons of babies and children without TS, I feel like it is urgent to spread her theory to the world.  It is really amazing.  Hope as many as parents take her words. 

She refers severe pediatric cases to Hannan Chuo Hospital.  The children are treated in the children’s ward, but seen by Dr. Kenji Sato. 


Believe it or not, children and babies get well once parents accept Dr. Mitsuko Satou’s words.  Her theory comes from her approximate 50 years’ experience as a pediatrician and is amazing.



MARLENE:  How much time do you spend on NMT work?


TOKUKOMy laptop remains on my lap all day long on weekends.  On Friday night to Sunday, I usually work 10 hrs a day on NMT because it is not only the blog but Facebook groups, conferences, supporting lecture meetings, etc…etc… 

My older son does chores for my activity so he also is a great supporter.  From his experience to see his mother’s super severe TSW symptoms, he really hopes no one would have such experiences any more in the world.  My younger son also encourages me very much.



MARLENE:  As well, you run some Japanese sites.  It must be a pleasure for you to answer questions in your first language.  What are the cultural differences?


TOKUKO:  Japanese is very unique.  We are born and raised in islands country so our culture and customs are different from others.  Good part is, we esteem peaceful resolution.  Bad part is, we don’t voice so much….lol  To spread the word, I feel more difficulty with disseminating NMT protocol in Japan than foreign countries.   

Still, Dr. Sato’s supporters are glad to work for that and help other sufferers spontaneously.  They are amazing people.


Because of our group-oriented culture, once you request to not do it, Japanese members don’t do it and vice versa.  So Japanese sites that I run don’t get questions but I receive questions personally via SNS after all…lol  I’m trying to help them too as much as possible and it is way too easier for me because it is my language. 

Of course, our situation in Japan is the same with foreign countries, I mean, it’s REALLY hard to find out non-steroidal doctors here too.




MARLENE:  You have many readers in both Japanese and English.  Your post called ‘A Message for the Parents with Atopic Dermatitis Children From A Used to be Mummy BabyA message for the Parents with Atopic Dermatitis Children From A Used-To-Be Mummy Baby  really resonated with many readers.  Why do you think this made many people cry?


A Message for the Parents with Atopic Dermatitis Children, From A Used-To-Be Mummy Baby


TOKUKO:  People were intrigued by my personal journey.  Actually, they say many mothers were touched very deeply by this article and it continues to be very popular in Japan. 


One mother who works on supporting TSW kids and babies sent me a message that she cried loudly when she read my journey and admitted reading it many times.  She was encouraged by the thought that it was not the parents’ fault and so they should not feel guilty about using topical steroids on their children.  Hope many more people have an opportunity to read it.



MARLENE:  You have many warriors.  A couple of months ago, Ahmed Hamadi, published a French set of notes of your blog.  Then, they were published in English.  These notes were very valuable, and the NMT sites were swamped with questions about Dr. Sato’s Protocol – especially food.  Do you still get questions about food and allergies?


Thinking about nutritional balance, Tokuko is busy for eating?  Obviously too much….lol

TOKUKO:  Yes, I do.  But Dr. Sato and the other NMT doctors agree that a healthy diet is important and that lots of protein and lipids should be included.  The warning to avoid licorice in foods or drinks that contain one of licorice byproducts is important.  Also,  common sense about your allergies before TSW/NMT should be honored.  Nutritional balance is crucial to grow new skin and rebuild body strength.




MARLENE:  The other big question that is asked repeatedly is about water restriction.  You talk about how important it is in the hospital and how everyone is cooperative because they want to get out quickly.  What are your suggestions for water restriction when it is implemented in the home?


TOKUKO:  I believe that Dr. Sato’s guidelines should be followed as closely as possible for faster healing.  However, babies and small children (under 6),  breastfeeding mothers and persons with medical issues, etc…should all be cautious and everyone, when necessary, be under a doctor’s supervision.




MARLENE:  There are many lists of key parts of the protocol.  What would your suggestion to people starting NMT?


TOKUKO:  People trying NMT should read as much as they can: my blog, my Education site using the search bar, make personal notes, and establish a list for yourself to get started:


Dr. Kenji Sato’s List

From my experience, the causes which make TSW symptoms long and severe are the followings;

  1. long term and/or stronger steroid use
  2. use of tacrolimus -protopic steroids
  3. use of moisturizers after stopping topical steroids
  4. frequent and long bath and/or shower
  5. drinking of large amount of liquid, drinking liquid during night
  6. wash out exudate and/or scrape off crust
  7. insufficient intake of protein and lipid. (Need to look up)
  8. bed rest during the day time
  9. insufficient amount of exercise
  10. be told not to scratch
  11. poor management of psychological stress
  12. Subjective assessment of signs (itch, pain etc) and no objective assessment of symptoms (erosion, red, brown, white, exudate, crust, etc )

                                              – Kenji Sato


Dr. Sato says “NMT is unbelievable but it works.


MARLENE:  On behalf of the NMT community, I would like to thank you for all the work you do to help Topical Steroid Withdrawal (TSW) sufferers.  Dr. Kenji Sato and the other NMT doctors must be very grateful to you for supporting their work.  

Thank you also for your insights into the amazing Dr. Kenji Sato and his team of followers.  



<<Interviewer’s Note>>

IN APPRECIATION to International Topical Steroid Withdrawal Association (ITSAN) where Tom and Marlene Bell found Tokuko’s blog & Dr. Kenji Sato discoverer of NMT> It is because of their (No Moisturizing Treatment) NMT work that we are able to celebrate….our 60th anniversary August 1, 1959 – 21,915 days

(NMT) Dec. 3 2018-April 2019 
Tom has healed at 85 years old.


                                                     – Marlene Diana Bell –





<<Tokuko’s Note>>


It was a great experience to get an interview with this amazing lady, Marlene.

As a caregiver, she had been helping her husband, Tom, and then, after his healing with NMT, she started to pay it forward.  Her dedication to the community is outstanding and Tom’s cooperation also is blessing!  They keep encouraging sufferers.  She is like a mother in NMT family.  I don’t know how to thank her for her assistance and love to TSW sufferers in the world.


From the bottom of my heart, congratulations on your 60th Anniversary, Marlene and Tom!  I’m proud of you and feel very lucky to be able to celebrate the best couple’s special day resuming healthy life!







#Tokuko’s Room To Feel Uplifted  #tokukosroomtofeeluplifted  #NMT  #TSW  #No Moisturizing Treatment

Tokuko Got An Interview! – Part 1


I got an interview with Ms Marlene Diana Bell who works for disseminating NMT (No Moisturizing Treatment) protocol for TSW (Topical Steroid Withdrawal) sufferers from Canada to the world. 


Her husband, Tom, had a severe reaction to steroid creams last year.  Per her explanation, he spent 9 months as an invalid – with skin (the largest organ in the body) very compromised indeed – red skin, sores, ooze, crusts, flaketorturous itch, etc… 


Specialists could not help, so like all desperate souls, they were doing serious Facebook search that led them to a google doctor type of cure.


They madly searched, searched and searched…..and finally found my blog and Dr. Kenji Sato‘s protocol, NMT, via the ITSAN (International Topical Steroid Withdrawal Association) support group.


They learned NMT seriously reading my blog over and over and followed Dr. Sato’s protocol strictly.  When they felt anxiety or got scared of flares, etc…they just read my blog again to make sure if they are on a right course…then, finally…Tom was healed completely within 4 months!  Significant thing is, he is in the middle of his 80s!

Tom resumed his life with NMT!  12 miles ride on his bike.  (Day 105 on NMT)


The following Q & A interview will give you insight into my personal experience as a patient of Dr. Kenji Sato.  He is a leading NMT dermatologist and I am one of his many healed patients. 


Our dream is to help disseminate the information to as many professionals and sufferers as possible.





◆ONLINE INTERVIEW WITH TOKUKO BY MARLENE DIANA BELL◆                                      


MARLENE:  The name Tokuko comes up frequently on many sites connected with TSW (Topical Steroid Withdrawal). You are definitely a “woman of mystery!” You went into the hospital on October 5, 2015 with a very severe case of TSW that had been misdiagnosed as aggravation of atopic dermatitis.  After starting NMT (No Moisturizing Treatment), I believe that you left on December 18, 2015 with a new lease on life and a determination to share your healing with the world. 


The blog article How to Get Over Topical Steroid Withdrawal ASAP   How to get over Topical Steroid Withdrawal asap!  has been shared hundreds-thousands of times in Japanese and English.
(Blog ” Tokuko’s Room To Feel Uplifted: MENU【POSTS IN ENGLISH】)


In a letter to you dated on the 25th of November 2017, Dr. Kenji Sato expressed his thanks to you for introducing his treatment protocol.  He hoped that people all over the world suffering from topical steroid withdrawal would be helped.  Well, Tokuko, now a year and a half later, Dr. Sato’s wish has definitely come true.  It is happening because of you!!!


Look at the facts:  Your blog has been seen more than 260,000 times, your Education Group has over 1500 members within months after inception, and your Healed Club has over 400 members within a few months, your NMT friends who started the Q & A Support Group for NMT-TSW now have 685 members (As of 04 Aug 2019).  More and more people are asking “What is NMT?  You are not alone now – and you have acquired many warriors!  (Edit:  As of Jan 2020, numbers above grew twofold!  Amazingly fast!)


TOKUKO:  Well, I began to prepare the Education site a few months prior to starting it in December 2018.  It may look easy to start a group in Facebook but to utilize it as a way of sharing Dr. Sato’s protocol so accurately, it took time for me to prepare.  I wanted sufferers to use ‘NMT Education Group’  NMT (No Moisturizing Treatment) Education Group instead of their NMT text book because there are no translated ones in the world


As you know, Facebook is a communication tool so it was a challenge trying to change members’ vision from Q & A format to a study forum.  I needed to think deeply on how to operate it to help out sufferers efficiently by imagining various situation that might happen.  


You can learn NMT accurately in this official NMT site. Dr. Kenji Sato and Dr. Mitsuko Satou are great supporters of this group.

To make the group like an intensive course of NMT, it should be full of helpful information to learn and shouldn’t have the distraction of personal symptom’s continuous complaints or its Q & A or open discussion or debate



Of course, such things also are necessary sometimes for sufferers so I’m not denying them but I thought if I do the same thing with other TSW support groups, there would be no place to learn NMT seriously and intensively.  Each group has its own role so the idea to comfort and vent are also necessary but I needed to make a place to learn NMT for sufferers in need.


Even in the hospital, no one could master NMT overnight just reading Dr. Sato’s book but inpatients get to know it little by little receiving advice from Dr. Sato every day.  Sufferers in our group need such circumstances, I mean, they also need to learn it one step at a time getting advice sometimesThe group can provide opportunities to review each one’s knowledge and it definitely helps sufferers for faster healing because NMT should be done correctly and thoroughly.  Sufferers who try to do NMT at home definitely have to study hard and our group should be their NMT book to find out answers by themselves.

At least one Education Group is necessary to get accurate advice.”…That is my concept of starting the group.



MARLENE:  The questions and comments in the letters on your 2017 blog are the same ones that sufferers are asking today.  You have addressed them many times.  Is this why you started the NMT (No Moisturizing Treatment) Education Group?


TOKUKO:  Well, right after I published How to Get Over Topical Steroid Withdrawal ASAP, the article was spread to the entire world VERY rapidly…so many people started to share it one after another and the entire white world map of my blog data page was filled in color


The distribution map of readers of ‘Tokuko’s Room to Feel Uplifted’. Readers are all over the world except some countries in Africa and Greenland where more than 80 % are covered with eternal snow.


Then, approximate 2 months later, I started to receive MANY messages with appreciation from all over the world and it increased day by day.  Do you know what I mean?  Yes, a lot of TSW sufferers began to be healed or improved with the protocol They accomplished it just reading the article and followed the direction thoroughly.  And the trend is continuing, I mean, readers all over the world have been sharing it even now every day


At the same time, I received many questions with the pictures of their personal symptoms though I’m not a doctor…lol  Of course, I can’t diagnose!…lol  I just can share things what I learned as an experiencer


And also, I received other questions too continuously.  I tried to respond to everyone, for 3 digit of messages every day staying up late because I really wanted to help them.  However, there is a limit to take care of everyone in the world by myself…lol  I was extremely busy and didn’t have enough time to sleep…even if it is 2 a.m. here in Japan, people who contact me don’t know it and when I’m about to go to bed, I hear the ring of messages.  Ping…ping….ping…lol 


Still, I wasn’t able to ignore them because I fully know how tough the symptoms are. 😰

Sometimes, I wasn’t able to cut the conversation for sufferers who needed urgent help even if it was midnight here.  And some needed encouragement too from me…This is the other reason that I started NMT Education GroupI needed to educate everyone at one time because more than 90 % of their questions and  answers are already in blog articles

As inpatients in Hannan Chuo Hospital, we needed to learn a lot from Dr. Sato every day even though all of us read his booksSufferers who get information from my blog need a place to learn it too.


Since Dr. Sato’s treatment could be practiced in the home setting, and many healed sufferers on NMT post their healing journey spontaneously at other TSW support groups one after another, the membership was growing so quickly that it became impossible for me to keep up.  The fact that my improved pictures from severe symptoms within 3 months also are sensational for many sufferers so such testimonies accelerated the membership too.  In April, 3 new efficient members who mastered NMT with my blog and the education group joined as moderators to help transition from individual symptom posts to teaching posts that would encompass common questions.


Because of their assistance, I could focus on my role, I mean, this provided an avenue to keep readers updated on Dr. Sato’s work as well as clarify commonly asked questions.  As the transition smoothed out, it allowed me more time to make specific posts as well as work on translations of sections of Dr. Sato’s bookNew Edition: Treatment Derived from Clinical Observation of Prolonged Adult Atopic Dermatitis Patients – No Steroidal and No Moisturizing Treatment” (Japanese edition).  I feel blessed so much!


I started The NMT Healed Club too https://www.facebook.com/groups/NMTHealedClub/ to show the reality of NMT during the process, and to encourage people visually showing that NMT works.  The group is full of positive energy and it is good for sufferers who lost self-confidence to feel uplifted.


You can see a lot of healed/improved members’ pictures and reports in this group.



MARLENE:  The deleting of posts led to misunderstandings with both positive and negative comments on other sites.  How did you and your moderators respond to this criticism?


TOKUKO:  To think about sufferers who are in the midst of serious symptoms or in emergency like life threatening cases and those who are not good at English, we have to focus on providing appropriate and accurate info only, I mean, we have to diminish their workload to read and have to save their time.  They definitely urgently need help and we have to help them out from this agony devoting all our energy so I wanted to avoid continuous same explanations from the beginning. 



Also, staying positive is a part of NMT so I didn’t want our group to be full of complaints about personal symptoms because it affects other sufferers’ symptoms too making them feel sad.  Venting is good for the person but not good at all for all other sufferers’ symptoms.  No one feels happy to read other people’s pain.  We tend to be tied to our own tough symptoms but everybody should consider about other sufferers too even while experiencing terrible symptoms, I mean, we have to think about other sufferers in various situations precisely because we totally understand the pain.


It is because of these reasons, I had to organize the group to let members utilize it as a text book

There are no translated books about NMT in the world and I had no other way to disseminate the protocol except my blog and Facebook groups.  To help out each other with NMT knowledge is my ideal so when I started the group, I required agreement with our policy (with 3 initial questions) to members who requested to join us and explained to members that our operation is different from other TSW support groups


I posted this for NMT Education Group members to have them understand our operation and our role to help TSW sufferers.


I know it is irritating for some members to not be able to get an answer right away but no one can learn it overnight.  I hope group members realize that it is really great opportunity to re-read my blog articles to find out answers….because, again, more than 90 % of members’ questions are already usually explained in articles.  We tend to think we have learned things very well after we scan the information but tend to miss something important sometimes.  Members might find some other helpful information while reviewing it.



As long as you chose to accomplish NMT without having NMT doctors there, I hope you understand that such effort by yourself is required.


Well, to organize the group, all moderators’ work is excellent. 

When we receive the duplicated questions, they try to contact the member directly via Facebook Messenger as much as possible and explain where the answer is written so that the member could find other missing information too to read it and other members don’t need to waste their time to re-read things that they have already mastered.   Of course, if the question is new and would be helpful for others, it is reflected on the site and we’ll try to answer doing our best.     


When we see members’ open discussion about other methods in our group, moderators try to contact them personally because other group members might misunderstand and think that it also was a part of NMT.  To mix other methods might be dangerous sometimes.  It wouldn’t be NMT anymore and healing would take longer or could cause further aggravation. 


When we see someone’s post that complains about her/his symptoms, moderators try to send a message to stay present to the pain but then to delete the posts as not to affect other members’ symptoms since it is not good for others.


When we get a request for approval to join but if they didn’t answer required 3 questions, moderators send a message to request it with welcome package to explain about NMT as a starter. 


They show their journeys making videos or chronological order pictures of NMT process, etc…etc…They are amazing.  Just wonderful.  I can’t tell them how much I appreciate their dedication.


It is REALLY huge workload for moderators but still, they work for group members and me SO hard spending their time because they fully know how tough TSW is.  I feel gratitude for their love to other sufferers and caregivers. 

**At that time, there was no function of pending post option in Facebook Groups to select members’ posts. This is a definite improvement!**



MARLENE:  Let’s go back to the beginning and let people know a few facts about Tokuko.  Can you tell us a few details about you?


TOKUKO:  I have two sons and work full time during the week for DoD. (Department of Defense, the United States Air Force.) 

My oldest son is an avid NMT supporter so he willingly helps with family chores.  I think all of my time except eating, cooking and taking a bath is taken by NMT.  To be honest, it has been all consuming and stretches after work on weekdays and at least 10 hours a day on the weekend.  I only allow 3-5 hours sleep every night on weekdays because I have various kinds of activities for NMT.  It’s not only blogs and Facebook groups.


Oh, I’d like to apologize here that I can’t respond all of messages that I receive from all over the world every day.  I feel so sorry for them to not be able to make it in a timely manner….still, please understand that it is difficult to respond 3 digit of messages every day.  Instead, I’ll keep adding messages and information in the groups and my blog thinking about you.😊

I could not do the NMT work without my wonderful sons’ support.



MARLENE:  What about your steroid usage?  How long and how frequently did you apply topical steroid creams?


TOKUKO:  My topical steroid usage was for 52 years.  For 30 years, I had been using the world’s strongest steroid cream since it came on the market.  Different creams were prescribed for different parts of the body.  The strongest one was used on my fingers.  At the time, my job took me to many cities and with my fingers looking so horrible, it was easy to get steroids at any hospital.  Once creams were applied, the symptoms disappeared but quickly came backWithout the creams, it was impossible to lead an ordinary life


Before NMT, during severe TSW, I was also prescribed a very strong immunosuppressant, ciclosporin (cyclosporine = neoral), which is usually given before undergoing internal organ transplant operations.  I was taking it daily for months twice and the side effects were horrible.



MARLENE:  How did you get an appointment to see Dr. Kenji Sato at Hannan Chou Hospital in Osaka, Japan?


TOKUKO:  I was referred by a famous Japanese NMT dermatologist, Dr. Shigeki Fujisawa in Tokyo Japan.  (Dr. Fujisawa also published books of NMT in Japanese.)

I was admitted after the third attempt with acute aggravation of the skin.  The name of my primary sickness was hypoalbuminemia – an extreme loss of protein though my TSW symptom was VERY severe.  It was here that Dr. Kenji Sato became my specialist in dermatology.


From the right, Dr. Kenji Sato, Dr. Mitsuko Satou, Dr. Satoko Minaguchi and Dr. Shigeki Fujisawa.  They are NMT leading doctors in Japan.  Dr. Takahiro Yamada, very left, learned NMT from Dr. Sato directly at Hannan Chuo Hospital.



MARLENE:  You mention that years later, at a convention, you met a young NMT doctor who remembered thinking that you would never survive this condition.  He also said that he was puzzled by your happy demeanor.  Why do you think you could feel so happy when faced with the horror of TSW?


TOKUKO:   I enjoyed the hospital stay so much.  When I entered, I made a big resolution to be a patient who has the sunniest and most upbeat disposition in the hospital…lol.  I wanted to erase the bad image of hospitalization though my symptom was the worst in the hospital

When you go in to the darkness, you should go with the light turning on.  And while your symptom is the worst, if you are seen by a famous, efficient and trustful doctor, how come you need to complain?  You should focus on blessings.


Patients often gathered in my hospital room and there was much laughter.  It became known as Tokuko’s Room to Feel Uplifted.  When they needed energy and laughter, they stopped by my room.  When they were depressed, they wanted to talk with me.  In the hospital, I had never felt down even for one second surrounded by nice friends, nurses and doctors.  My heart had been filled with gratitude.  In my blog, I mention “Try to feel positive in every situation.  Mental status is important for the fast recovery.” and I believe it’s true.

You go on to say if you see a tiny good part, bless it.  When you say, “This finger is really bad…” to someone else, you are missing something – Bless the other 9 fingers.

Smiling is not the thing you do only after you became happySmile first, then you can be happy.  It brings you happiness!  This order is important

At a lecture meeting with Dr. Sato


To be continued…..

  ”Tokuko Got An Interview – Part 2″  


Tokuko Got An Interview! – Part 2


Tokuko Got An Interview! – Part 2


                                                        Published:  04 Aug 2019




#Tokuko’s Room To Feel Uplifted  #tokukosroomtofeeluplifted  #TSW  #NMT  #Dr. Sato  #nomoisturizingtreatment  #topicalsteroidwithdrawal