PyeongChang Weater Feb 1

It’s a week away. I’m so excited. I’m getting chills.

I will be in South Korea for the opening ceremonies of the 2018 PyeongChang Winter Olympics, with the world’s best winter sports athletes, world leaders, celebrities, the North Korean cheering squad and 35,000 other participants….freezing our butts off.

I routinely look at the weather app on my iPhone for the temperature in the area of the PyeongChang Olympic Stadium, and it’s always minus-something celsius. In fact, over the past ten years, the average temperature of this northern part of South Korea is -5.8 Celsius.

And because the Olympic Stadium was built without a roof – to save costs – there are fears that the cutting winds of that area will give the “lucky” spectators a chance to sit for 4-5 hours in a wind chill of -12 degrees. This may not be healthy. According to this article, six people were treated for hypothermia at a concert they attended in the Olympic Stadium in November, 2017.

In order to prevent the mountain winds from sweeping through the stadium, organizers have built a wall 3.5 meters high, that circles around the stadium for 350 meters, which they hope will keep the wind chill down. They will also hand out blankets and heat packs to each of the participants. You can bet I will have those little instant heat packs all over my very layered body.

Here is one of a great set of FAQs on the PyeongChang Olympics from the Associated Press:

Q:  What’s the weather like?

A:  Bundle up. Gangwon Province is one of the country’s coldest places. The wind is brutal, and the stadium for the nighttime opening and closing ceremonies is open air and has no heating system. Locals make it a matter of pride not to complain about daily wintertime life, but visitors risk misery if they’re unprepared.

Fortunately, misery loves company…and maybe 35,000 people together can bring the heat!

Erin Hamlin
Erin Hamlin, women’s luge

I enjoy talking to Olympians, people who have dedicated a good chunk of their lives to unlocking the secrets to even higher performance. The TeamUSA site published this article that shares the insight of American Olympians who have competed in multiple Winter Olympics or Paralympics. The way I would summarize their advice:

  • Learn from Experience and Your Mistakes
  • Sometimes Ignorance is Bliss
  • Don’t Let the Moment Define You

 

Learn from Experience and Your Mistakes

Successful athletes will often view failures and mistakes as positives. Thomas Edison famously responded that he never failed when developing the light bulb. “I didn’t fail 1,000 times. The light bulb was an invention with 1,000 steps.”

Erin Hamlin is a three-time Olympian in the women’s luge at the 2006 Torino Olympics, 2010 Vancouver Olympics and, finally stepping up to the medal podium with a bronze medal at the Sochi Olympics had this to say about failure. “The more bad runs you have, the more ways you know how it didn’t work,” she said. “You can take that and figure out how to do it right.”

Ted Ligety_alpine skier
Ted Ligety, alpine skier

Sometimes Ignorance is Bliss

At some point, you can get too much advice on how to succeed at the Olympics, or in any high-pressure moment. Two-time gold medalist in alpine skiing, Ted Ligety, thinks that it’s important for people to not think too much, and trust in yourself and abilities may be the best advice for athletes stepping on the big stage for the first time.

“I wouldn’t have that much advice for myself,” said Ligety when asked what he would say to himself if he could go back to 2006. “Being a little naïve back then was a good thing.”

Don’t Let the Moment Define You

Oksana Masters
Oksana Masters

 

Oksana Masters is a summer and winter Paralympian in nordic skiing, rowing and cycling, and felt the pressure early in her career. “Oh my gosh, everyone single person is watching, and it’s the biggest race, and if you mess up, it’s over.” But her advice to others would be to just treat the big race as just another training session.

Kelly Clark is a four-time Olympian, who has won gold and two bronze medals in the halfpipe since the 2002 Salt Lake City Games, said that the competition in the Olympics is merely one moment in your long life. “We can get wrapped up in four years of intensity for 30 seconds [of performing on the Olympic stage], and we make it into something that defines us, we make it into a destination,” she said. “You don’t need to make it a destination or something where you need a T-shirt that says, ‘I survived the Olympic Games,’” she said. “Instead, think, ‘I got to do this wonderful sport.’”

Perhaps the most practical advice came from Masters about packing so much clothes for the Olympics. “You’ll never use them.”

Kelly Clark snowboarder

Musashino Forest Sports Plaza 1
Musashino Forest Sports Plaza on the left, and Ajinomoto Stadium on the right

It was a cold and desolate Sunday when I walked around the grounds of the new Musashino Forest Sports Plaza. Located a short walk away from Tobitakyu Station on the Keio Line, the Musashino Forest Sports Plaza is right next to Ajinomoto Stadium, the home of the J-League Division 1 soccer team, F. C. Tokyo.

Musashino Forest Sports Plaza google maps

There were no events scheduled at either the Sports Plaza of Ajinomoto Stadium on the January afternoon I visited, but come July 2020, this quiet area of Chofu, very near the American School in Japan where my son went to high school, will be filled with thousands of noisy fans. The Musashino Forest Sports Plaza opened on November 27, 2017, the first of eight new permanent Tokyo 2020 venues to be completed. The Plaza will host badminton and pentathlon fencing in the 2020 Olympics, as well as wheelchair basketball during the 2020 Paralympics.

Musashino Forest Sports Plaza 3
View of the Main Arena on the left background, the sub-arena with its pool and gym on the right background, with a track and field in the foreground.

According to this article, the Musashino Forest Sports Plaza is built to serve the community long after the Olympics end. The facilities include a swimming pool, a gym, a multi-use sports area and two fitness studios which are available to the public. The roof of the facilities are made up of solar panels, to help provide a more sustainable energy source.

Musashino Forest Sports Plaza 2
Main Arena and its solar panel roof

And in line with Tokyo2020 Accessibility Guidelines, “the facility designed to be accessible to all, including the elderly, people with impairments, parents with infant strollers and those with guide dogs. The main arena has space for wheelchairs, and the space is designed with enough height difference between the rows of seating to ensure that those in wheelchairs can see clearly, even if spectators in front of them stand up.”

Ajinomoto Stadium will also host matches in the soccer competition during Tokyo 2020, and will be called Tokyo Stadium during the Olympics in accordance with its non-commercialization policy.

Musashino Forest Sports Plaza 4

 

National Stadium design_Kengo Kuma 2
Kengo Kuma’s design for the Tokyo 2020 National Stadium

 

936 more days to go until the Opening Ceremonies of the 2020 Tokyo Summer Olympics. Here are a few of my favorite stories and thoughts on Tokyo2020.

 

2020 Mascot Candidates
Tokyo 2020 Mascot Candidates

 

Penn Alumni at Meji Jingu_25Nov_8
On a tour of Meiji Shrine.

 

I have lived in Japan for over 16 years, and I still have so much to learn – what an amazing people, history and culture. I hope an article or two in this list give you some insight into Japan.

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Ted Mittet surrendering his American team’s cowboy hat, gifted by President Johnson to the male Olympians
1964 Paralympics_Japan delegation opening ceremony
Japanese delegation at the 1964 Tokyo Paralympics from the book, 1964 Tokyo Olympiad, Kyodo Sports Agency

Holding the five-day Tokyo Paralympics from November 8 -12, was an amazing triumph for Japan. As previous posts have explained, Japan went from zero awareness about the rehabilitative power of sports on the disabled to hosting the first Paralympics in Asia in a matter of years.

Even more amazingly, Japan organized not one, but two competitions for the disabled, one right after the other. The first competition was the Tokyo Paralympics, an international event. The second competition is less well known, a domestic competition that was more daring than the famous first competition, for it expanded the scope of competitions.

According to Kazuo Ogoura, in his paper The “Legacy” of the 1964 Tokyo Paralympics, the British, led by Ludwig Guttmann of Stoke Mandeville Hospital, focused the competition of disabled athletes only on those who had spinal cord injuries, who got around via wheelchairs, but that “in the 1960s, there emerged a growing call for including those with vision impairment and amputees in such sporting events.

1964_Summer_Paralympics_logo
The logo for the 1964 Tokyo Paralympics; note the use of the wheelchair wheel symbols, representing Stoke and Mandeville Hospital’s influence over the criteria for participation in the Paralympics.

In fact, as D. J. Frost has written in his paper, Tokyo’s Other Games: The Origins and Impact of the 1964 Paralympics, “by the early 1960s, a handful of Japanese medical experts interested in rehabilitation had established relationships with European specialists outside of Great Britain who were actively promoting sports for those with disabilities besides spinal injuries. Japanese organisers of the 1964 Games also appear to have been in regular contact with Norman Acton, who eventually became head of the International Sports Organisation for the Disabled (ISOD). In July 1963, at Acton’s urging, Japan dispatched a team of athletes to participate in what various Japanese sources identify as the First International Sports Festival for the Disabled held in Linz, Austria.”

Awareness of the impact sports can have on the disabled beyond those with spinal cord injuries was indeed growing in Japan. Frost explained that when a group of early supporters that included members of the Health and Welfare Ministry, The Asahi Shimbun Social Welfare Organization and the International Lions Club organized a preparatory committee to consider the organization of a Paralympics in Tokyo in 1964, they initially agreed that “that the International Games held in Tokyo should be a multi-disability event, including athletes with paraplegia, blindness, hearing impairments, and other physical challenges.”

But as Ogoura explained, the officials at Stoke Mandeville, who were the patrons and coordinators at the international level, were not ready to make that shift beyond wheelchair athletes.

During the preparation stage for the Tokyo Paralympics, Yutaka Nakamura, who was one of the event’s central figures, campaigned in response to requests from German officials to include athletes with vision impairment and amputees in the 1964 Tokyo Paralympics but failed to secure consent from Stoke Mandeville officials.

Amazingly, the Japanese organizers were not deterred, and decided to split the baby by keeping the Stoke Mandeville scope for the 5-day international Tokyo Paralympic Games, but also by holding a separate domestic 2-day event soon after the first one. As Frost wrote, “it was the perfect plan. It did not threaten to alter the approach of the Stoke Mandeville Games themselves, and it addressed Japanese desires to serve a larger portion of the disabled population. Yet, the Games were clearly not equal in length or prestige, and as a result, the National Sports Meet attracted far less attention.”

The so-called “National Sports Meet” ran from November 13 – 14, 1964, and despite the fewer number of days, was larger than the highly publicized “International Sports Meet.” The international meet was three days longer than the domestic meet, but had fewer athletes (375 vs 480) and fewer sports (9 vs 34). As Frost described, this pioneering decision was both intimidating and inspiring.

With more than 34 sporting events for men and women with a wide range of disabilities, the National Meet added a layer of complexity to the planning efforts that in later years would play a role in other potential host sites’ decisions to decline the Paralympics. The structure adopted for these Tokyo Games reflects the commitment to hosting a multi-disability event that was apparent in some of the earliest organisational efforts.

Today, the Paralympics is indeed a multi-disability, multi-sport event which includes a highly complex mix of disabilities, with thousands of competitors coming from over 100 nations. The 1964 Tokyo Paralympics, both its international and domestic meets, played a significant role in the evolution and history of disabled sports.

Kristallnacht
The Day after Kristallnacht

Dr. Ludwig Guttmann is the undisputed father of the Paralympic Games.

But in the fascinating fantasy world of “What If” speculation, the Paralaympic Movement may have had a different, perhaps more delayed progression through time had Guttmann met a different fate in the increasingly scary build up to World War II in Germany.

In 1938, Guttmann was the medical director of a Jewish Hospital in Breslau, which at the time was part of Germany. On November 9, German paramilitary and citizens walked unimpeded through cities across Germany smashing the glass windows of Jewish-owned stores, buildings and synagogues. Called Kristallnacht, this pogrom led to the death of dozens of Jews, and the arrest of tens of thousands of Jewish men.

On that Night of Broken Glass, 64 Jewish men were admitted into Guttman’s hospital. While many were injured, some were not and were simply looking for refuge from the violent rampage. According to this interview of Guttmann’s daughter, Eva Loeffler, Guttmann admitted all to the hospital regardless of whether they were injured or not, at great personal risk.

My father said they must all be allowed in, whether they were ill or not and they were all admitted to beds on the wards. The next day the Gestapo came round to see my father, wanting to know why such a large number of admissions had happened overnight. My father was adamant that all the men were sick and said many of them were suffering from stress. He took the Gestapo from bed to bed, justifying each man’s medical condition. Apparently he also pulled faces and grimaced at the patients from behind the Gestapo’s back, signaling to them to pull the same expressions and then saying, “Look at this man; he’s having a fit.”

Poppa Guttman Celebration, Stoke Mandeville.
Eva Loeffler the daughter of Paralympic Games founder Sir Ludwig Guttmann appointed as the Mayor of the Paralympic Village by London 2012

Of the 64, only four were carted away by the Gestapo, the remaining 60 allowed to escape incarceration or death for another day.

Guttmann was Jewish, and thus could easily have been arrested, which would likely have led to death in a concentration camp. But he not only saved the lives of dozens, he saved himself. Despite the fact that he was Jewish, Guttmann was one of the foremost authorities in neuro medicine, and was thus still highly valued by the German government. In fact, in order to exercise influence with a potential ally in the Portuguese, the Nazi regime dispatched Guttmann to Portugal so that he could treat a close friend of the Portuguese prime minister, António de Oliveira Salazar. The German authorities then re-issued Guttmann’s passport (as all Jews had their passports confiscated), and then send him to Portugal.

After finishing his work in Portugal, Guttmann made a significant trip to London, where he met members of the Society for the Protection of Science and Learning. This particular group at the time was devoted to obtaining visas for Jewish academics in Germany to come to England. In fact, according to Guttman’s daughter, Loeffler, the society had already sent a visa to the relevant Berlin authorities informing them that Guttmann has already been offered a research post at the Radcliffe Infirmary in Oxford. When Guttmann returned to Germany, he was presented with an opportunity that could secure his family’s long-term safety, or accelerate his family’s demise.

It was 1939 and I was six years old. I remember I was abnormally frightened at the time; I used to cry a lot. Even as a small child I picked up the fear and sadness felt by my parents. Although Jews were allowed to take out some furniture, clothes and linen they were not allowed to take any money, gold silver or jewelry. But the official who was supervising us came round the day before and told my mother ‘I shall be an hour late tomorrow’. It was obviously a hint that we might pack what we wanted; but my mother was too frightened to take anything forbidden as she thought it could be a trap.

Dr Ludwig Guttmann 2nd from left
Dr. Ludwig Guttmann (2nd from left) with Prof Otfrid Foerster and hospital staff at the Wenzel-Hancke Hospital, Breslau, Germany, 1920s Wellcome Library, London

Fortunately, it was not a trap.

Five years later, Guttmann was asked to run the National Spinal Injuries Center at Stoke Mandeville Hospital in Buckinghamshire, England, which led to his revolutionary work on treatment of the disabled, and the eventual birth of the Paralympic Movement.

But what if Guttmans’s pleas and gesticulations before the Gestapo in the aftermath of the Night of Broken Glass had ended in his incarceration?

What if those 60 Jewish men were not allowed to live another day, to have a chance to survive the war and have families, grandchildren, and great grandchildren?

What if Guttmann was not alive to emigrate to England, and join Stoke Mandeville Hospital?

Would there be a Paralympic Games as we know it today?

Ludwig Guttmann in office
Dr. Ludwig Guttmann

In 1917, at the age of 18, Ludwig Guttmann volunteered at a hospital and watched a young coal miner, who suffered a serious spinal injury and paralysis, wither away over a five-week period in isolation. Doctors could do nothing for him except encase him in plaster and watch him die. Six years later, Guttmann graduated from the University of Breslau in Poland in medicine, after which he took a position in Neurology and Neurosurgery, only because he could not find a placement in pediatrics, his first choice.

That decision was to have impact ripples that resonate powerfully today.

As the head of the National Spinal Injuries Center at Stoke Mandeville Hospital in Buckinghamshire, England, Dr Guttmann pursued a line of treatment novel at the time – rehabilitation of injured war veterans via sporting activities to build up not only their physical capacity, but also their mental strength. Likely recalling the demise of the young coal miner when he was 18, Guttmann believed that patients with such disabilities required a new form of treatment, a forward-thinking treatment, that would eventually prepare them for re-entry into society. As explained in this article:

Guttmann fundamentally disagreed with the commonly held medical view on a paraplegic patient’s future and felt it essential to restore hope and self-belief in his  patients as well as practical re-training so when they were well enough to leave they could once more contribute to society. He achieved this firstly by changing the way they were treated – he had them moved regularly to avoid the build up of pressure sores and the possibility of urinary tract infections developing – and secondly by engaging them in physical and skill-based activities. Sports like Archery improved their mental wellbeing while learning new skills, such as woodwork, clock and watch repair and typing, would ensure they would be employable. If staff, or patients, on Ward X thought they were going to have an easy time, they were in for a shock.

Guttmann was less innovator and more revolutionary, a man who’s powerful belief in the ability of disabled patients to recover from tremendous physical disabilities to re-enter society led to an incredible transformation at the spinal injuries center. According to this article, Stoke Mandeville had 24 beds and 1 patient when Guttmann arrived, but within 6 months the center housed close to 50 patients, all receiving his obsessive care. Said one Dr. John Silver,

Essentially if they went anywhere else for care, the spinal injuries patients died. He exerted a total, obsessive control over all aspects of care at the hospital, whether it was him coming round in the middle of the night to make sure that the nurses had turned patients, or checking on the quality of the cleaners’ work or that of the food served on the wards. Everything was his responsibility. This was such an enormous contrast with consultants in other hospitals.

Inspired by the 1948 Olympic Games which were held in London, Guttmann held an archery contest on July 28, 1948, the day of the opening ceremonies of the London Olympics. A total of 16 disabled wheelchair-bound men and women came together representing two institutions: The Star and Garter Home in Richmond Surrey and Stoke Mandeville. (According to the Star and Garter site, their team won, not only in 1948, but also 1949.)

Javelin throw with Ludwig Guttmann watching
Javelin throw with Ludwig Guttmann watching

The archery contest was well publicized, for it was in the spirit of the Olympics, whose ideals of participation resonated with the disabled who yearned to participate and be included. Guttmann is quoted here as saying, “Small as it was, it was a demonstration to the public that competitive sport is not the prerogative of the able-bodied.”

And thus was born the Paralympic Movement.

If ever I did one good thing in my medical career it was to introduce sport into the treatment and rehabilitation programme of spinal cord sufferers and other severely disabled.

Dr. Ludwig Guttmann, in Scruton, ‘Stoke Mandeville, Road to Paralympics’. The Peterhouse Press, 1998

 

031164 - Crown Prince and Empress meet teams Tokyo Games - 3b -
The Crown Prince and Princess greet athletes at the 1964 Tokyo Paralympics.

Today, Emperor Akihito is 83 years old, a revered father figure in Japan, looked upon kindly by old and young alike. The Emperor took the unusual step to ask the Japanese government for permission to abdicate in 2019 so he could hand over the countless royal duties to his son, the Crown Prince Naruhito.

In 1959, then Crown Prince Akihito married a wealthy commoner named Michiko, in a highly publicized and popular wedding ceremony, a television extravaganza in a time when Japan was just getting its footing back after years of post-war American occupation.

When the nascent Preparatory Committee began to seriously consider the hosting of a Stoke Mandeville Games in Tokyo after the Tokyo Olympics, the head of the committee, Yoshisuke Kasai, knew he needed powerful allies and influencers to build the awareness of disabled sports and a possible Tokyo Paralympics, as well as raise the organizational infrastructure and funds required to pull off an international sporting event successfully…in only two years.

As explained in this post, part of the plan to grow awareness was to send athletes from Japan for the first time to the annual Stoke Mandeville Games in London, in 1962. According to D. J. Frost and his article, Tokyo’s Other Games: The Origins and Impact of the 1964 Paralympics, Kasai appears to have leveraged the opportunity to celebrate Japan’s participation in the Stoke Mandeville Games to introduce the importance of sporting events for the disabled to the Imperial Family. He arranged for the Crown Prince Akihito to meet the returning athletes and members of the Preparatory Committee, which was heavily covered by the Press.

In addition to the Crown Prince’s expressed hopes for the Paralympics to come to Tokyo in 1964, the newspapers were filled with pictures of the Crown Prince, the Crown Princess, and the disabled athletes showing off their skills. Members of the government, including then Prime Minister Hayato Ikeda, pledged their support for the Tokyo Paralympics. As Frost wrote, thus began a long-lasting relationship between the Imperial Family and the Paralympic movement.

Although it remains unclear how the meetings with imperial family members came about, it seems likely that committee members, and perhaps Kasai specifically, mobilised their social connections to establish what proved to be a long-lasting and critically important link between the Paralympics and the imperial household. Associations with the Crown Prince, in particular, practically guaranteed the Games increased media attention. At a moment when the ruling conservative party in Japan, led by Prime Minister Ikeda, was looking to revive the influence and prestige of the imperial family, the potential power of the Crown Prince’s expressions of support should not be underestimated.

A cording to this paper called The “Legacy” of the 1964 Tokyo Paralympics, from the Journal of the Nippon Foundation Paralympic Research Group, Kazuo Ogoura explains that the involvement of the Imperial Family in the 1964 Tokyo Paralympics was significant, as “at least one of the members of the Imperial family went to see some events every day,” and that their commitment to disabled athletes was heartfelt:

Even after the Games ended, they extended full-scale cooperation and support to those involved. This experience helped them establish in-depth knowledge and interest in the Paralympics in general. It must be noted that the Imperial involvement came from their heart, rather than physical and systemic arrangement. A member of the Paralympics’ International Secretariat said, “When the Crown Prince and Princess unofficially invited the members of the Secretariat to the Imperial Palace, the Crown Princess Michiko told us that their young prince made a Teru Teru Bozu doll to pray for sunny weather during the Paralympics.”

The Japanese government was conscious now of the possibility of the Tokyo Paralympics, and the impact that such a successful international event right after a successful Tokyo Olympics would help boost Japan’s standing in the global community. They also understood that to succeed, the institution of the Imperial Family and the increasing star power of the Crown Prince and Princess were needed. That in turn would continue to enhance the Imperial Family as a fundamental pillar of Japanese society. As Frost wrote,

The Tokyo Paralympics, emerging from this same historical and cultural milieu, proved no less important as a tool for reviving national symbols and bolstering Japan’s international prestige. Indeed, viewed in this light, the Crown Prince’s oft-mentioned involvement with the Paralympics reflected more than a personal commitment on his part; it was a carefully cultivated and highly politicised link designed to benefit both the Games and the international reputation of Japan’s future monarch.

The Crown Prince and Princess, as you can see in the video below, were present during a good part of the 5-day Paralympics. Unlike Emperor Hirohito, whose appearance at the opening ceremonies of the 1964 Tokyo Olympics was most official and formal, the Crown Prince and Princess walked among the athletes, stopping to greet and talk with them. Their exit during the closing ceremonies of the Tokyo Paralympics was a stroll across the gymnasium flow, waving and smiling at the wheelchair athletes – a modern royal family for changing times.

Dr Yutaka Nakamura at the 1964 Tokyo Paralympics 2

It’s easy to lead people where they want to go.

It’s difficult to lead people where they don’t want to go, but ought to.

As I had written in this post, Dr. Yutaka Nakamura played a key role in making the 1964 Tokyo Paralympics a reality. But he did so in the face of considerable challenge.

A graduate of Kyushu University in 1951, Nakamura was a medical doctor in orthopedics, with a growing expertise in rehabilitation. At the age of 31, Nakamura headed orthopedics at the national hospital of Beppu. At the time, like many others, he did not consider sports as a way to rehabilitate people with disabilities.

But a Health and Welfare Ministry grant in 1960 to support a six-month trip to the United States and Europe to study rehabilitation facilities and practices overseas opened his eyes. Like the elite Japanese students sent to foreign countries in the Meiji Era of the late 19th century, returning to Japan as institution builders, Nakamura became aware of better ways to improve the conditions of the disabled in Japan.

This thinking crystalized in his time spent with Dr. Ludwig Guttmann, who ran the National Center for Spinal Cord Injuries at the Stoke Mandeville Hospital. During his time with Guttmann, according to D. J. Frost in his paper, Tokyo’s Other Games: The Origins and Impact of the 1964 Paralympics, “Nakamura repeatedly expressed amazement at Stoke Mandeville’s success: after six months of treatment, 85% of patients with spinal injuries experienced at least some level of rehabilitation, with many leaving the hospital and returning to society.”

Apparently, Guttmann viewed Nakamura skeptically, one of many Japanese visiting his facilities who came and went. According to Frost, Nakamura quoted Guttmann from his biography as saying, “So you’re Japanese? Several Japanese have come here already. All of them have said that they want to imitate what we are doing here, and then they go back to Japan. So far, not one of them has followed through and done it.” As Frost explained, Nakamura agreed with that assessment, but was also determined to apply these new ideas in Japan.

Yutaka Nakamura
Dr. Yutaka Nakamura

 

However, Nakamura faced resistance at home. Beppu is world-famous for its hot springs, and was a center for bath and massage treatments. When Nakamura explained to colleagues that he wanted to treat people by having them participate in sporting activities, he was, according to Frost, “openly ridiculed” by other doctors. At the heart of this resistance was a fear that Nakamura was trying to “simply undo all the rehabilitative work they had achieved, and putting the disabled on public display at a sporting event was the moral equivalent of showing off freaks at a circus.”

And yet, Nakamura persevered, connecting with local government officials, local disability organizations, instructors and other medical specialists to organize Japan’s first ever disabled person’s sports competition – The Oita Prefecture Sports Meet for the Disabled – which was held on October 22, 1961. Frost explained that very few noticed this pioneering event, but fortunately a few who did notice were the proponents of holding the Paralympics in Tokyo. Perhaps to his surprise, Nakamura was invited to join a newly formed Preparatory Committee in 1962. It was one of the most important decisions the committee would make.

To the committee members, Nakamura provided a practical case study that Japan could organize a sports competition for disabled people. To Nakamura, the committee needed to move faster. As a newly minted committee member, he recommended that they send a Japanese team to the Stoke Mandeville Games in London in July, 1962. Since that competition was only 2 months away, the committee members were reluctant to rush because Japan really had no athletes and there was little funding available. But committee leader, Yoshisuke Kasai, understood the impact media coverage could have if they sent Japan’s first-ever athletes to the Stoke Mandeville Games in London, so he approved the trip.

Nakamura identified two athletes from Oita, likely participants of Oita’s 1961 competition. Nakamura also had to personally apply for a loan to fund the trip. There was a donation by British Overseas Airway Corporation to pay for one round-trip airfare, but since a total of five people were heading to London, Nakamura sold his car so that he could fund the remaining travel expense for the entire team.

According to Frost, Kasai was grateful, considering Nakamura’s effort essential to securing consensus and final approval in 1963 for Japan to host the 1964 Tokyo Paralympics.

Recounting his experiences at the Stoke Mandeville Games in 1963 when Japan’s bid to host the Paralympics was formally approved, Kasai later commented, ‘If it hadn’t been for Nakamura, we would have had nothing but problems’. According to Kasai, Nakamura’s familiarity with the staff and facilities, his knowledge of the Games themselves, and especially his relationship with Guttmann proved invaluable. “Without Nakamura,” Kasai observed, “the Paralympics might not have happened.”