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Certain rooms feature a massage chair for guests to relax in after a day of exploring. Meiji Jingu Shrine and Harajuku area is 20 minutes away by train from Ryokan Takemine. This property is a ryokan, which is a type of traditional Japanese Inn. Quora is a place to gain and share knowledge. It's a platform to ask questions and connect with people who contribute unique insights and quality answers. This empowers people to learn from each other and to better understand the world.
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His mother was able to answer correctly when the medical staff asked her standard assessment questions who is the president, what year is it despite the increasing pressure of blood pooling in the back of her skull and pressing on her brain stem. "When I was called in," Okpaku comments, "I thought I was going to find my patient comatose and on her way to a better place. Most people her age would have died before I ever saw them. "Okpaku says that Irene Andre's cerebral hemorrhage was likely due to a simple weakening of a small blood vessel inside her brain that eventually started to leak. Unlike an aneurism, which forms in large vessels on the surface of the brain and, when it bursts, causes blood to pour out quickly, Irene's smaller bleed may have been seeping into her skull for up to two hours before she noticed symptoms. Okpaku explains that injury to the brain stem affects respiration, wakefulness and nerves to the face that control functions such as eye movement, tongue movement and chewing. The cerebellum controls movement of the arms and legs. Ironically, the fact that aging brains tend to shrink up to 25 percent may have provided Irene the extra space she needed during the emergency to withstand pressure inside her skull without damage to her brain. The most common reasons for the brain's vessels to weaken and bleed, Okpaku says, are long standing hypertension, diabetes or amyloidosis protein deposits inside vessel walls. Irene had none of these conditions. Faced with the tremendous responsibility to choose between life and death for his mother, Jim Andre says he didn't hesitate to approve Okpaku's suggestion that a craniotomy could save her life.