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DISCLAIMER: This post/trip is not financially supported by the industry related to my current assignment to non-profit hospital. The views expressed here are those of the author Akio Hasegawa and do not necessarily reflect the official policy of any institutions in Japan. Citations of trade names do not constitute an endorsement of the products. Feedback is, as always, encouraged. Use the address DrHASEGAWA@aol.com for all correspondence regarding this column.