For a photographer — it’s like actually taking a picture is like five percent of what I do. And the rest is research, reading, contact, setting things up, making contact, getting access, making people feel comfortable, doing the reporting, doing the interviews, getting the captions. It’s not getting there physically, the logistics on the ground. I mean, literally, taking a picture is the easiest part of my job.

After four knee surgeries and hundreds of shots injected into my knee weekly to alleviate swelling and pain, my body is begging me to stop the pounding. My previous three surgeries were on my right knee. My most recent knee surgery took place this July and was on my left knee.

We were training 12 to 15 times a week, 50 weeks of the year. I think sometimes people see you compete at the Paralympics or other amazing places around the world and think that is what you do all the time. There is an element of that, but a lot of it is just really boring and repetitive. The vast majority of your time as an athlete is spent on the road or in the gym.

Running CiRA with some 250 staff, I have come to spend less time discussing their data with my colleagues and students, and have been absorbed by my duties as the "chief executive officer" of CiRA, including devising strategies to advance both basic and applied research and to obtain sufficient funding. Anxious about the lack of financial resources for the future to allow us to continue hiring research support staffers, I even ran the full Kyoto Marathon in 2012 to raise online donations from the public. It was hard but helped us raise more than 10 million yen.