Her most recent series Great Ryukyu Photo Scroll (大琉球写真絵巻) (2014-) approaches the same themes through a narrative tone, using satire and pop culture references to reconstruct important moments in Okinawan history.

Ishikawa bought her first camera and undertook her first photography commission to investigate and document evidence of suspected crimes thought to have been committed at a pineapple factory in Nago (these claims were later found to be unsubstantiated).

Under the Okinawan photographer collective Aman (あーまん), Ishikawa published these images in her breakout photobook Hot Days in Camp Hansen (1982).

Hot Days in Camp Hansen was met with great criticism and Ishikawa was forced to manually removed pages from each copy because of objections from select women who appeared in the book.

[15] As a consequence from the fallout of her first book, Ishikawa divorced her first husband; she later moved to Tomigusuku in 1983 and opened an izakaya near Aja-Shinko port in Naha.

[19] The scenes of African American communities in inner city Philadelphia were used in her series Life in Philly which was shown at the Minolta Photo Space in Tokyo the same year.

[20] With the support of Zen Foto Gallery, and texts written by Tōmatsu Shōmei and Takeuchi Keisuke, this series was turned into a photobook nearly 30 years later.

[22] Once she returned from the Philippines, Ishikawa took on numerous jobs photographing for local news organizations including Okinawa Times and Ryukyu Shimpo.

[25] In 2017, Ishikawa postponed lifesaving surgery in order to attend exhibitions and events related to this project as well as her first internationally published photobook[26] Red Flower: The Women of Okinawa (2017).