Kazuho Oku discusses running a real-time statistics service called Pathtraq using MySQL, which aggregates access data from approximately 10,000 users daily. Key topics include optimizing data storage through compression techniques, implementing a custom message queue, and utilizing SSDs for full-text search performance. The service aims to provide insights similar to Alexa but with a semi-real-time approach, and there are considerations for localizing the service for international use.