Take Me to the Hospital

(Pictured above: a "cold warning" poster at Momoishi Elementary School that urges children with colds to wear face masks. Notice that in Japan, the spread of colds takes place not through airborne bacteria but through tiny ninjas.)
Allow me, if you will, to briefly indulge in a little cultural generalization. If there's one thing that Japanese people love to obsess over, it's health. Or, as the principal at Momoishi middle school puts it, "the Japanese people love medicine. Dai sukii desu." Reading Ewen's blog last week, I couldn't help but laugh at his tale of x-rays, threatened blood tests and a grab bag of assorted drugs-all for the sake of a common cold. Well, karma must have a quick turnaround time this week as I have found myself under the weather as well.
I suppose it was only a matter of time, though. While I rarely fell ill in the States, I also never held a job that involved shaking hands with classrooms full of nose-pickers. Thus, for most of the week I've been blowing my nose constantly and hacking up more lungs than I ever knew I had. Luckily, I've also been teaching solid days lately, so I had thus far managed to avoid the well-meaning concern of my co-workers. However, after returning from the junior high school on Tuesday, a poorly-concealed cough quickly alerted my co-workers to what, in their minds, was a dire emergency. They tried to talk me into going to the hospital right then and there but I resisted, not only because it was clearly just a cold but also because I had my language class to attend. I eventually talked my way out of it but was told by my supervisor that I shouldn't drive. I then proceeded to get in my car and drove down to Hachinohe.
When I came into the office the next day, my cough had clearly gotten worse which only made my co-workers more determined to drag me to the hospital. It was also my only office-day in weeks, so I suppose I didn't really have much of a case to begin with but I dug my heels in anyway. I protested that in America, we don't go to the doctor if we just have a cold. Unfortunately, the prosecution presented a more convincing argument. Among the pieces of evidence presented to me by my supervisor was the fact that my complexion was poor, proving that medical intervention was needed. Next, Yayoi-San produced a thermometer and instructed me to insert it into my armpit while I sat at my desk. When she read it, the reading came up as a little high but this evidence was dismissed as inconclusive. "Maybe it's because he's so tall," she said and the rest of the office nodded in agreement.
Well, I eventually caved in, although more out of curiosity than for actual regard for my health. The things I do for you, loyal reader.
The first thing I noticed upon setting foot in the hospital was the fact that it didn't look like a hospital lobby at all: more like a train station, really. It was absolutely full of people, most of them old and most of them wearing face masks (on a related note, I'd really like to see an independent medical study of how effective these things are in preventing the spread of airborne diseases because it seems like wearing them is practically a law). My supervisor proceeded to march up and down the lobby, greeting almost every person he encountered. He then took me back behind the registration counter to introduce me to the various doctors and administrative folks. "This is the new ALT, he says he has a cold but I'm pretty sure he has influenza." I knew my supervisor was a big shot but I never suspected that an M.D. was among his qualifications.
The first thing I had to do was administer my own blood pressure test on a machine that printed out a ticket for me with the results on it. My supervisor and I then settled in for the long wait during which we had a number of hilarious conversations. Example:
Kacho: Mehan-San, what do you eat for breakfast?
Me: Um, toast and orange juice (a complete lie-I never eat breakfast).
Kacho: Toast and orange juice? Ha! I eat rice for breakfast every day. That's why my body is so strong! *pounds chest with fist*
Eventually I was called up to a nurse's desk where I was interrogated on the topic of my consumption of various foods and poisons. When she asked me if I had any drug allergies I said "Yes, but I don't know how to say the name of the drug in Japanese." So she told me to say it in English. When I said "erythromycin" she looked at my supervisor and then wrote down on my chart "No drug allergies".
Afterward, I was seated in a narrow hallway that had six chairs facing three doors numbered 3, 4 and 5. Occasionally they would announce a patient's name and a number over the loudspeaker and then the corresponding door would slide open in accord. I waited here for about half an hour while, inexplicably, many others came and went. Finally, I was called into door number three. When I walked in, the doctor (a middle-aged woman in what looked more like a nurse's uniform) stared at me in disbelief. The nurse behind her then said "It's okay, he speaks Japanese" and she seemed to relax a bit. She instructed me to sit down on a stool and then proceeded to chat me up about where I'm from, my job, the schools I teach at, etc. Seemingly as an afterthought, she looked at my throat, declared it a common cold and then quickly wrote out a prescription. "I see that you don't have any drug allergies, is that correct?" she asked. "Actually," I replied, "I'm allergic to erythromycin but I don't know how to say that in Japanese". "Ah, irisuromayashin!" she exclaimed.
When I walked out, my supervisor directed me to a different waiting section where we had to wait another half an hour to receive my prescription. As soon as we sat down, he turned to me and asked "Was it a woman doctor?" and then raised his eyebrows when I nodded affirmatively. After paying the bill, I presented my national health insurance card and then paid the remainder of the price: just over $8 USD according to today's exchange rate.
Finally, we walked to a pharmacy across the street to retrieve my medicines. When we sat down, a youngish woman approached us with a clipboard to which was attached a questionnaire. "Can you explain this to him?" she asked my supervisor. "I don't speak any English, so you'll just have to explain in Japanese. He'll understand," he replied. What happened next was quite possibly the most surreal thing that has ever happened to me in Momoishi (if not Japan). The woman turns to me and in a perfectly disinterested, tired midwestern drawl asks "So, do you have any allergies? Bananas, really? That's interesting." After we finished the form, I remarked that her English was excellent. "Oh, well my husband is an American," she replied. Funny that all of the worst English speakers in this town seem to end up teaching English while the best dispenses drugs in a pharmacy. Go figure.

While the collections of potions, powders and pills above might look like the contents of Hunter S. Thompson's fanny pack, it's really just the Japanese "cure" for the common cold. Yayoi-San explained to me that the large pills are anti-inflammatory (but for what? my lungs? my throat? my feet?) and the powder and the small pills are simply "cold medicine," although I don't have the foggiest what that might entail. Needless to say, the drugs have remained untouched on my kitchen table for the past week where I occasionally stare at them apprehensively. If anyone is planning on going as a deadhead next Halloween, let me know, as I will probably be able to provide you with some costume accessories.
The remarkable thing, though, is that all those drugs only cost me just over $4 USD, again thanks to national health insurance. So all together, I paid less than $15 for a trip to the doctor and a bag full of chemicals. No wonder Japanese people are such hypochondriacs. Widely regarded as one of the most successful health care systems in the world (or the most successful, according to the WHO in 2004), the Japanese national health plan claims universal coverage, offering timely and affordable healthcare to all citizens (and even non-citizens, like me). Wow, is that a paper-cut? I'd better go get it checked out, don't you think?













































































