There are a lot of good things about the Japanese medical system and a lot of strange things too. This week Tetsu and I have been going in and out of the hospital for various non-serious reasons. Some thoughts.
Tetsu's sister has been hospitalized for a hip replacement these past two weeks. She is doing well and so far is very happy with how she can finally walk again pain free. We were all amazed by the very small, very un-bruised scar she now wears and by the x-rays she was showing of this large metal pole now in her thigh bone and the metal hip joint. Wow! The medical world can do some amazing things these days!!!
For all that, Tetsu's sister shares a room with 5 other people and she is separated from them by curtains so her roommates' snoring has been annoying (and she has to tell us this in a whisper as everyone can overhear everyone else's conversations). Each bed is equipped with a side table with a small flat screen TV bolted to it but she has to buy a minutes card from a vending machine in order to watch TV. The same card also works for the washing machines and dryers and she is supposed to wash out her own things (though linens of course get cared for by the hospital.) For surgery and hospitalization, Tetsu's sister is covered by the welfare system as she is considered disabled and gets welfare support. I don't know what normal patients would pay but I'm sure it wouldn't be as much as in the States.
And then yesterday Tetsu and I went to the same general prefecture hospital to set a date for Tetsu's second eye's cataract surgery. He had the other eye done in September at a private hospital and was very happy with the results. (Remember, he had to wear diapers for cataract surgery?!) HOWEVER, just getting the first surgery was scheduled a year ahead of time and with this second eye it looked like it was going to be the same slow schedule. No matter how many times Tetsu asked to have the second cataract surgery the answer was always, "let's worry about this eye first." and he never got past that with the private doctor. Finally the doctor suggested that he refer Tetsu to someone else and this is why we were at the general hospital.
You see... the problem with the medical system in Japan is that the doctors are flooded with patients and thus non-emergency surgeries take MONTHS before they can be done. There are tens of patients in the waiting rooms, standing against walls, waiting in their cars etc. So yesterday we went to the general hospital for the final details about this second cataract surgery now scheduled for February 3.
This prefecture hospital is the same one Leiya was born at 30 years ago and it was old back then! I remember sitting on the bench in the long drab hall of a waiting room and wishing I had a rag as I could wash the walls while I waited.
Alas, the hospital is 30 years older and though the benches have been replaced with cheery purple seats, they still line the hallway and the walls are still scuffed by wheelchair bumps and whatever. The same benches serve the patients waiting in the dermotology, optical and ear nose and throat centers. There is the constant calling of patients names over the loudspeakers as patients are directed to the numbered doors along the hallway. The nurse comes out to the waiting room and explains procedures and instructions to a patient and everyone around them hears all the details. The doctor never moves from his chair and patients file in behind a curtain and gets seen and then another patient takes his place. It is a regular factory!!

There is no art work on the walls, no carpeting, no wallpaper. Notices and pamphlets hang from sticky hooks and and crooked plastic file holders... EVERYONE, I mean EVERYONE wears a white mask while they are at the hospital. In fact there is a greeter at the door ready to hand out a disposable white mask to anyone who hasn't remember to bring one.
Me in my mask. I'm smiling as big as I can but you wouldn't know it would you?
After the nurse explained the procedure for the surgery she was ready to go off to other patients but Tetsu asked,
"Um... No one has said a word yet about how much this is going to cost... How much money do I need to bring on the day of the surgery."
The nurse seemed sort of surprised at the question but she said it would probably run about $500. That's about what it cost at the private hospital so Tetsu figured he could just stop by the bank on the day of the surgery... Different ways of doing things huh? By the way, for yesterday's visit to the general hospital, Tetsu said he paid about $8. I don't know why...
Today I had to go to my regular doctor to pick up cholesterol medication again. I am still sore about having to take this dumb medication and I feel that it is an unnecessary monthly bill. Actually though, by American standards, the cost of seeing a doctor and getting medication is probably pretty reasonable.
My doctor has his own private clinic. He too just sits in his chair as I enter the examining room and he spends most of his time looking at my files on his computer. But the room is nice, the waiting room is pleasant, the building is new and airy. The doctor asked how I was. I said I was fine. He asked if I'd seen any differences since taking the cholesterol medication. I said no. He said good and that I could come again next month and that he would write me a prescription for this month. I left his examining room in maybe one minute. For that I was charged $15.

I went next door to the private pharmacy and handed over my prescription paper and also my personal medications booklet where stickers of ALL medications I've ever been given from ANY doctor the past five years has been recorded. I was given a month's supply of cholesterol medication and a month's supply of the doctor's highly recommended fish oil supplement. For that I paid about $65 which I balk at. I'm a healthy person and yet I pay about $80 a month for medical services and medication! And I'm only paying 30% of the whole bill. Insurance pays for the rest of it.
And look at this... Japan still doesn't have child-proof medicine bottles.
While I was at my doctor's clinic, Tetsu went to his doctor (we have different doctors because I didn't like the way Tetsu's doctor tried scare tactics to get me to take his cholesterol medication... but I've ended up taking it anyway with my own doctor but at least he gave me 4 years of trying to lower it on my own...) Tetsu said he made an appointment for a flu shot for Monday... at the cost of $6 because the city of Nikko pays for flu shots of people over 65 years old. Last month I had to pay $40 for the same shot.... I guess there are perks to getting older.
Wow! That above post makes us sound like we are really medically dependent! Actually I think Tetsu and I are relatively healthy and I sure hope I can keep it that way!