September is typhoon season in Japan — it averages over 9 inches of rain — which raises the obvious question of why anyone (and by anyone I mean “we”) would plan a vacation here in that particular month. The answer in our case is work-related: I have a consulting gig supporting my former employer in winning a major NASA bid, whose timing would collide with an October or November trip. So I hope that my former coworkers all appreciate that I am taking a bullet for the team here. Or at least a large number of raindrops.
In truth, though, it doesn’t really slow us down. We’ve only had one “Why the hell are we here?” downpour, at the Giant Buddha in Kamakura two days ago; most of the time it’s no worse than a light drizzle, and we’ve gone for up to six hours at a time with no rain at all. When this happens, we get very excited: we look outside our hotel room in the morning and exclaim, “Look! It’s only gloomy today!”
It is, however, humid. Really, really humid: the needle is pretty much pinned at 100%, and every article of clothing and object on our person that is not made of metal is at least slightly damp. There is no point in eating potato chips: they go stale before you can get them to your mouth.
I mention all this because the weather was a direct contributor to one of yesterday’s interesting and non-touristy experiences, which was a short journey through the Japanese health care system.
I am very mildly asthmatic, and it normally impinges upon my life almost not at all. I do not experience any shortness of breath but rather on occasion am afflicted with a mild but irritating cough. It’s not much of a problem; I have one of those little puff-spray inhalers that cause undersized nerds to get beat up in high school movies, and I just take a hit or two off it if I start to cough. Even that doesn’t happen very often. But since arriving in Japan I have been coughing much more frequently, the result being that I have been hitting the inhaler much more often than I anticipated and it is thus running low. Alice speculated — correctly, as it turned out — that this was because of the relentless humidity. Again, not a huge problem, but I didn’t want to spend the last week or two of the trip with an annoying cough, and so decided to seek out a doctor and try to get a refill. (My family doctor is 6700 miles from here and no Japanese pharmacy is going to honor an American prescription anyway.)
And so we came to St. Luke’s International Hospital, one Metro stop from our hotel. It is a large university hospital, and — being Japanese – extremely modern and well-organized. Everything is white, except for the people. By which I mean that Japan’s ethnic homogeneity is somewhat jarring to a foreigner; I saw but a single Caucasian person (a blonde woman) among all the hospital staff. The administrative staff’s English skills were rocky but serviceable, and it wasn’t a problem in any case because, in billing itself as an “international hospital”, St. Luke’s has a number of interpreters on staff. When someone wanted to explain something to me in detail — like the fact that I needed a Japanese national medical insurance card to do anything (“Single payer” system! Take that, critics of Obamacare!) — she would dial an in-house number and hand me the phone, and I would find myself talking to a very friendly person whose English was absolutely perfect. Admin girl and I would pass the phone back and forth, communicating through the interpreter. This worked surprisingly well, and I now have a unique souvenir: a Japanese national medical insurance card.
My doctor was a delightful young woman whose English was a little rough but adequate for the purpose: no phone calls to the interpreter needed. She very clearly knew what she was doing — trust me on this assessment, as I have way too much experience with doctors — and confirmed the asthma diagnosis, writing me the needed prescription. She also established Alice’s medical credentials, remarking that typhoon season brings her an enormous number of asthma cases.
I could fill the prescription right there in the hospital, and did so, and we were on our way. Total elapsed time since we walked in: 1 hour 35 minutes. Total cost (since despite now being registered in the system I obviously do not have Japanese medical insurance): $500, all major credit cards accepted. So now when we get home I will experience the joy of submitting a claim to my own actual health insurance company. I’m sure they won’t be fazed in the least by the fact that my receipt and every piece of accompanying documentation is in Japanese.
After leaving the hospital we went and did some actual fun stuff, which I will leave for the next post.