World Class Island Hospital
When I was in Vietnam a month or so ago, I made the mistake of trying to ride a 100cc motorcycle for my first try. With a manual transmission. With Katie on the back. While wearing flip-flops.
Needless to say, I got pretty messed up when I turned the bike over while going about two miles an hour. Katie was fine because she jumped off, but I wanted to save the bike, so I slammed my foot down on the ground to stabilize myself. Of course, my toe got caught on some rocks, and then I burned the hell out of my leg (I only noticed it when I started smelling the sweet smell of barbecue). But that’s a story for another day.
Anyway, the toe that got caught on some rocks got messed up really badly, and I ended up in pretty severe pain for a while — pain that was amplified by all the nasty things it was being exposed to in Saigon (the blame of which I focus squarely on Whitney). I didn’t want to go to a Vietnamese hospital, though, and my work took away my insurance card. So I waited until I got back to Oshima and my injury was turning a certain alluring shade of black. I used this opportunity to leave work and go to the hospital (yes, I really was that bored). I went home and picked up Daniel, my friend who’s in from Tottori-ken, who just so happens to be from the same metropolitan area as me back in the states.
When we arrived at the hospital — what is without a doubt the nicest building on Oshima — I walked through the automatic doors and handed my insurance card to the super-friendly and cute lady at the front desk. She looked at it, then looked back up at me, then glanced back down and furrowed her brow. She looked back up at me again, confused.
Receptionist: “It says here you live in Oshima.”
Me: “Yep, I’m the English teacher at the high schools.”
Receptionist: “OH! Welcome! Okay, I’ll get you right in!”
So thankfully I got the islander treatment and got pushed in front of all the tourists with all sorts of weird island maladies. I stepped into the checkup room, and a young doctor with a goatee and long hair came in. He actually spoke English really well, and since I didn’t much feel like explaining my condition and the circumstances around it in Japanese, his presence was extremely welcome.
Doctor: “So, what happened?”
Me: “I crashed a motorcycle.”
Doctor: “How long ago?”
Me: “About three weeks.”
Doctor: “Why did you wait so long? This looks really painful.”
Me: “Uh, I was in Vietnam.”
Doctor: “Oh, yes, they may have taken your toe.”
I love third-world health care.
Anyway, he told me that it looked a little infected, and gave me some antibiotics, some painkillers, and some probiotics, and told me to take my bill up to the cashier.
Her: “That will be $10.00, please.”
Me (dumbfounded): “Really?”
Her: “Sorry, that’s the new patient charge.”
Me: “But that’s all? $10? That’s so cheap!”
Her (staring incredulously at me): “How much would that have been in America?”
Me: “Several hundred dollars.”
Everyone in the room: “EEEEEHHHHHHHHH?”
Thank you, socialized health care. You see, Japan really gets socialized health care right — it’s like regular health insurance — I pay a ~$200 month premium, and I get free health care and ridiculously cheap drugs. The only thing is, the health insurance is mandatory if you’re employed. Everyone wins!
So he told me to come back after a few days and he’d do some cutting. I promptly forgot these instructions, and did the cutting myself at home.
Last night, however, I went out with some of my fellow teachers to play tennis at the school. I landed at a really bizarre angle, and felt an incredibly sharp pain run through that toe. When I got home, I took a look at it, and it was all swollen and red, with a big swollen white area in the middle. I realized that I had to go to the hospital again, so I did. After waiting for about five minutes, they ushered me in, and my good friend Kumiko was my nurse. After some small talk, the goatee-clad doctor came in and said, “Ah, looks like we’re gonna need to cut that open.” Fine by me. It hurt too damn much to do nothing about it.
Doctor pulls out a huge needle, and proceeds to poke and prod at it (without gloves on, of course. Japanese people are about the least cautious people in the world when it comes to blood). All the while, I’m chewing my fingernails off.
Me: “Kumiko-san, do you have a pencil?”
Kumiko: “Why?”
Me: “So I can bite down on it.”
Kumiko: “Hahaha, you’re so funny Tairaa!”
I wasn’t joking. Not even in the slightest bit. This fucking hurt.
Meanwhile, a large crowd of nurses had gathered around to watch him. One of the nurses suggested something, and he thought it was a good idea. He pulls out a needle full of clear liquid, and injects it right into my toe where the white part is. I squeal like a little girl, much to the delight of the onlookers, and suddenly, my toe went blissfully numb. He went ahead and continued to cut holes in my toe, but no pus was coming out. Only blood. And a lot of it. Because he wasn’t wearing gloves, it went all over his hands, but he didn’t seem to mind. Pretty scary, eh? Reminds me of when I gave blood in Tokyo — no gloves there either. Suddenly, I remembered that I had my video camera in my pocket — alas, it was too late, as he had finished. I only went so far as to get a picture, which I’ll post when I figure out what’s wrong with my camera.
Doctor: “Well, there was no infection, it was only the blood pooling. Do you want some painkillers?”
My Brain: “You asshole, you cut my foot open and didn’t need to? I hate you right now.”
My Mouth: “Yes, please. Domo arigatoo gozaimasu!”
So is Japan.
He wrote me the prescription, and I bid farewell to the doctor and Kumiko, hoping that I’d never have to see either again in that setting, and I proceeded to the front desk. I tried doing the thing with my card to where I’d pay again, and it kept rejecting it. Eventually the receptionist came up and told me that it was completely free. Evidently their National Health Insurance program is so streamlined that everything can be instantly approved and paid for… Amazing!
I went and threw down 500 yen (5.00) for another round of the three-drug-cocktail, and zoomed on back to the school on my bike.
Beautiful as it is, and friendly as the staff are, I hope I never have to go there again.

