Monday, July 26, 2010

Privacy in Japan (answers to last post too)

People often ask me what Japan "is like", and while the superficial is easy to explain – the weather, the topography, etc – the major differences are harder to get a grasp on. What really is different between technologically advanced Japan and the modern US? One of the clear cultural divergences is the concept of privacy.
An online dictionary defines 'privacy' as "the quality or condition of being secluded from the presence or view of others". While this covers most of the bases for the native-English reader, it comes up a little short when applied to Japan. The point that is lacking is that in the US, the "secluded from the presence or view of others" includes an element of "the others" not caring about you and your activities. In overgrown-village Japan, this part – and most of the others too – are missing.
The obvious: You make an appointment and then go to the physician's office to get checked out for something. You wait in the waiting room – maybe there are one or two other people there – and finally are introduced through a thick door into the presence of the doctor who asks after your condition. You share the private information about your illness or complaint. S/he checks you out, prescribes some medicine and sends you on your way.
Simple enough. So simple it seems as if no other way is actually possible.
In Japan, there are "other ways".
The usual scenario in Japan: You go into the clinic and sit in the waiting room along with quite a few other people. It is rare for a Japanese doctor to make appointments, so you just show up with your physical ailment on the day and hope that you don't have to wait too long in a room filled with coughing children. Before long, a nurse will come over to your side.
Let me outline the conversation for you. Keep in mind that the waiting room is full of people and that because you are a foreigner, everyone has taken a keen interest in you – awww.... they care.

Nurse: Good afternoon, Mr. Brown (I have turned in my health card, so they know my name.)
Me: (already starting to cringe) Uh... good afternoon...
Nurse: So... what seems to be the problem?
Me: (trying to whisper without whispering) Uh... it's this diarrhea...
Nurse: (speaking in a normal (i.e. too loud) voice) DIARRHEA?!!! HOW BAD IS IT, ACTUALLY, MR. BROWN?!!!
Me: (reverting to the whisper again) ... well.... several times a day...
Nurse: SEVERAL TIMES A DAY?!!! DO YOU HAVE ANY BLOOD IN YOUR STOOL?!!! DO YOU EXPERIENCE ANY CRAMPING, MR. BROWN?!!!
Me: (feeling the blood of profound embarrassment rushing to my face) ... well.... maybe three or four times a day... no blood... not much cramping...
Nurse: (making a note on her chart) I SEE! THREE OR FOUR TIMES A DAY BUT NO BLOOD AND ONLY A LITTLE CRAMPING!!!! HAVE YOU EATEN ANYTHING UNUSUAL OF LATE, MR. BROWN?!!!
(her voice seems to echo as if over a PA system in a stadium: ... Mr. Brown ..wn ... wn?)
Me: ... no...nothing unusual.
Nurse: WHAT COLOR IS THE DIARRHEA, MR. BROWN?!! IS IT BLACK?!! HOW ABOUT THE CONSISTENCY?!! IS IT REALLY RUNNY OR JUST RATHER SOFTER THAN USUAL?!!!
Me: (trying not to cry) ... it doesn't seem to be of an unusual color but it is very runny... like a liquid...
Nurse: (making more notes) I SEE!! NOT AN UNUSUAL COLOR, BUT IT'S VERY RUNNY LIKE A LIQUID, IS IT, MR. BROWN?!!! Here take your temperature with this thermometer. The doctor will see you shortly.
Then I sit there for 15 more minutes while everyone in the room looks at me with pity, imagining how BAD it must be for me.
A patient is not ushered into the doctor's office directly, however. The door off the main waiting room opens into a small, closet-sized, dressing cubicle with a chair. Since I do not need to disrobe, I am told to sit and wait for the doctor to call me from the inner chamber.
I sit. It's quiet. The cubicle walls are really only a partition, and the door is thin. I can hear the doctor consulting with the patient before me.
Doctor: SO IS THAT VIAGRA WORKING OK, MR. SATO?!!!
Patient: (cringing) (yes, I can hear the cringe) ...um... yes, it seems to do the trick.
Doctor: EXCELLENT!!! AND YOUR PENIS GETS NICE AND HARD, DOES IT?!!
Patient: ... it seems to work fine... yes... thank you.
Doctor: NO HEADACHES OR BLUE LIGHTS IN YOUR EYES, MR. SATO?!!
Patient: ...um...no... nothing.
Doctor: AND THEN DOES YOUR PENIS GO DOWN RIGHT AWAY AFTER YOU HAVE SEX?!!!
Patient: ... um... yes.... yes, it does.
(is he crying in there?)
Doctor: OK THEN!! I think you will be ok with this dose for a while. BUT DON'T TAKE MORE THAN ONE A DAY, OK? IF THE DOSE IS NOT ENOUGH AND YOU HAVE TROUBLE WITH YOUR PENIS AGAIN, MR. SATO, I WILL PRESCRIBE A BIGGER AMOUNT!!!
Patient: ... thank you, doctor.
And he exits from a second door out of the doctor's office.
Doctor: MR. BROWN?!!
And you can imagine the rest. When it is all over with the doctor, I retreat to the waiting room, trying hard not to look for Mr. Sato, and hoping I am called to pay my bill, before the next patient after me comes back into the waiting room.
Maybe Japanese really "don't care", but I don't think so. In a culture where the word "privacy" itself did not exist until English came along and where rooms in homes were commonly partitioned by thin, paper doors, the concept of privacy as the West knows it is weak, and the need to pretend not to hear is strong. It is this pretense of not hearing that is the difference. People hear – often with great interest, but they pretend not to have heard to save face for everyone concerned – even the embarrassed, red-faced foreigner, me.

I never hurt nobody but myself and that's nobody's business but my own.
Billie Holiday
– – – – – – – – – – – – – – – – – – – – – –
Answers and scoring for the last post, Guess That Thing:
1. We’re
b. car

2. BM
d. coffee drink

3. Sting
a. chewing gum

4. That’s
a. car

5. Bow Dom Bow! Bow!
a. condom

6. Naked
c. car

7. No Time
b. sugarless chewing gum

8. HiLux Surf
c. car

9. Hard Off
d. used goods store

10. Guppy
c. car

11. FibeMini
d. high fiber drink

12. Ipsum
a. car

13. Today Humming
b. small car

14. Pork Joy
b. gardening gloves

15. Soft in One
a. shampoo with conditioner

16. Winky Soft
b. non-dairy creamer

17. Legnum
a. car

18. Fresh Mate Touch
c. a moist towelette

19. VOICE
b. car

20. Ist (pronounced eesto)
a. car

How to score:
17 or more correct : you have lived in Japan way too long!
14~16: aim for a job in a Japanese advertising company!
11~15: maybe some latent Japanese DNA?
6~10: I donno... ESP?
5 or less: um... hate to break this to you, but 1 out of 4 is what a pigeon would get.

4 comments:

  1. In making this stuff easier on the eyes to read, I deleted a couple of comments. Sorry 'bout that!

    ReplyDelete
  2. I only got 5 of the answers correct from "Guess That Thing"... I'm a bit disappointed in myself.

    Oh, and the whole diarrhea discussion in public? BEEN THERE! Or how about having to fill a tiny paper cup with urine in front of 10 other guys? I HATE "ningen dokku"!

    Are you still using the "keiwa" email address?

    Oh, and one more thing... I found a website on how to make your own "kitty crack"
    http://www.instructables.com/id/DIY-Kitty-Crack%3a--ultra-potent-catnip-extract/
    Just what Pickle needs... ;)

    ReplyDelete
  3. 5 answers correct.... what can I say? And "ningen dokku"!! Sounds like another blog. :-) The keiwa email is good until the end of this academic year, but I will be warning people.
    And RE: the meth-nip factory... sounds like a winner! They love the matatabi liquor!

    ReplyDelete
  4. looool! so funny!
    it's very hard not to laugh at office!

    i thought "privacy" is more severe in Japan. ppl are very sensitive to handle private info, i.e. name, residential address...etc, but not in hospital???

    now i've started feeling scared to go clinic in Japan.. :-X

    ReplyDelete