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Going to the Doctor in Japan
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elkarlo



Joined: 08 Dec 2008
Posts: 240
Location: Maryland

PostPosted: Mon Feb 16, 2009 2:24 pm    Post subject: Going to the Doctor in Japan Reply with quote

I live a wild and fast lifestyle, well one that doesn't involve the gay clubs Rolling Eyes in case you're wondering.

I hear a lot about Japanese docs, giving out junky "medicine" and such. Or that the problem is that the patient is fat. Recently I froze my shoulder, and had to get some injections to fix it up. If that happened in Japan, would I be able to get injections or an actual cure? or would I get some weak aspirin, and told to go on a diet?

I have gotten to the point where I know a good deal of medical terms, and can converse with the doc, and get what I need, with little side trips or second visits.

What can i expect from Japanese doctors, especially when I have an injury?
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Glenski



Joined: 15 Jan 2003
Posts: 12844
Location: Hokkaido, JAPAN

PostPosted: Mon Feb 16, 2009 9:44 pm    Post subject: Reply with quote

What does "junky" mean? Asian herbal medicine? Voodoo? Placebos? Dosages in Japan are lower than in the west, so many people complain the medicine doesn't work as well, and I suspect this is one cause.

As for hearing that doctors blame patients' problems on being fat, totally ridiculous. Who feeds you (no pun intended) this cr@p, anyway?

If you are working here and have medical insurance, you can expect to get treated. Specific treatment depends on the diagnosis. Pre-existing conditions are usually not covered, so don't say much about getting injections for this.
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JL



Joined: 26 Oct 2008
Posts: 241
Location: Las Vegas, NV USA

PostPosted: Mon Feb 16, 2009 10:03 pm    Post subject: Re: Going to the Doctor in Japan Reply with quote

elkarlo wrote:
I live a wild and fast lifestyle...

Can't say I'm surprised to hear this. This forum has definitely become a more fun place since you've come on board!

elkarlo wrote:
... well one that doesn't involve the gay clubs Rolling Eyes in case you're wondering.

Methinks the one in the Tapout short shorts doth protest too much! JUST KIDDING!! Wink

Okay, to seriously answer your question, I'll give you my own experiences, and then others can give theirs. Hopefully you'll get a balanced idea. In my case, Japanese pain killer dosages are, by far, too weak. I don't even drink alcohol. But I always would have to double or triple up on the prescribed amount. Now, the ways the system works in Japan, doctors often have a gray-area relationship with nearby pharmacies. Let's just say that there are "financial incentives" for the doctors to prescribe as many different kinds of medications as possible. It becomes such a joke, that often a stomach medication is also prescribed, to accomodate all the other medications being ingested. So I think you'll have no problem getting oral medications prescribed to you. In fact, you probably end up not taking all of them. But for the ones you like, you'll have to work with your doctor to make sure you're getting dosages that are effective for you.

As for injections (you mean, like coritsone?), somebody else will have to speak up about that, because I have no experience with that. I suffer from severe allergies. And of course, over the years, I or my children, had various different maladies for which we were treated. I'd have to visit a few different doctors before I could find one that clicked with me. But in the end, I could. Frankly, that's probably the case in any country.

Also, some physical therapists are able to treat sports injuries under the national health plan, while others aren't. Naturally, you'll want to locate those who can. Then you'll get all kinds of massages and heat treatments under the health plan's umbrella. And if you're lucky, the therapist will let you wear your MMA spandex during the massage sessions!
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Apsara



Joined: 20 Sep 2005
Posts: 2142
Location: Tokyo, Japan

PostPosted: Mon Feb 16, 2009 11:40 pm    Post subject: Reply with quote

I was unimpressed with my first visits to an ordinary hospital clinic and dentist here when I first came to Japan, so being the chicken that I am, ever since then I have only gone to clinics aimed at expats- both my GP and dermatologist are in clinics in Roppongi, and I also go to a dentist who speaks English and trained overseas.

The language barrier isn't as much of an issue these days, but I dislike the way most dentists here will have you come back over and over just to get a filling or have your teeth cleaned- I want to have it all over and done with in one visit.

Being a bit of a light-weight I find that Japanese medicine dosages are plenty strong enough for me, but other people say this isn't the case for them. I did wonder why I needed 3 different kinds of medication for an earache and why some of them weren't labelled at all- just anonymous white powders.

I hate going to the doctor in any case and will stay away until I absolutely have to go for something (only three times in the last 8 years), so it makes me feel better somehow if I can see an English-speaking doctor. Living out in the wilds of Chiba there you might not want to come all the way into central Tokyo though, which is where most of them are. Many of them also do not accept National Health Insurance.
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natsume



Joined: 24 Apr 2006
Posts: 409
Location: Chongqing, China

PostPosted: Mon Feb 16, 2009 11:42 pm    Post subject: Reply with quote

I've been lucky, I know, but my experience here has been a vast improvement over the HMO hacks I had gotten used to in the states. My general practicioner diagnosed an endocrinological problem that had been misdiagnosed, and actually mistreated medicinally, by my doctor in California for a number of years. He sent me to an endocrinologist who speaks English and regularly attends conferences in the states, and after about 14 months of proper attention and treatment the problem is nearly resolved.

Yes, both of my doctors tell me I need to lose some weight, but they are using the same body mass index my doctors in the states used. When I saw the GP recently, I had a cold, and mentioned the flu bug that was sweeping my school, and he asked me if I wanted to test for the flu virus, which I didn't, but the point is, he gave me a choice.

Both of my doctors are very patient, take great pains to explain things to me in detail (my GP and I make do with our language limitations), and I never feel rushed. I feel far more taken care of here, medically, than I have in many, many years.

Again, I know I have been lucky, but I'm just saying, it can happen.

I hope I am not now accused of living in a magical never never land full of rainbows and unicorns.
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elkarlo



Joined: 08 Dec 2008
Posts: 240
Location: Maryland

PostPosted: Tue Feb 17, 2009 2:19 am    Post subject: Reply with quote

Glenski wrote:
What does "junky" mean? Asian herbal medicine? Voodoo? Placebos? Dosages in Japan are lower than in the west, so many people complain the medicine doesn't work as well, and I suspect this is one cause.

As for hearing that doctors blame patients' problems on being fat, totally ridiculous. Who feeds you (no pun intended) this cr@p, anyway?

If you are working here and have medical insurance, you can expect to get treated. Specific treatment depends on the diagnosis. Pre-existing conditions are usually not covered, so don't say much about getting injections for this.


Gaijin smash told me. By junky I mean prescribing inappropriate medicines. I have read many a story where in Japan a person did not get the treatment needed.

Not preexisting. I injured myself. Wrestling and the such will do that to a person, especially when one tries to go up several weightclasses.
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elkarlo



Joined: 08 Dec 2008
Posts: 240
Location: Maryland

PostPosted: Tue Feb 17, 2009 2:31 am    Post subject: Re: Going to the Doctor in Japan Reply with quote

JL wrote:
elkarlo wrote:
I live a wild and fast lifestyle...

Can't say I'm surprised to hear this. This forum has definitely become a more fun place since you've come on board!

elkarlo wrote:
... well one that doesn't involve the gay clubs Rolling Eyes in case you're wondering.

Methinks the one in the Tapout short shorts doth protest too much! JUST KIDDING!! Wink

Okay, to seriously answer your question, I'll give you my own experiences, and then others can give theirs. Hopefully you'll get a balanced idea. In my case, Japanese pain killer dosages are, by far, too weak. I don't even drink alcohol. But I always would have to double or triple up on the prescribed amount. Now, the ways the system works in Japan, doctors often have a gray-area relationship with nearby pharmacies. Let's just say that there are "financial incentives" for the doctors to prescribe as many different kinds of medications as possible. It becomes such a joke, that often a stomach medication is also prescribed, to accomodate all the other medications being ingested. So I think you'll have no problem getting oral medications prescribed to you. In fact, you probably end up not taking all of them. But for the ones you like, you'll have to work with your doctor to make sure you're getting dosages that are effective for you.

As for injections (you mean, like coritsone?), somebody else will have to speak up about that, because I have no experience with that. I suffer from severe allergies. And of course, over the years, I or my children, had various different maladies for which we were treated. I'd have to visit a few different doctors before I could find one that clicked with me. But in the end, I could. Frankly, that's probably the case in any country.

Also, some physical therapists are able to treat sports injuries under the national health plan, while others aren't. Naturally, you'll want to locate those who can. Then you'll get all kinds of massages and heat treatments under the health plan's umbrella. And if you're lucky, the therapist will let you wear your MMA spandex during the massage sessions!


Well JL you're a special snowflake too. I bet your mom told you you that you were the coolest kid in school, like mine did. It's my Mazda Miata with the rainbow bumpersticker that makes me gay, not the Tapout shirt :p

Ah I see, so they have the oldschool relationship with the drug companies, I can see that. As to what you said in the same paragraph, I have to strike up the same relationship. I guess that is the way it works in this world. I had to walk a doctor threw draining my cauliflower ear. She thought it was some sort of infection.

Not Cortisone, it was Lidocane, it was to reduce the swelling and spasms. Nothing too serious, just some impact put my shoulder in a bad mood.

Ooh being allergic is tough enough, but to have to read in a different langauge to see if something will mess you up must be tough. Did you also go to an Alergist?

The ability to get PT done is always a great option. Especially when I can wear my short shorts there Very Happy

Oh what did you do about that awful Cider pollen? I took some Japanese allergy medicine, that would either not work, or I had to triple the dose, and it forced me to nap in the library instead of going to class.
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Apsara



Joined: 20 Sep 2005
Posts: 2142
Location: Tokyo, Japan

PostPosted: Tue Feb 17, 2009 2:39 am    Post subject: Reply with quote

Cider pollen? You mean pollen from fermented apple liquor? I think you mean cedar pollen (sorry, couldn't resist, it's the proofreader in me Wink)

I am lucky enough not to be affected much by it, even after years here, although there's something in autumn that makes me sneezy. Friends of mine are affected so badly by the cedar pollen though that they leave the country for a month or more at this time.
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elkarlo



Joined: 08 Dec 2008
Posts: 240
Location: Maryland

PostPosted: Tue Feb 17, 2009 2:41 am    Post subject: Reply with quote

Apsara wrote:
I was unimpressed with my first visits to an ordinary hospital clinic and dentist here when I first came to Japan, so being the chicken that I am, ever since then I have only gone to clinics aimed at expats- both my GP and dermatologist are in clinics in Roppongi, and I also go to a dentist who speaks English and trained overseas.

The language barrier isn't as much of an issue these days, but I dislike the way most dentists here will have you come back over and over just to get a filling or have your teeth cleaned- I want to have it all over and done with in one visit.

Being a bit of a light-weight I find that Japanese medicine dosages are plenty strong enough for me, but other people say this isn't the case for them. I did wonder why I needed 3 different kinds of medication for an earache and why some of them weren't labelled at all- just anonymous white powders.

I hate going to the doctor in any case and will stay away until I absolutely have to go for something (only three times in the last 8 years), so it makes me feel better somehow if I can see an English-speaking doctor. Living out in the wilds of Chiba there you might not want to come all the way into central Tokyo though, which is where most of them are. Many of them also do not accept National Health Insurance.


Well good thing I don't care about my teeth. In all seriousness if my cakihoudai catches up with me, I will PM you for a good Dentist. I don't want to go on a Odyssy tryng to find and figure out a dentist that knows that my sugar consumption leads to cavaities.

Are you able to lookup Japanese prescriptions? Or do they have crazy names that are brand names, and have no description?

Well depending on how much I need to go to a doctor/dentist I may mosey into Tokyo or Yokohama. It's not nearly as far as you'd think by rowboat=0

Thanks for the help.
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elkarlo



Joined: 08 Dec 2008
Posts: 240
Location: Maryland

PostPosted: Tue Feb 17, 2009 2:51 am    Post subject: Reply with quote

natsume wrote:
I've been lucky, I know, but my experience here has been a vast improvement over the HMO hacks I had gotten used to in the states. My general practicioner diagnosed an endocrinological problem that had been misdiagnosed, and actually mistreated medicinally, by my doctor in California for a number of years. He sent me to an endocrinologist who speaks English and regularly attends conferences in the states, and after about 14 months of proper attention and treatment the problem is nearly resolved.

Yes, both of my doctors tell me I need to lose some weight, but they are using the same body mass index my doctors in the states used. When I saw the GP recently, I had a cold, and mentioned the flu bug that was sweeping my school, and he asked me if I wanted to test for the flu virus, which I didn't, but the point is, he gave me a choice.

Both of my doctors are very patient, take great pains to explain things to me in detail (my GP and I make do with our language limitations), and I never feel rushed. I feel far more taken care of here, medically, than I have in many, many years.

Again, I know I have been lucky, but I'm just saying, it can happen.

I hope I am not now accused of living in a magical never never land full of rainbows and unicorns.


Look I don't take advice from people whose mode of transportation involves Unicorns and rainbow slides. I don't take sassafras from no one

Did you have Kaiser by any chance in the States? They're an evil corporation for sure.

I do like how you doc gave you a choice. That gives me hope that as a silly gaijin I can still be listened to, despite me just pointing to words in a dictionary. You also don't have the 5 minutes and that's all you get to see the Doc for treatment, or so it seems.
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elkarlo



Joined: 08 Dec 2008
Posts: 240
Location: Maryland

PostPosted: Tue Feb 17, 2009 2:57 am    Post subject: Reply with quote

Apsara wrote:
Cider pollen? You mean pollen from fermented apple liquor? I think you mean cedar pollen (sorry, couldn't resist, it's the proofreader in me Wink)

I am lucky enough not to be affected much by it, even after years here, although there's something in autumn that makes me sneezy. Friends of mine are affected so badly by the cedar pollen though that they leave the country for a month or more at this time.


No I meant the drink, it's a terrible affliction. Don't make me admit I'm wrong Evil or Very Mad

Wow hey have to ditch out for a month? They must get it something awful. I think it really got me in April or so, maybe early May. I had 20 minute long sneezing bouts. Not so much fun. My Mom sent me some me some clariton D. That seems to have allowed me to function like a person again.
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JL



Joined: 26 Oct 2008
Posts: 241
Location: Las Vegas, NV USA

PostPosted: Tue Feb 17, 2009 4:28 am    Post subject: Reply with quote

I've found myself commenting quite a bit on many of the negative aspects of Japan, recently. So I won't dwell on this. But I've had the exact same experience as Apsara at the dentist. Thirteen (13!) visits to have a tooth repaired --and no apparent end in sight until I finally put my foot down. And I could go on about things like this, and worse, but I'll abstain. Just try out different doctors, dentists, etc. until you find ones with whom you feel you have a repport. That way, at least you'll "believe" you're receiving good treatment. Confused
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elkarlo



Joined: 08 Dec 2008
Posts: 240
Location: Maryland

PostPosted: Tue Feb 17, 2009 4:35 am    Post subject: Reply with quote

JL wrote:
I've found myself commenting quite a bit on many of the negative aspects of Japan, recently. So I won't dwell on this. But I've had the exact same experience as Apsara at the dentist. Thirteen (13!) visits to have a tooth repaired --and no apparent end in sight until I finally put my foot down. And I could go on about things like this, and worse, but I'll abstain. Just try out different doctors, dentists, etc. until you find ones with whom you feel you have a repport. That way, at least you'll "believe" you're receiving good treatment. Confused


I got you. I don't like to dwell or I get negative. I like to know stuff, and be informed though. So thanks for the info, 13 visits seems excessive. That's a lot of either time off, or coming home super late. Boo on that nonsense,

I'll be happy as long as if I go in with the flu, and hey put me on a diet.
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Glenski



Joined: 15 Jan 2003
Posts: 12844
Location: Hokkaido, JAPAN

PostPosted: Tue Feb 17, 2009 5:01 am    Post subject: Reply with quote

elkarlo wrote:
Gaijin smash told me. By junky I mean prescribing inappropriate medicines. I have read many a story where in Japan a person did not get the treatment needed.
This happens everywhere, not just in Japan. Don't point too many fingers.

What I love is what was mentioned above. That is, every prescription comes with something to settle your stomach. Uh, why? Is the other medicine that harsh despite lower dosages? Oh, well.

Quote:
Not preexisting. I injured myself. Wrestling and the such will do that to a person, especially when one tries to go up several weightclasses.
By preexisting, I mean you had treatment and diagnosis elsewhere before you went to the J doctor.

It's like diabetes. If you have it, then come to Japan and just ask for insulin, you have to be diagnosed first. At least that's the experience of a friend.

As for dentist visits, people have reported that they just tell the dentist they want something done without a lot of visits, and the dentist complies. You just have to ask.

Regarding presciptions, there is no "gray area". It's a clear link, if you want to call it kickback or not. And, yes, I also believe that they prescribe tons partly for that kickback.

Isn't it nice, though, that because the average consultation with a doctor here takes an average of 2-3 minutes talking time, the government has just upped that to a mandatory 5 minutes?!
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JL



Joined: 26 Oct 2008
Posts: 241
Location: Las Vegas, NV USA

PostPosted: Tue Feb 17, 2009 5:39 am    Post subject: Reply with quote

Glenski wrote:

Regarding presciptions, there is no "gray area". It's a clear link, if you want to call it kickback or not. And, yes, I also believe that they prescribe tons partly for that kickback.


By saying "gray area", maybe I didn't use the best possible euphemism. For readers of this thread who are still learning the ways of Japanese society, it is true that these compensatory arrangements are not illegal (at least I think they still aren't. If they're now proscribed, that's news to me.) But I, and others, happen to consider them highly unethical, for obvious reasons. And when pressed, many doctors admit this. But as payments for office visits and treatments are regulated, this supplementary source of physician / clinic income, is tolerated. A very strong doctor's lobby keep this in place. Same can be said for the dentist's lobby. Every time the Health Ministry tries to introduce fluoride into the drinking water, it gets quashed.

In all fairness to Japan, however, I'd have to say that America's lack of any health care for over 40,000,000 citizens is a travesty. And I understand that waits treatment for non-life threatening conditions in places like Canada or the UK, can be exasperatingly long. The Japanese system has its warts. But whose doesn't, these days?
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