18 August, 2021

On the edge of ordinary on the medical scene

Looking at July and August, all I've written about on this blog is holidays and camping! Anyone would think I've done nothing else. I actually only had 16 official days of holidays in those two months. Since we got back from holidays in mid July I've been at my desk most of each work day (aside from those two days of camping a couple of weeks back). It's always a challenging time of year to work, although as the boys grow older it's become much less of a problem. They are no longer running around the house during their holidays, demanding my attention at random times, so I've got a lot more headspace to devote to work.

David went back to work officially on Monday, so this week is looking more like business as usual, except that I've got two big boys sleeping away much of the day (yes, they are pretty nocturnal at the moment). When I say "officially", David's actually been in and out of school many days in the last fortnight. And he's been on his computer doing email and other admin things for a period most days, not to mention three Zoom meetings/training with OMF last week. Plus, he's been working on a project of digitalising a portion of his work that has existed on index cards that have been collected by dozens of teachers over the last few decades. So, I've not been alone in working at home here!

We do as much of our medical care as we
can in Japanese, but for some things we 
really need English service providers for.
We're thankful for the doctor near this
station who has been caring for one of our
sons over the last 2 ½ years.

In addition to that, we've been doing a few medical things. I wanted to write a bit about one of them—a visit to a dermatologist.

When you live in your home country you don't think about how the medical things that happen there are (sometimes) specific to your country. Of course you might think about how accessing medical care in another language is hard (and it is!), but I've got a different type of example you might not have thought about.

Skin cancer isn't common here

Australia has the highest rate of skin cancer in the world for men (not women, though we're close to the top of the list). Japan is not even in the top 20 countries in this list. But Japan is third on the list for stomach cancer and Australia doesn't feature in the top 20. (This data is from here.) 

These are interesting statistics, but the rubber hits the ground when you are not living in your home country. In Australia skin cancer is high on the list of things that your local GP will check if you ask them to (and in fact we've been told that the average Australian GP is better informed about skin cancer than the average dermatologist in Japan). Plus, there are many easily accessible skin cancer clinics that will give you a regular full body check. By contrast, in Japan, there aren't such clinics. And at annual government-funded medicals in Japan, they check for bowel and stomach cancer, but skin cancer isn't on the radar.

It just so happens that my husband has a family medical history (and now a personal history) of skin cancer, and so this is definitely on our radar as he gets older. I'm very grateful, therefore, that we live in one of the largest metropolises in the world. It's possible to find unusual services, like a doctor who has read up on skin cancer in Australia and is willing to "colour outside the lines" with foreign patients who have different skin and had different environment growing up to most of the Japanese population. It's not covered by our Japanese health insurance, but it's an awful lot cheaper and easier than going to Australia. It really is another example of how we live "on the edge of ordinary".

And life continues on...

Aside from all that, we're living pretty quiet lives here and trying not to be too stressed by the news of what's going on in the rest of the world. The pandemic is raging in Japan (between 15,000 and 20,000 new cases a day in the last few days, around 5,000 of those in Tokyo) and we're doing essentials, but otherwise at home. We're thankful that Japan is working hard to vaccinate—nearly 50% of the population has had one jab, that's 60 million people since they began in mid February. Maybe by summer next year Australia will welcome us back for a couple of months without requiring us to quarantine in a hotel at our own expense?

School (CAJ) starts the new school year for students from next Tuesday. I'm still coming to grips with the fact that we'll only have one at school this year. We're not sure what the year will look like for our middle son, but we're glad we have the means to be able to support him at this transition time of life, to give him a chance to figure things out.


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