There is a stretch of sidewalk between the train station and my house that is a bit precarious. It’s narrower than usual, it has a telephone pole right in the middle of it and on the side closest to the building it passes in front of it runs right into a tiled 45 degree slope downward that is easily double the width of the sidewalk. Often, if there is anyone else on the sidewalk, rather than struggle with the lack of space, I’ll just walk over onto the tiled slope and skip past them without issue. Of course I’ve always done this while wearing the shoes I wear all the time.

The other day it was cold and raining pretty hard when we went out and I decided to wear my snow boots because they are more waterproof and also pretty warm. I’ve never worn these in a non-snowy situation and I learned quickly that the grip on their soles is lacking. It works great in snow, not so great on wet slippery pavement. All day long I was slipping and skidding, it was not fun. Walking home at the end of the day I was tired and anxious to be off the streets when I passed this narrow spot in the sidewalk which of course had other people on it. I thoughtlessly stepped off to the side like I had a hundred times previously without remembering that this slope was tile and that I’d been slipping in my boots all day. And I went down instantly, fast and hard. My back felt tweaked, my hip clearly took a direct hit. I felt really old right away. I also immediately noticed that my right hand was completely numb and had a big abrasion along the thumb part of my palm – as that seemed to have taken the brunt of my fall when I smacked it hard into the curb. I was pretty annoyed.

I got back up and as I continued towards my house I realized that my hand wasn’t getting any feeling back and felt very ghostly when I tried to squeeze it. I could squeeze it which was great, but the numbness was lasting much longer than it should have. I was also starting to feel a little nauseous. Having broken bones before, I wasn’t excited about this particular combo. I got home and put ice on my hand and immediately started googling broken thumbs. Over the next two hours while the numbness faded and the pain kicked in I read that the symptoms of a broken thumb were very near when I was currently experiencing. That and my hand had progressed to a solid 8 on a 1 to 10 pain scale. I also read that the longer you wait before getting medical assistance with a broken thumb the more likely you’ll have lifelong side effects of it, so I decided I should go see a doctor. And because no emergency in my family ever happens during weekday business hours, it was not 8pm on a Sunday and the ER was my only real option.

I’ve never been to a doctor of any kind in Japan and was a bit apprehensive about the whole thing, though I’d been looking forward to the first time I got to use my fancy new National Health Insurance card. Heath care is socialized here in Japan and I pay $300 annually for my entire family to be a part of it. Compared against the $1000 a month we used to pay in the USA this was already an improvement but how would it work in practice? I was about to find out.

I got to the hospital and the check in receptionist spoke perfect english which was a relief as I didn’t know what to expect. The nurse he handed me off to didn’t speak a word of english though, and we had to communicate via a live translator who she called and we kept passing a phone back and forth. Apparently “I fell and I think I broke my thumb” is a new one in Japan and they kept asking me about my head, if I’d passed out today before falling or another day recently, or had been drinking. I finally conveyed to them that I didn’t hit my head, hadn’t been drinking and didn’t pass out, I simply slipped on some slippery tiles. They seemed disappointed. What a boring injury.

I was told that I’d see the specialist in about 30 minutes and about 10 minutes later he called for me. He spoke better english and went over the details with me. After looking at my now swollen hand and seeing where it hurt me when he moved it he confirmed that it was acting very much like a break, but he’d need x-rays to confirm the idea. I agreed and was whisked off to the x-ray room, which was right around the corner. When I’ve gotten x-rays in the US they cover me with lead aprons and the doctors hide behind several walls and layers of thick glass. Here, the doctor lined things up and just reached out of the room with one hand to fire the x-ray. It was so casual. The x-rays contradicted our suspicions and showed no break. This was good news. My hand was really killing me by this point though. The doc told me to keep it rested, put some ice on it and take these pain pills, then sent me home. I walked back in the door almost exactly 1 and a half hours after leaving. I also got hit with a $20 bill when leaving the hospital, a fee they were very apologetic about. There won’t be any more fees, that was the entire cost of this endeavor.

A few days later and the swelling has gone down and my hand feels much better, but I’m still amazed at how much easier the ER experience was here than eery time I’ve ever gone in the US. For comparison, even with insurance in the US, the last time I went to the ER I was there for 6 hours and walked away with “nothing wrong!” and a $5k bill that insurance didn’t help with at all because my deductible was around $10k. So, let’s just say this experience – all things considered – was pretty great.