Wednesday, June 15, 2011

Bedlets: Or, I Hope, the Last Time I'll Ever Blog About Bodily Functions

If you can't stomach a little toilet humor, feel free to skip this entry. Apologies in advance.

A while back, I wrote about my uncomfortable hospital bed. It was so hard and small that I had to put two together, which might have worked if they weren't an inch or two apart in height. During my three years here in Japan, I've had my fair share of experiences with beds.

Japanese people have traditionally slept on thin bedrolls called futons, which are much different than the futons I saw back home. Japanese futons aren't cheap, couch-like pieces of furniture that starving college students sleep on. They're basically 1 or 2 inch-thick mats that go on the tatami floors and are covered by some kind of sheet. People typically have a blanket--either a comforter a bit wider than the futon, or a beach towel-ish blanket called a towelket (a Japanese portmanteau of "towel" and "blanket"). While many people have adopted western-style beds, the majority still use futons, due in part to a lack of space in Japanese homes. Beds take up a lot of space, and can't be stuffed into the closet during the day to open up a room.

As a solution, many Japanese people purchase sofa beds. They aren't like the old sofa beds I knew growing up, where the bed folds away into a cavity underneath the couch cushions. Instead, they are typically low to the ground (like most Japanese furniture intended for sitting) and have adjustable backs, which can change from what's close to a 90% angle to a fully reclined, flat position. While not as comfortable as a pillow-top mattress with a box spring, they are often more comfortable than just sleeping on the glorified blanket otherwise known as a futon.

Last year, when Mom and Rory came to visit, they bought a sofa bed at Hard Off, a thrift store chain with a well-stocked location close to our apartment. It was a bit of a tight fit for them, but they managed to sleep better than they would have on the futons we had provided. When they left, we tried to use it as a bed, but it was a little too narrow for our liking. If we had another one about the same height, we figured, we could put them together, lay some futons on top of them, and basically have a California king bed in our room. It worked in theory.

When we actually got the second sofa bed and got it home, we found that it was actually about three inches higher than the old one. No problem, we thought. All we had to do was put another futon or two on lower one, and they'd be just about even. Doing just that, we made it work for a while, though one side of the massive bed was always firmer than the other. Eventually we got tired of the complete lack of space in our bedroom and decided that a change was in order.

We put the firmer and taller of the two sofa beds up into sofa position, and pushed it against the paper doors (partly to hide the giant holes that our kids ripped in them), moving the other one up against the base of it. We stacked the futons on to make it level, and put our pillows on the sofa section. While that configuration was quite wide, it unfortunately wasn't long enough for me. I even tried a diagonal position, but my feet always ended up on the ground. I felt like Ned from One Fish, Two Fish, Red Fish, Blue Fish.


Who am I? My name is Ned.
I do not like my little bed.
This is no good.
This is not right.
My feet stick out of bed all night.
And when I pull them in, Oh, dear!
My head sticks out of bed up here!


We ended up sleeping vertically on the lower bed, with one of us lying up against the crevice between the two beds. It was actually quite comfortable. When Mom came out last month, however, we gave her the lower bed back and kept the other one in sofa form, electing to sleep directly on the futons. It's not so bad--we sleep pretty well most of the time.

We find it a hassle to put our futons away every day, so we leave them out. This attracts all sorts of dirt and crumbs from the kids, which gets quite annoying. Also frustrating is the fact that it's much harder to get out of a bed that's laying directly on the floor than one that you can just roll out of.

Japanese people customarily sit directly on tatami (or on a zabuton, an inch-thick square mat), which I can't stand, having grown up with plush carpet and comfortable sofas. With kids, I have to be ready to get up and help at the drop of a hat. It's difficult for me to do that when I'm laying or sitting on the ground. Being such a tall guy, it takes precisely 3.74 seconds for my brain to communicate to my heart that it actually needs some blood to function. Getting up too quickly causes me to black out; I don't actually faint, but everything goes black and I momentarily lose my inhibitions. Just ask Stef or Mom--I say some pretty silly stuff in the 5-some seconds before the blood makes it to my brain.

Stef and I both agree that it will be nice to have furniture once we get back. Couches, comfortable beds, and carpet--these are all things for which the typical ex-pat yearns. We are no exception. It's neat that, as a whole, the Japanese cherish their past. But it seems so striking that in this country where technology is king, people still sleep on the floor and have paper doors.

Then there's the issue of toilets. Ah, toilets--perhaps the most stark reminder of Japan's dual nature. On one side, you've got squatters. Holes in the ground. Holes in the ground above which you must squat. There's no way to lessen the stomach-churning imagery that arises when you think of or say the word "squatter."

We've got an old apartment, so we're stuck with a squatter. It's actually a step up from the ground, and there's a good 3 feet between the step and the far wall, so we were able to use a plastic seat and convert it to a western-style toilet. It's not quite as comfortable as a standard toilet in America, but it's better than a hole in the ground.

Our friend Paul, who lives in the same building, is not so lucky. He's got the same configuration, minus about 2 feet of space. He's only got about a foot, so it's quite inconvenient for him to use. The following, I believe, was meant to be included in One Fish, Two Fish, Red Fish, Blue Fish:

Who am I? My name is Paul.
I do not like my little stall.
This is no good.
This is not right,
It's really hard to pee at night.
And when I sit, it's knees-on-wall.
I do not like my stall at all.


Most business establishments these days have a western style toilet or two to go along with the squatters, but there are still plenty of places that have yet to upgrade. Typically, if there's no western style toilet, you can just hold it until you get somewhere else. On a train, however, there's nowhere else to go. I was once faced with the misfortune of having to use a squatter on a train. It's what I believe Sam I Am was referring to when he asked:

A train! A train!
A train! A train!
Could you, would you on a train?

No. You couldn't. You wouldn't. On a train. If there's one thing worse than having to use a squatter, it's having to use a squatter on a train. Or genocide. That's also worse. Or shredding the roof of your mouth on dozens of tiny, whole dried fish that you're forced to eat in front of the children. Okay, so there are a lot of things that are worse than using a squatter. But still, pray that you never have to use a squatter on a train.

On the complete opposite end of the spectrum, you've got RoboToilet (the official name is Washlet, another portmanteau). While I was staying with Mia at the hospital, I became intimately acquainted with a toilet which, if we're not careful, could likely end up enslaving the world. When I walked in the bathroom, the toilet would sense my presence and open the top lid, ready to do business. With the simple press of a button on a separate, radio-controlled panel, I could tell it that I wasn't ready for any complicated transactions and just needed it to open all the way. When the transaction was complete, it would automatically flush, and then close after a few minutes, lest it accidentally close business in the middle of a transaction.

Some of RoboToilet's other features include water sprays with adjustable trajectories and pressure levels, as well a heated seat. It's really strange to see such an advanced toilet in one place, and then in the same hospital, have a hole in the ground. No matter how many times I use the latter, it doesn't grow on me.

That's not to say that RoboToilet is perfect. RoboToilet is so environmentally conscious that the limited space inside can cause friction in our relationship. Sometimes, at night, I'm so tired that my marksmanship takes a serious hit. As a courtesy to Stef and other people living with me, I choose to sit. With RoboToilet's auto-flush feature, the lack of "depth" toward the front of the bowl leads to some serious breaches of trust. On more than one occasion, RoboToilet decided to finish the transaction early, causing an unexpected flow of frigid water to parts best left unmentioned.

Another inconvenient part of Japanese bathrooms is the need to switch shoes. People here are always switching shoes--when you walk into a home or school, you take off your shoes and put on slippers or other shoes that you only use indoors. When you go to the bathroom, however, you have to change out of the indoor shoes and into some bathroom slippers, which are always way too small for my feet. Sometimes, when the kids are cleaning the bathrooms during their designated cleaning time, they hose down the slippers as well, making for a happy little surprise when you slip your nice, dry socks into them.

Alas, school bathrooms are pretty much the worst part about working at a school. I love kids. I can deal with rowdiness. Most everything about working at schools in Japan has become enjoyable. But bathrooms remain the most difficult challenge for me. Why? It starts with the doors.

Elementary school bathrooms rarely have doors. Anyone can and will watch you go to the bathroom. There are no half-walls to buffer each urinal, and the urinals are in plain view from the doorway, which is in the main hallway. Coworkers and students, both male and female, can see you using the urinal.

To make things worse, the bathrooms for both boys and girls sometimes have the same entrance. You switch into slippers, and then go straight into the urinals right in front of you, or go around the corner to the girls' bathroom if you're female. Either way, you've got to put the slippers on in front of a row of peeing boys. That's got to be uncomfortable for the girls.

Because they're built not just for kids, but Japanese kids, they're extremely short. So short, in fact, that the top of the flusher handle, which is connected to a pipe about 5 inches above the top of the urinal, is lower than my waist. Since I'm so tall, the only way to "hide myself" from the world is to bend my knees and hunch over. Not even this keeps kids from wanting to watch me go.

Today, I was being mobbed by a crowd of excited first graders, when I realized that I had to go to the bathroom. When some of the kids seemed ready to follow me in, I elected to use the squatter stall, even if it wasn't necessary. It was not the first time I've done that--I value my privacy.

At one of my schools, we have a couple kids with learning disabilities, including one boy with Down Syndrome. One time, while I discretely used the bathroom, this sweet boy, with absolutely no ill intentions, walked right up to me and started watching me. I asked him to let me be alone for a minute, to which he responded by sticking his face up near the small space between me and the porcelain. I was so shocked by this that I stopped what I was doing, picked him up and moved him out of the bathroom, and sharply told him to return to his class.

Another time, at the same school, a different kid from the special education class (which is directly adjacent to the bathroom) came and started chatting with me while I was trying to use the bathroom.

"Hey! It's Jesse-Sensei!"
"Yep. That's me."
"Whoa, you're tall!"
"Yep. Mind if I have a moment here?"
"So, anything come out yet?"
"Not yet. And it probably won't if you're watching me. Would you please leave me be for a moment?"

Japan's openness about using the bathroom has been eye-opening. Women have no problem discussing their level of regularity--it's a common topic of conversation. I can't count how many children's books I've seen that focus on using the toilet. Everyone Poops, perhaps the most famous children's book on the subject, was originally written in Japanese. They openly talk to kids about what they need to do to ensure that the plumbing works properly.

That's not necessarily such a bad thing--it's just so different than everything I've ever known. The only time I ever feel comfortable talking about the subject is when I'm discussing my baby's diapers or children who have wet the bed. Incidentally, as I took a short break from writing this last paragraph to change my son's diaper, he peed all over me and my bed for the first time ever. Maybe the Japanese know what they're doing. Perhaps one day, the Japanese will invent the bedlet. I know my kids would use one.

Thursday, June 9, 2011

Mia's Surgery Date

Mia's surgery was scheduled for the morning of April 21st. Stef got a ride to the hospital from Kris that morning, then came to Mia's room to hang out before the surgery. The doctors came soon after she got there, then ushered us to a room which acted like a hub between the surgery rooms and the main hall. We took a picture with Mia, then sent her off with the surgical team, telling her that we'd see her in a while. She showed no signs of being upset, though she surely had no idea what was going to happen, except that the doctors were going to "fix her heart".

We made our way back to Mia's room, where a pregnant Stef decided to pass the time resting. With Mia out of sight and in the doctors' hands, there was no way that I would get any rest, regardless of how tired I was from not sleeping at all the night before. Wanting to find some way to pass the time, I opened my computer and called family on Skype. It was nice to distract myself with uplifting conversation with people I love.

Even when you're able to distract yourself, you can never fully get an in-progress surgery out of your mind. I tried to stay positive, but even then, I still envisioned each gut-wrenching step of the process. About 45 minutes to an hour into the procedure, I thought, "Right now, she is probably fully prepped for the start of the procedure." I prayed that everything would go smoothly in each particular step of the surgery. That the surgeons' hands would be precise. That the heart bypass machine would work properly. That she wouldn't bleed too much and need a transfusion. 5 hours of doing that can seem like an eternity.

Before the surgery, Mia and I repeatedly watched a couple movies--Mary Poppins, and My Neighbor Totoro. Both movies focus on the innocence of children and their relationship with their father. In Totoro, two young girls who live with their dad while their mom is hospitalized run around and explore their new surroundings in rural Japan, letting their imaginations run wild. Before the surgery, Mia and Kelsey would run around and play together, much like Satsuki and Mei from Totoro, albeit a bit younger. Totoro became a big part of my life while in the hospital with Mia, as she would ask to watch it multiple times each day.

"What do you want to do?" I'd ask.
"I wanna watch... I wanna wanna watch.. Totoro!" she'd reply, likely looking for some sense of familiarity while stuck in such a strange setting.

It was either that or, "I wanna wanna watch... Mary Poppins!"
"Oh, you want to watch Mary Poppins again?"
"Yeah! Mary Poppins!"

I probably watched Mary Poppins thirty times while Mia was in the hospital, and I never got tired of it. The timeless music, performances, and themes of childhood, parenthood, compassion, and responsibility resonate with me. I can relate to the banker father who needs to be more loving and compassionate with his children. Causing me to reflect on the times when I've been less patient or understanding with my kids than I should be, watching Mary Poppins gave me ample time to consider how I can be a better dad.

Both movies provided me with plenty of chances to stave off thoughts of how I would deal with the loss of a child. While waiting for her surgery to end, I couldn't help but hope and pray for a time when Mia and I could do simple things together, like watch a movie. I will never be able to watch either movie, or hear a single song from them without being reminded of the profound love I feel toward my children. I hope they do and always will know that I love them.

The doctor contacted us about an hour and a half before I had expected. Mia's surgery had finished without any complications, and she was recovering in the ICU. He invited us to take a look at her. They said she'd likely spend a couple days in the ICU before being transferred back to the PHCU room where she had been before the operation.

In the ICU, Mia was sedated on a hospital bed with various tubes going into her chest, throat, and inner thigh. They left the breathing machine on for the first while so that she could ease back into using her lungs. The doctor showed us the incision on her chest, which he had intentionally made smaller than usual, and was quite a bit smaller than I had anticipated. She hadn't lost much blood during the operation, and so they hadn't needed to perform a blood transfusion (and wouldn't need to, provided that she didn't develop dangerous levels of anemia).

Stef and I asked permission to take a picture of her, then left so that they could keep administering her post-surgery treatment.

The day before Mia's surgery, I had made arrangements to stay at a special housing place for family members of patients. We expected her to be in the ICU for two nights, the second of which I would spend at the family housing place. Making arrangements was actually quite the ordeal. They sent a representative to the PHCU before the surgery to meet with me and verify with the hospital staff that my child was actually hospitalized. After filling out multiple forms (seriously, how involved does it have to be?), the housing rep explained that I'd need to contact them again during business hours the day I was going to stay. They wanted to show me exactly how to get to the building, and weren't content with drawing a map.

The next day, I had an appointment at the insurance center in Imabari, so Stef and I planned to go back home after the surgery. The hospital staff had given me information about supplemental aid from the city for children who have surgery or disabilities, and I had to go back to fill out paperwork. My appointment was set for 1 in the afternoon, so it was doubtful that I'd be back in time to meet up with the housing people. Given that I would need a place to sleep the next night, I was pretty stressed about making it back in time.

On the way out to the train station, Dr. Fumiaki Shikata, one of the members of the surgical team, accompanied us. He wanted to point us in the direction of the family housing complex, but actually ended up taking me directly to it. I called the housing rep and explained that I knew exactly where it was, and asked them to leave the key at the front desk of the PHCU.

In the end, it was all moot. The next morning, the doctor called to tell me that Mia was recovering quickly and was ready to be transferred back to the PHCU after just one night in the ICU. Also, I don't know how necessary it was to get that aid, since Mia's hospital bills are fully covered until age 6 by our Japanese health insurance. Even though I may have wasted a few hundred yen and some time, it was certainly nice to sleep in my own bed that night.

I needed the rest for what was about to come.