For foreigners living here, a trip to the doctor can be a bit bewildering. So for the scoop on what to expect, read on.

Whereas in North America you would only go to a hospital for a serious problem, to see a doctor for any reason in Japan, you must go to a hospital. They do not take appointments, so you will be seen on a first come, first served basis (emergencies exempted).
Taking into account registration, waiting to see the doctor, having your prescription filled, and paying, a visit to a larger hospital may tie up half a day. At a smaller hospital, it may take an hour or so. However smaller hospitals tend to provide fewer services and are more specialized since they may be owned by a small group of doctors.

As each physician has an area of specialization, you will be asked specifically what kind of doctor you wish to see or what is your particular ailment. If you are unsure, a nurse will advise you. This can be rather embarrassing if your language skills aren't up to par and you have to use sign language to communicate your needs (Anyone know how to say, "proctologist in Japanese?")

Most doctors can speak a little English, so if your ailment is only a common cold, you can probably manage on your own. However, if the problem is more serious it's best to bring a friend who speaks Japanese. Sapporo's newest hospital, Sapporo City Hospital, has volunteer interpreters on hand. In most cases, it's best to contact the hospital before visiting to determine whether you can manage on your own. The Hokkaido-Canada Society (011-261- 7111) has a list of some English speaking physicians. Hospital operating hours and days vary, so check in advance. Some are open Saturday, which is very convenient if this is your only day off.

On arriving at the hospital, you will have to register by showing your insurance card, and if this is your first visit you will be asked to fill out some forms so you can be issued a hospital card. This may seem a nuisance at first but if you have to make repeated trips it will save a lot of time in long run. Should the doctor give you a prescription, you can have it filled by the pharmacy on site.

Before you even consider visiting a hospital, be advised; it's cash up front, so be prepared by withdrawing some cash and taking it with you. A single visit can range from 1,000 yen to 10,000 yen for tests such as X-rays or blood work. If more expensive tests are required, the bill could be 50,000 yen and up. You must pay before leaving the hospital. If you have insurance, keep your receipts, and have the doctor fill out your insurance form so you can apply for reimbursement.

You may run into the situation where, after an examination and tests the doctor has not determined the problem. In this case, you may be referred to another doctor or hospital for further tests. However, one person interviewed was told by the doctor despite several symptoms, "I don't know what is wrong, but there is no real need to worry." Another person was told, "I know North Americans like to know what is wrong, but sometimes we don't know." There are some cultural differences at play here, but if this happens to you don't be deterred from getting to the bottom of your health concern. If you remain dissatisfied, you might consider getting a second opinion.