Published by Patrick Sharbaugh on 27 Dec 2007
Don’t Panic
“It is a common practice over there to offer each other a cigarette as daily greetings.”
“So I heard. Cigarettes are offered to the other to express friendliness and affection.”
I stood in front of the machine and read the sign again, just to be sure. Outside the dimly lit lobby, another cold, gray morning in Fukui, Japan was underway. The sky coughed with thunder, sending sleet and rain skittering down upon the pavement in freezing waves. Was I even in the right place? I wasn’t sure. It seemed like it could be the right place, if maybe a little grimier than I’d expected. And there was also the issue of the vending machine.
“It is a common practice over there to offer each other a cigarette as daily greetings.”
Packs of cigarettes receded in orderly rows behind the plexiglass facade. The words were in English. But the cigarettes, the vending machine, and the building we all occupied were unarguably Japanese. The existence of a vending machine that sold cigarettes was not surprising by itself; if anything, it was a visible reminder that I was still in Japan, where anything and everything from cellphone cases to contact lenses to lightly worn women’s underwear is sold in a vending machine somewhere. Of cigarette vending machines I’d already seen thousands in this country, so I was unimpressed by the one in front of me. It was the sign on it that had captured my attention.
Over there where?
Maybe this was some Japanese vending machine marketing guy’s idea of a clever way to sell cigarettes to Americans. If so, I thought, it wasn’t really very clever, was it? Americans by and large being from America, we’d know it if a part of our daily greeting involved being affectionately offered a cigarette by everyone we ran into. Conversely, maybe it was an American marketing guy’s idea of a clever way to sell cigarettes to Japanese people. If so, I thought, not only was it not clever, it was positively pathetic. The number of Japanese people who could read this exchange in English was microscopic to begin with. Subtract from those the number dim-witted enough to believe it, to the point where they’d actually be motivated to buy a pack of cigarettes and offer one to someone in a gesture of goodwill, and you probably couldn’t fill a small elevator.
I read the sign once again. The English wasn’t bad. Actually, it was not bad enough, I began to think, to have been written by a Japanese marketing guy, whose command of written English, in my experience, is rarely above disastrous. Though, to make up for it, the result is almost always entertaining. This was neither disastrous nor particularly entertaining, though I was willing to give marks for audacious and bewildering.
Standing there, scratching my head over an imagined conversation between two fictional foreign smokers of cigarettes living in an anonymous marketing salaryman’s head, I realized I was letting myself be distracted from the more germane point at hand, which was that no person should have to grapple with the near-term prospects of his own mortality in a hospital which has a cigarette vending machine in its lobby.
This would seem obvious. Yet on the other hand, here I was, standing in a hospital lobby, or what I thought to be a hospital lobby, about to walk upstairs to see a Japanese physician and in all likelihood learn that I had a life-threatening illness, while one floor below me there stood a cigarette vending machine with a sign on it encouraging people to inhale carcinogens together in the name of fellowship.
Obviously, I was stalling. Not even in the subconscious sense but in the full awareness that I was doing so, I lingered in the moldy lobby while a mixture of ice and rain spattered down outside. Fukui has been described to me on several occasions as “the Kansas of Japan.” I’ve also heard it likened to certain unflattering regions of human anatomy. Whenever I mention to someone in another part of the country that it’s where I’m living while I’m in Japan, I always seem to get a subtly cocked eyebrow in response, as if I’d told a Canadian I’m using Iqualuit as a home base while visiting his homeland. I was beginning to realize, however, that what Fukui lacks in metropolitan flair it more than makes up for in rain. It had rained virtually every day for the past three weeks. When I ask locals if it always rains this much in Fukui during winter, I’m usually told, “Yes, but in January it turns to snow,” which I think is meant to be comforting.
*
Please let it not be too deadly an affliction, I thought as I worked up the courage to go upstairs and begin waiting. I’d spent some time preparing myself for a variety of outcomes to my visit, and I thought I might be capable of receiving with a measure of dignity and grace all but a few of the worst possible diagnoses that could be handed down that morning. On the other hand, who knew? I might collapse into a wailing fit of hysterics and soil myself when the verdict was read, there’s no way to tell until the moment’s upon you.
A week previously, I’d begun to experience a slight soreness in the muscles around my left shoulder blade and within my armpit, and the skin of my shoulder and upper arm had become sensitive and painful, as if suffering from razor burn. At the same time I’d begun to notice when I was very still a regular pattern of short, sharp, small bursts of pain inside my chest, high and slightly to the left, roughly in a region that I imagined to be filled with critically important blood-delivery systems like aortas and ventricles and arteries. In fact, it had occurred to me that there are almost no unuseful organs located in the upper left chest region, as opposed to an area like the lower intestines, which seems to be a bit of a junkyard for old and antiquated bits of biology, a region in which short bursts of discomfort are a regular occurrence, hardly cause for alarm or any action more decisive than reaching for a laxative.
Also, I’d always been healthy as a horse, preternaturally lucky when it came to my physical well-being. I’d never broken a bone in my life, not even as a death-courting, high-school-football-playing adolescent. I’d never been on any medication stronger than antibiotics, never even had my wisdom teeth out. Once, when I was in college, I was diagnosed with mononucleosis at the university health clinic. Yet afterward I showed no signs at all of fever, sore throat, muscle soreness or fatigue (though none of this worked to my benefit with my girlfriend at the time). I could count the number of days I’d lost to flu in my life on two hands, with fingers to spare. All my grandparents had lived at least into their eighties, two of them into their nineties. I’d waltzed through my entire medical history with the carelessness and confidence of someone who knows he’s charmed.
But the mind of a man who has recently rounded 40 is different from the mind of a man in his 20s or 30s. And the mind of an uninsured man who is past 40, one who hasn’t had a regular physical exam probably since a Democrat was in the White House, is infinitely more different still. So it was understandable that a pattern of even small short pains in my upper left chest region would command my full and undivided attention.




