Only in Japan: Poop Card and Other Government Paperwork

Anyone who has lived or worked in Japan will tell you that this is a country that loves their paperwork. It's the downside of their famed efficiency and attention to detail. In order to get anything done, there are myriad forms that first must be filled out, approved, and filed with the appropriate office. If it weren't for our A2 office staff, supervisor, church friends, Japanese teacher...... we'd be lost. It's is easy to get bogged down and overwhelmed.

Now that Jillian is in our lives, it seems that amount of paperwork has increased exponentially. But, in the jumble of paperwork I've submitted since Jilli's birth, the most bizarre has to be the poop card.



What is "the poop card?!" you must surely be asking yourself.

THIS is a poop card

Months and months ago, when I registered my pregnancy to get my pregnancy mark, I received a stack of paperwork to be submitted after birth. It was all pretty standard: birth announcement, application for birth certificate, stuff like that. There was was one form though that was to be submitted for her 1 month check-up. It had a list of different kinds/colors of baby poop with corresponding numbers. I was instructed to categorize my daughter's doo-doo and share the information with the government health center.

I guess I shouldn't be too surprised. This is the country that brought us the literary classic Everyone Poops (Minna Unchi by Taro Gomi), and candy like the baby gave Stephen for Valentine's Day.

The (unintentionally) funniest book I've ever read of poop.
Photo credit Wikipedia

I assume the government wanted me to submit the poop card for Jilli's health check-up. Either that, or they were trying to give a little comic relief to my bureaucracy woes.

Jilli's Foot

When Jillian was born we noticed right away there there was something different about her left foot. We were referred to an orthopedic surgeon and were given the news that Jill had a condition called clubfoot. I won't get into the nitty gritty of the condition here, but basically it means the tendons and muscles on the inside of her left foot were shorter than the outside and needed to be stretched.

Jillian's foot at 3 days old

We were shocked to find out our perfect little girl would need special treatment if she were ever to be able to walk. 

But since nothing surprises God, we trusted that He was already at work.

Since meeting our daughter and seeing her clubfoot, here's how we've seen God moving:

*Clubfoot is a correctable condition if treatment is started right away. Jillian was in her first cast at 8 days old.

*We were referred to a leading clubfoot specialist in Sapporo. 

*We realized we live in a big city that has a specialist. We don't have to travel to another town like we would if we lived somewhere else. 

*Our doctor is an English speaker and can clearly explain procedures and progress.

*My (Kathryn's) mother is an executive in a large California hospital and has provided access to double check Japanese protocol for clubfoot against American procedures, giving us peace of mind.

Even in a cast she's stinkin' adorable!

Since getting the official diagnosis at 6 days old, Jillian has had 5 casts to stretch her tendons and muscles, and 1 surgery to release the tension in her Achilles' tendon. Surgery was uneventful (which is the best kind of surgery in my opinion) and Jillian is coping with the recovery and a new cast by snuggling with Mommy and Daddy all day. 

There is still a long way to go in her treatment. After wearing this final cast for 2-3 weeks, she will wear a special brace on her feet every day for a few months and then at night for a couple years. 

Even though the situation is not ideal, we are so happy that Jillian has every chance to grow up with normal use of her feet. In the mean time, we'll continue to seek God's comfort, provision, and plan through it all.