Please don't rearrange our shoes when we turn up, paramedics in Japan urge (theguardian.com)

119 points by high_na_euv 4 days ago

purpleidea 3 hours ago

In Canada, we wear steel-toe, steel-shank safety boots, and we're kind of required to keep them on. We surely give them a good clunk to get rid of mud or snow, particularly in the winter, and we try to wipe our feet as much as possible when it's not a dire emergency, but you called 911, so... your floor is going to get dirty. Might already have blood on it anyways.

embedding-shape an hour ago

Same, even in countries I live/lived where not taking off shoes indoors is borderline a social crime, paramedics, emergency services and even craftspeople/tradespeople would typically not take off their shoes when entering your home.

Personally I got so tired of it we got those "one-use blue shoe covers" that we tell them to wear before going in, but of course I don't think either of us would think about that if we called for emergency services.

swiftcoder 4 hours ago

It is mind blowing to me that the shoes-off-inside rule is so deeply entrenched that emergency responders remove their shoes at the front door

arjie 4 hours ago

When I was a child in India, I was taught (not by my parents, by the societal milieu I suppose) to not let the (soles of?) my feet touch a book or a bag that contains books of knowledge. In any case, the behavior is a strongly trained habit so I feel compelled to do it. I do not choose or or not choose to do it. It is close to an automatic behavior, something like wrinkling one’s nose at a bad smell or so on.

I was not brought up in a religious household and have never been a follower of any known religion. And I do not have any belief tied to this behavior. It is an oddity of my being that I accept.

Isn’t it interesting how one can be conditioned so? I sometimes wonder if alcoholics or drug addicts feel this way.

Perhaps the Japanese feel this way about their cultural quirk in the way I feel about mine.

fakedang 4 hours ago

Most (literate, educated) Indians have been trained the same, and it has very little to do with religion. When you do accidentally step on a book though, each religion has their own format - Hindus touch the book then touch their head then chest in penance, Muslims lightly kiss the book or touch the book/bag and kiss their hand, Christians touch the book and cross themselves.

This is something I've noticed is uniquely culturally Indian, and transcends all religions. Which is beautiful.

I was once whacked in the head by a teacher for throwing a book onto the shelf, and rightly so.

tomasGiden an hour ago

djeastm an hour ago

arjie 3 hours ago

cromka 2 hours ago

Yes, I think that it's a good example where politeness and respect ingrained in society can be taken a step too far. I don't want my rescuers waste 30-45s on taking shoes off and after I had a stroke and minutes decide whether or not I ended up with a permanent brain damage...

makeitdouble 2 hours ago

TBF getting shoes on and off is literally 2s.

There's photos in the article, those aren't dress shoes with laces to be done and undone, they're fit for the purpose.

Also in cases where it's really dire they'll just step in with shoes on, it's just extremely rare and it might actually be another team altogether, operating under a different protocol.

embedding-shape 42 minutes ago

makeitdouble 2 hours ago

These people will handle emergencies, but at a notch or two below fully equiped firefighters breaking the door and ready to deal with everything falling apart.

For instance for an elderly couple living together but both being pretty weak, if one's oxygen level was falling they probably couldn't get to the hospital for a full checkup by themselves. They'll call for help, these people will come, fit the patient with anything needed to safely make the trip, and move them out of the appartment to the nearest hospital.

There will be no need to trash the floor in precipitation, and they might spend some time in the appartement to properly access the situation and make it safe. They'll still want to be able to evacuate the person quickly if/when needed, but there will be a lot more to consider as well.

shdon 8 hours ago

In Dutch culture it is far more common to keep shoes on literally everywhere, so perhaps I'm biased, but I would think that in an emergency where every second counts, these people can be forgiven for not adhering to the strictest etiquette?

I'm not surprised the person last mentioned in the article, who suggests exactly that, got 800 likes on their comment. I am surprised that it even needed to be said.

Now I'm suddenly wondering (probably stupidly) whether firefighters also take their shoes off when entering a burning building.

socalgal2 2 hours ago

Obviously, in an emergency, yea, keep them on. That said,

> In Dutch culture it is far more common to keep shoes on literally everywhere

It is in many cultures, including my own family's, but having gotten used to taking them off from living in Japan, I find it extremely strange taking them off is not more common.

It feel similar to doctors refusing to wash their hands during surgery, though I get I'm not doing surgery.

https://en.wikipedia.org/wiki/Ignaz_Semmelweis

I never thought about it growing up but once I got used to it I can believe I used to walk across my house carpet in shoes that had dog shit, grease, and other grim in them, and then later lie on my floor and watch TV or whatever. I don't get why people don't see that and get grossed out more.

Sure, if they were covered in mud or feces then I'd take then off but for small amounts I wouldn't notice. Why that doesn't matter to more people seems more strange to me than the status quo.

hbcdbff 42 minutes ago

I also take my shoes and off and find it gross when people don’t.

That said, I don’t think it’s really rational. Our houses are full of bacteria and dirt one way or another anyway. It’s impossible to avoid that without having some kind of airlock equipped with a shower in your porch.

embedding-shape 37 minutes ago

wodenokoto 8 hours ago

I think we can roughly split paramedic visits into “patient needs to get out ASAP” and patient can’t get out alone or with help of friends and family”, so I would hope they keep their shoes on for the first type.

But ambulances in with full sirens begging over their speaker-system to have pedestrians at Shibuya crossing let the vehicle through, is probably the worst thing about Japan.

As for your second question, I’m reminded of Bob Mortimer in Would I lie To You: “… then the fire brigade came and ruined the whole house” - “Bob, surely the fire was ruining the house” - “No, water damage”. Maybe if those darn firefighters had taken their boots off, there had been a bit more left of Bobs childhood home.

bauruine 3 hours ago

>No, water damage

That's what we learned in fire fighting training. Everything that doesn't get destroyed by the fire and smoke will get destroyed by the water you use to put the fire out. A house on fire is lost. You just save people and animals and then you do whatever you need to protect the neighbouring structures.

throwaway270925 4 hours ago

> “No, water damage”

Bob should have used some of his Fuji 9, that fixes everything!

KennyBlanken 4 hours ago

I've known enough people who worked in EMS to know that it's very common for there to be little alignment between 1a)what the dispatcher is told 1b)what comes from dispatcher 2)what they see when they walk in the door and 3)what the person actually needs.

SapporoChris 6 hours ago

I suspect that there are several levels of severity in an emergency and that when appropriate the responders forego removal of shoes. It's a low depth article, they didn't go into details.

cannonpr 8 hours ago

So, I can’t honestly personally understand taking your shoes off in an emergency, however I am sure they have gotten very efficient at it.. I can say that if they didn’t it would cause damage to the home, many Japanese homes, especially traditional but also in general just aren’t built to take shoes. Tatami mats, and even hinoki floors despite being “hard” for a softwood, is still a softwood, so some level of genuine damage would occur. Again of-course versus the emergency in saving a human life, I’m not quite sure I can understand it.

Cthulhu_ an hour ago

Also in the Netherlands, doctors / nurses in my local hospital wear things like crocs and other slip-in type shoes - don't think paramedics do, just something I noticed.

f33d5173 8 hours ago

Most shoes have rubber soles, to do damage to the floor it would have to be softer than rubber.

Gigachad 8 hours ago

echoangle 3 hours ago

xxs 4 hours ago

Georgelemental 8 hours ago

Here in America, EMS personnel generally wear tall, reinforced boots; they are considered protective/safety equipment. We would never take them off just to enter a home

21asdffdsa12 2 hours ago

It also seems quite dangerous to take them off- depending on the home. Some hoarders, drug addicted situations have needles, glass shards and razor blades in the debris on the floor. How do they handle hoarders in japan?

Faaak 2 hours ago

Obviously, it depends on the context once the front door opens to you

eqvinox 8 hours ago

Probably the same in most Western countries. It's self reinforcing though; if you were expecting to take them off you'd never pick those shoes by default, rather leave them in the back of the car (which presumably/hopefully is what they do in Japan, in case they *do* need them? idk…)

agarwaen163 8 hours ago

if you do need them you're not going to have time to go get them as an Emergency Responder. I think the pragmatic course then is to disregard etiquette and tradition for safety and practicality in a general sense.

eqvinox 8 hours ago

rdmuser a day ago

Got posted a couple times recently. This one got a couple comments: https://news.ycombinator.com/item?id=49474734

zorobo 2 hours ago

When we shifted houses and used a Japanese moving company, I was very surprised as movers removed their shoes every time they stepped into our places, both old and new. Oh, they also had gloves on when packing our plates and utensils!

JuniperMesos 8 hours ago

> Another user attracted more than 800 likes for suggesting that strict etiquette could perhaps be forsaken at such times: “It’s an emergency. I would just tell them: ‘Please step inside with your shoes on!’”

This seems like the best policy in an emergency where 30 seconds actually matters. And I actually like the East Asian custom of taking one's shoes off before entering a house and adopt it myself.

Izkata 7 hours ago

Where I grew up (suburbs in the Midwest in the US) it was common and expected all around that you'd leave your shoes just inside the door and walk around in your socks, at least for family/friends/guests. Can't remember about service workers.

kstrauser 3 hours ago

Where I grew up (suburbs in the Midwest in the US) no one took their shoes off, ever, until it was bedtime. I cannot remember a single time taking my shoes of at a friend's house, or when visiting somewhere with my parents, or going off to see family. I guess the only exception would be if the shoes were exceedingly dirty, like you'd just stepped in mud or such.

Similarly in the military. We got un-booted at bedtime, and put them back on when we got up the next morning. Even in the barracks, including the nice ones that were reasonably nice apartment buildings, I never took off my shoes to walk around my room or when visiting someone else's (and vice versa; no one took off their shoes to visit me).

The first time I bumped into that rule was when I met my wife, who'd moved to the area from New York. I was quite confused when she asked me to take my shoes off at the door, and more than a little anxious. Sure hope I'm wearing decent socks and my feet don't stink, lest I be traipsing dirty feet around her apartment. To this day, I'm not convinced that hardsole shoes that haven't walked through wet messes are substantially dirtier than a damp sock that's been inside a shoe all day long.

bschwindHN 2 hours ago

williamdclt 2 hours ago

vkazanov 5 hours ago

Is this how most of the world operates? :-)

bjelkeman-again 4 hours ago

culi 3 hours ago

anigbrowl 5 hours ago

Firefighters in Japan wear boots and keep them on, but fire is generally cause for demolition anyway due to the way most homes are constructed.

The Japanese shoe taboo is about purity. It's not about protecting the floor but about the idea of cleanliness. Walking in with outdoor shoes is the equivalent of deliberately walking into a western home with dogshit all over your shoes, or (since most Japanese homes have small family altars inside) spiritual desecration.

vkazanov 5 hours ago

People in the west tend to overthink spirituality.

Having been to houses/flats across all of eurasia, uk to hong kong, vietnam to lithuania, the majority prefers taking shoes when entering a house, but can be as practical as necessary when the need arises.

krupan 7 hours ago

Does everyone in Japan wear slip-on shoes?

wahnfrieden 6 hours ago

No

naishoya 5 hours ago

um, pretty much, yes.

Even when it looks like a laced up tennis shoe, closer examination of an 'outdoor' shoe will show that it has been stomped into and slipped out of many times.

If it is a sports use, i.e. basketball or other gymnasium, or indoors in a professional setting like at a busy office there will be a changing area and people etiher change into provided slippers (town hall and community centers, schools, and other public spaces have many cubicles and slippers) or will change into 'indoor shoes' brought for the purpose.

There is a strong cultural 'habit' that can be interpreted as 'manners' such that when visiting someone's house and switching from outdoor shoes the host will then either turn the shoes toward the outdoors such that they are easier to step into on the way out, or will arrange them facing out but no longer in the main path of the entry way.

It is this 'manners' which the EMT is requesting to stop. The indoor slippers are used for hard floor and rug covered areas, but not tatami mats. A quality tatami mat can be damaged and require actual replacement if stepped on with a hard soled shoe even once.

So the 'taking off of shoes on the way in my EMT is quite appropriate, and the time to 'unshoe' and reshoe on the way in and out is cumulatively not more than 5 to 7 seconds total - if the emergency case is that close to failure, the low speed ambulance ride through narrow streets is going to be the failure, not the shoes. But rearranged and relocated shoes becomes much more complex when the crew have a person in a stretcher (which is faster AND safer than a rolling gurney) - they can step into their own shoes without really even looking if the shoes are left exactly as they were placed on the way in - and this is what the original article is requesting.

The intent of the article in original Japanese is: "Don't slow down the exit process by moving our shoes in an effort to be 'mindful of good manners'. We really wont think poorly of your manners if you neglect this small gesture"

timr 2 hours ago

kstrauser 3 hours ago

pvaldes 2 hours ago

There are emergencies and emergencies, but removing your protective gear when you are entering in a emergency scenery is an horrible idea by several reasons.

After thousands of interventions in this places, you are basically guaranteed to step while in your sockets on blood, syringes, broken bottles and glass pieces. Awful idea. Your toes smashing the leg of a table if you have luck. Hepatitis or HIV if not.

Also removing shoes that were designed to assure maximum stability before to enter in an unknown scenery can be a big mistake. You will regret it later, trying desperately not slip while you navigate a stretcher on a narrow spiral staircase, carrying a heavy guy with a fractured leg.

thih9 5 hours ago

> Another user attracted more than 800 likes for suggesting that strict etiquette could perhaps be forsaken at such times: “It’s an emergency. I would just tell them: ‘Please step inside with your shoes on!’”

theonething 8 hours ago

tangential, but I don't understand why keeping your shoes on in your house is a thing. It's so unsanitary. The bottom of your shoes are in contact with things like the floor of public bathrooms, animal feces (when walking on grass), dirt, mud, etc.

And it's so much more comfortable to be in your house barefoot, with socks or with slippers.

So much cleaner. I'm disgusted when people try to walk in my house with their shoes on.

probably_wrong 5 hours ago

Coming from a shoes-on culture I can give a couple points.

First, in the rare cases you describe (when was the last time you stepped on feces?) one would indeed leave their shoes outside. But in the day-to-day your shoes have some dust on them and that's it - you won't even notice it's there when compared to the dust that already accumulates daily. If you live in a climate where this assumption doesn't hold (snowy areas come to mind) then the equation changes.

Second, the floor is usually stone and therefore designed for being walked on with shoes. I would feel awkward walking on some polished wood, but if the difference between inside and outside is "this one is less coarse but just as hard" then I wouldn't see a good reason for taking my shoes off. I would probably avoid the rug, but that's me.

As for comfort, keeping your shoes on also means one less thing to do when going in and out. Do not underestimate the path with less friction.

ivell 5 hours ago

I have seen in Switzerland that people leave their shoes at the entrance and switch to house shoes. Or they use a shoe cover when they enter house with shoes. Probably because houses are mostly wooden floored.

So shoes on is not universal in the West.

vkazanov 5 hours ago

naishoya 5 hours ago

> when was the last time you stepped on feces?

Try this , when was the last time you stepped somewhere that had previously been stepped on by someone who had walked on a spot which had been stepped on by someone who may have stepped on a spot trod on by ... go far enough back and it's all had feces on it to some small degree.

An easy way to keep this concept clear and understand the reasoning behind a 'leave the outside shoes out of the house' is something learned as a child.

Just like there is a Law of Conservation of Mass, and a Law of Conservation of Energy, and these two are the same law as defined by Einstein, there is also a Law of Conservation of Filth. The law may be stated as: "A spoonful of wine in a barrel of pigshit is a barrel of pigshit. A spoonful of pigshit in a barrel of wine is... a barrel of pigshit."

Taking off the outdoor shoes to come indoors changes the "is there trace amount of feces on my dining room tatami floor?" risk from "I cannot be reasonable sure," to "I can be reasonably sure that there is none." If guests find that too much friction to understand and accommodate, one might argue for a different set of guests who are less accepting of an allowable amount of pigshit in their wine.

probably_wrong 4 hours ago

adrian_b 4 hours ago

When I grew up a half of century ago in East Europe, keeping your shoes on when entering a house was still considered as an unacceptable behavior.

However, later this changed, in good part because much of the population moved from bigger rural houses to smaller apartments in the cities. In a small apartment, there was not enough space to have at the entrance a big enough wardrobe with dedicated places for the visitors to store their shoes, and to provide slippers for them. Moreover, a small apartment was easier to clean after the visitors left.

Thus the customs changed, and it became normal when visitors came and attempted to remove their shoes, according to tradition, to assure them that there is no need to do that. Nowadays I think that few remember that in the past it was really mandatory to never enter a house with your shoes on.

rimliu 44 minutes ago

Nothing like that.

watwut 4 hours ago

Most prople I kmow live in appartment and take off shoes. It does not take much space.

askvictor 3 hours ago

Cleanliness is overrated. Sure, it's great for surgery and if you actually have a wound, but your immune system needs pathogens to train on, or it does silly things like attacking your body, or reacting to pollens.

charcircuit 2 hours ago

It civilized to live in a clean home instead of a dirty mess. Life is not just about maximizing your survival rate.

wpm 8 hours ago

I'm the same way but if I pass out in my house I absolutely do not give a shit about any of that and don't want the EMTs wasting time taking their shoes off to save my ass.

WD-42 7 hours ago

Plus walking barefoot in your home is a good way to sense when you need to sweep or vacuum.

lokar 5 hours ago

I’d say it’s a good way to tell when you should have swept up a few days ago.

jimjimjim 7 hours ago

Do you have a pet dog or cat?

thih9 5 hours ago

An indoor cat would still be consistent with this philosophy. They do their business indoors, but so do humans.

Anecdote, I recall reading about older family members being disgusted by the removal of outhouses and the idea of shitting indoors.

bigstrat2003 8 hours ago

There's nothing unsanitary about it. The bottoms of your shoes simply are not that dirty unless you're walking through abnormally dirty situations.

Gigachad 8 hours ago

That's the whole function of shoes though. If outside was as clean as my floors at home, I wouldn't need shoes.

I have to imagine the person who leaves their shoes on either never goes outside, or just has filthy floors.

Grombobulous 8 hours ago

eqvinox 8 hours ago

jimjimjim 7 hours ago

alfg 7 hours ago

Like outside? It's so wild to me how some can step into their living space (or even bedroom) with the same shoes they use outside.

Balooga 7 hours ago

ryan_lane 4 hours ago

I've lived in both shoes on and shoes off households and I'm sorry, but shoes are filthy. I wipe my dogs paws when they comes in from walks and their paws are filthy and I wipe them every single time they come back in from walks. Shoes are never wiped.

Take a second, get a tissue, and go wipe the bottom of your shoe.

dzhiurgis 8 hours ago

Every country is different. I’m in China right now and while there isn’t much rubbish - it is still pretty dirty. Whereas in New Zealand you can walk barefoot all day and your feet will stay clean (matter of fact thats my kids do literally all the time).

Then sanitation itself is a but of a moot. Bacteria can spread million different ways, it’s mostly futile fight. If you wear flip-flops all day and don’t wash your feet, don’t shower after using public bathrooms, etc - whats the point?

swingandamiss 9 hours ago

More Japanese obsessed hacker news posts. What's up with this? There's a daily post on HN of various topics, usually something obscure, about Japan. Why?

Enginerrrd 8 hours ago

I think it’s just that Japanese culture represents a very sophisticated antithesis to many western cultural pillars. Collectivism over individualism, incredible development of the aesthetics of simplicity and emptiness compared to the ostentatious and sometimes baroque western aesthetics, neat and tidy compared to cluttered, the fanatical emphasis on mastery of technique, or things that can’t be produced via shortcuts, etc etc. Overall I think the Japanese are viewed as much more disciplined and conscientious which is valued in the west. And a lot of these things seem like wizardry to Americans because we’re lacking the routines and building blocks that lead to it. In essence the Japanese are very process oriented, and Americans see the results and want them but don’t understand the process side of things as it’s not intrinsic to our culture. Yet the results are admirable… whether or not Americans would actually want to live the process that leads to those results is another story. That’s the gist of it I think.

kstrauser 3 hours ago

> incredible development of the aesthetics of simplicity and emptiness compared to the ostentatious and sometimes baroque western aesthetics

We're just going to pretend that Japanese web design is identical to the rest of the world's, and that Japanese homes aren't half the size of elsewhere such that every horizontal and vertical service is commonly used for storage.

pezezin 5 hours ago

> neat and tidy compared to cluttered

People who think this have actually never been to Japan, most Japanese homes and offices are incredibly messy.

ahartmetz 3 hours ago

vkazanov 4 hours ago

rayiner 8 hours ago

Because Japan is amazing. Probably especially so for a crowd that tends towards orderly-minded engineering types like HN.

jwrallie 4 hours ago

I could be mistaken but I think most of those posts seem to show up around business hours in Japan. My guess is it is coming from expats living there.

alfg 7 hours ago

Cultural differences, especially with increased tourism in Japan lately. There's a lot we can learn from each other and people like to share their experiences. Is it really that surprising these topics come up more often?

samus 3 hours ago

Sure, but there are a lot of non-western cultures out there. What's surprising is the prevalence of posts regarding Japanese culture.

MrDrMcCoy 7 hours ago

I expect the simplicity of the site's design appeals to the Japanese.

oliculipolicula 8 hours ago

As I understand it, Japan is seen to be like a parallel universe where the American South successfully seceded but became technologically advanced, even surpassing the North in some areas (by adopting a Meiji type constitutional monarchy)

eqvinox 8 hours ago

Having been to Japan several times… and actually studying Japanese studies… I can see why you're saying this but it's very superficial. None of the southern "essence" that caused the split & war is there in Japan at this point. Or do you mean it's as if the South seceded, then proceeded to lose anyway due their policies being a natural disadvantage, and then developed, out-northing the North?

What is characteristic of "the American South" here?

jankcorn 8 hours ago

LPisGood 8 hours ago

rayiner 8 hours ago

You may think that because of the nationalism, but that's a superficial similarity. Outside western europeans, almost everyone is nationalistic, so that's not a useful characteristic in comparing societies. Aside from that, the American south is more like the Arab world/India--disorderly, combative, face-saving culture, and food-, family-, and faith-centric. The Japanese are much more like Mormons.

Grombobulous 8 hours ago

The “became technologically advanced” part of this hypothetical is doing a lot of heavy lifting.

kmeisthax 7 hours ago

Yes and no.

The biggest historical commonality between the American South and Japan - or, at least, the Tokugawa shogunate that was ruling around the same time as the South - was that both of them were at one point ruled by a cabal of essentially feudal lords. There is a lot of convergent social evolution that happens when your country's economic elite all make their money by owning land - lots of strange social titles, honorifics start floating around, people start talking around problems, and the like. However, this comparison is only skin deep, and there's plenty of things the Tokugawas did that have no parallel, or even worked backwards, to what happened in the historically contemporaneous American south:

- Sakoku (the policy of keeping Japan completely closed to trade and immigration).

- While America generally has had a long streak of veneration of the police, they never reinvented anything close to the samurai in terms of being a hereditary warrior class with a tax stipend.

- Likewise, the American South did not have a caste system; Japan did (and so did France?!?)

This makes more sense when you remember that the Tokugawa shogunate itself is the time reversal of the American South: the Tokugawas were born out of a long civil war and ended with a foreign invasion (from America) while the American South was born from foreign invasion (of Americans) and ended with a civil war.

The American South is also, interestingly enough, a mirror of Japan in other dimensions as well. The reason why the Tokugawas shut the country's borders for hundreds of years was because they understood that Christian missionaries were a front for a larger invasion force that would pillage the country's resources and abduct people to become slaves in other countries. Of course, the South was buying slaves abducted in other countries in massive quantities.

Going back to the convergent social evolution I mentioned before, you can see some of this in Japan today. Kyoto is notorious for doing exactly the same kind of backhanded compliment bullshit the South loves doing. But even then, that's one part of Japan, that was formerly the capital city. One stop on the Shinkansen takes you to Osaka where people are about as open and outgoing as Americans are.

samus 2 hours ago

gverrilla 8 hours ago

it's related to fascist ideas of japanese people being unique and people in the west joining that stupid 'philosophy'.