so much rebuilding to do, the big picture so daunting, it's easy to overlook a little place like motoyoshi hospital. how do you run a hospital like this? >> well, this is a very good question. >> reporter: dr. kentart hayashi runs this rural hospital with a rotating staff of one or two volunteer doctors, seeing 80 or more patients a day in a facility that almost was washed away in the tsunami. you can still see the waves washed through here at about this level. a year later, this hospital still has no central heat. the electricity is jerry rigs. and look here, these are the hospital records covered in mud. they have no staff and no time to file them away. the original staff of two doctors were overwhelmed by the tsunami. they couldn't handle the stress of the patient lode and left. kozue shimabukuro is a pediatrician at ucla. >> i remember feeling so hopeless. now we are here, and what am i supposed to do? >> reporter: hayashi feels the same now that the foreign volunteers have gone how is it possible in japan, wealthy japan that you can have a situation like this. >> well, it's also not o