
A recent trip to Lisbon to visit a friend gave me an unfortunate opportunity to experience the Portuguese healthcare system. I ended up taking an unexpected trip by ambulance to a local hospital where I received a CT scan, X-rays and saw an orthopedic doctor. At the end of the day, they cleared me to leave, with no concussion, no broken bones, and no bill! They called me a taxi and that was that.
In the USA I would probably be facing bills totaling hundreds, if not thousands of dollars. Here, no bill. I am enrolled in the Portuguese healthcare system, thank goodness!
One missed step causes crashing fall
I had enjoyed a lovely breakfast of coffee and a chocolate croissant with my host at a local cafe, packed my things and said my farewells. I was planning to take the train from Lisbon back to my home in central Portugal.
My friend’s apartment is on the first floor (second floor American style). A steep flight of narrow wooden stairs leads to the ground floor. Halfway down, I missed a step and plummeted headfirst downward, hitting a wall with my head and left shoulder. I lost consciousness briefly, was shaky and in great pain.
My friend called the 112 emergency number and minutes later an ambulance arrived. The young “bombeiros” crew, who are trained as firefighters and EMTs, took me to a local hospital. I arrived at the Garcia de Orta facility around 10:30 in the morning.
The waiting area was full of people in all states of pain. People on gurneys, in wheelchairs, hooked up to oxygen supplies and medication drips. Hospital staff rushed back and forth constantly.
This was a normal hospital on a normal day, but the frenetic atmosphere made me think of news reports on how very terrible the situation must be at hospitals in Gaza which are currently under bombardment and have no power, water or medication.
I feel fortunate for the help I received
Within about half an hour, I was triaged. I had to show my “Numero de Utente” to prove I am enrolled the Serviço Nacional de Saude, the Portuguese healthcare system. Then my superficial cuts on my knees were bandaged. A short time later I was prepared for pain medication which was given via a drip. I was told I would have a scan to check for concussion and would then see an orthopedic doctor.
About 90 minutes later I had the CT scan, then the shoulder X-ray. Another 90 minutes of waiting and I received the all clear results about the CT scan. No concussion. I was told I would see an orthopedic doctor next.
The afternoon dragged on while I waited to see the ortho doc. But around 4:30 p.m. someone came around offering me a small sandwich and a bottle of water. Half an hour later I was called in to see the orthopedic doc. He tested my left arm and shoulder and declared it was not broken and the tendons were ok. Just get checked again in a week, take ibruprofen for the pain and ice it, he said.
Then I was cleared to go. They even called a taxi for me to get back to my friend’s apartment.
I was so relieved by this experience. But this is not to say that all is perfect here in Portugal. On the news the next morning there were extensive reports of strikes by doctors, nurses and other hospital staff, protesting and low pay and long working hours. I would definitely support their cause!

Follow my blog to read more about daily life in Portugal. And check out my website RosalieRayburn.com. I have a new book out. It is a mystery called “The Sunshine Solution”.











































