
I am a survivor of breast cancer.
And this is about health care Portuguese style. I live in a country with socialized medicine. Therefore I have the right to the Portuguese public health care system even though I have never worked in Portugal and have never paid into the system by way of income taxes. I am a Portuguese citizen, a cancer survivor and, therefore have these rights.
Which means:
1. I am allowed to have consultations with my surgeon in the public (even though now private/public) hospital. Fee: 2 euros 75 centimos each visit.
2. My medicine treatment, Tamoxifen is given to me free (and I need to take this anti-hormone medicine for five years).
3. Necessary blood tests, x-rays, mameograms, any treatment having to do with my breast cancer is included. So I pay very low fees. 7 euros 70 centimos blood work done. Mameogram, 2 euros 70 centimos. Chest x-ray 2 euros 70 centimos.
4. I have been told that if I had any mortgage to pay to the bank I would be exempt during my treatment course. I think that this is if you work and would not have a salary coming in to pay the bank. You also would get help with electricity and basics. I do not fall into this category.
I am lucky that I live near a good hospital and only 1 hour away from Porto and the IPO, the hospital in the north of the country where most cancer treatment takes place. The other good hospitals are in Coimbra and Lisboa.
I also have a private insurance which I pay each month and is a guarantee for instant treatment and allows me admission to private hospitals. The public health care system can have waiting lists and being on a waiting list can mean life or death and is a big problem for many of the population. Unfortunately, like all systems, there is favoritism. If you know someone in the hierarchy you will most likely be treated quicker and maybe even bypass the wait-list.
When I discovered my breast cancer it was during a routine mameogram. I remember well; (who ever forgets these events)
It was a Wednesday afternoon, had the mameogram done and was told to wait for the results, did not think anything of it, only that I would not have to come back in 2 weeks time and wait in line again to get the results.
Well, I got the results and got into the car and opened the envelope right away and saw the news that was advising me to get a biopsy!
It was 6 PM.
In my frame of mind I wanted to see a doctor right away, I was panicky and told Andre to drive to a medical office near-by where a good friend had recommended to me an OB-GYN doctor.
When I arrived at the medical office I showed my private insurance card. The receptionist told me that the OB-GYN doctor was not there that day, but there was a surgeon in the office working.
Okay. The receptionist spoke with the surgeon and showed him my mameogram. He told her that he would see me that very evening if I wanted to wait.
Of course I'll wait, who wouldn't. I did not have authorization from the insurance company before hand, but I didn't need it. I would pay 30 euros instead of 15, but who cares about money when it comes to your health!
Luck for an unlucky event.
The first thing he asked me was if I had come to see "Him" since he is considered the specialist on breast cancer in Viana do Castelo. I told him the story about the OB-GYN doctor in this office who had been recommended by a friend. At that moment I knew that I was in good hands
He examined me and found a lump on the upper quadrillel of my left breast and a possible lump under my left arm.
Don't panic he said, and asked me how fast I wanted to do the biopsy.
Rapido, I said.
He got on the phone right there in front of me and called the radiologist personally on a direct line. Being married to a doctor I remember how it's done when someone really wants to help. Doctors are usually available to other doctors right away.
Well the biopsy was scheduled for the Friday afternoon, 2 days away. Then he proceeded to educate me about breast cancer.
Till Friday, I just had to wait.
When Friday came and I had the biopsy and I then had to wait till Tuesday to get the results.
Sleepless Nights thinking about the worst. And waiting. Tell myself that it is nothing, only a little lump and not cancerous. At times such as these the mind is impossible to control. Just having to wait can be tortuous!
