I was somewhat hesitant to write details, but if someone has a life-threatening medical emergency in the BVI then they should not expect the same level of care as "back home".

Just to give an update on my experience - I'd hurt my back in a fall aboard and couldn't walk upright and was in serious pain. The diagnosis in the BVI was "severe sprain with bruising on lower back" and a prescription for Voltaren. I opted to fly to Europe and get a second opinion; it turned out that I had 3 broken vertebrae and the doctors wanted to put me in traction. I managed to convince them that since I'd survived 5 days of sailing single-handed and a coach-class seat on the long return flight, I wasn't going to subject myself to a month in hospital!

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