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    • Hey I learned some things too!  I hadn't thought of some of those but they are all great answers.  This case happened to be a hollow viscous injury, which is notoriously difficult to diagnose in blunt trauma because of the low sensitivity on CT scan.  The thought is that the traumatic perforation causes the bowels to spasm and it won't actually spill bowel contents until several hours later.  The trauma surgeon evaluated this patient, admitted them for serial exams, and ended up taking them to the OR several hours later since the patient developed worsening peritoneal signs.  Don't be fooled by the negative CT if they have real tenderness / guarding!  
    • Hello! How do you like it ABU? Also, hows living in the area?
    • I live in Anacortes, which is the first island of Washington's San Juan Island chain. A great place to live. We have had several PA jobs, some closed as no applicants came forward. The hospital has one posted now (below). If you have a strong interest in interventional medicine, I know of a possible second one.   https://pm.healthcaresource.com/cs/islandhospital#/job/604
    • Eastern Aleutian Tribes –  https://www.eatribes.org/ Aleutian Pribilof Islands Association: Home https://www.apiai.org/   1131 East International Airport Rd. Anchorage Alaska 99518 Phone: (907) 276-2700 Toll Free: (800) 478-2742     Job Openings - Southcentral Foundation https://www.southcentralfoundation.com/employment/job-openings/    
    • What do you mean that the probabtionary status was reissued in the spring? Does that mean that they could have been moved to fully accrediated then?
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