It was huge. When I got there on my first tour, the FOB I was at was really oriented to a non-physician, so there weren't very many other options for me, other than what was available to the medics. I made a number of recommendations at the end of my first tour, all of which were implemented. When I got there on my second tour, I might as well have been working in my level-one trauma centre. There was nothing I couldn't do on that second tour that I do at home.
On April 29th, 2013. See this statement in context.