The Three Rules of General Surgery Residency

The three rules of general surgery residency? John? Don't screw with the pancreas. So there's no tachycardia yet, at least in most patients. And then in class two is where you get the earliest clinical signs of hemorrhage,. Is it decreased pulse pressure and maybe to get me out? Yeah. The only situation where especially on the ab side I think you do a spleen preserving distal pancreatic to me would be in what patient population? In a certain scenario that we'll talk about next.