So if you think the risk of pancreatitis is high, any of it, if you don't, again, I would use guidewire-assisted cannulation. I give rectal indomethacin to almost every patient. There are occasionally patients that I don't do that in, but, you know, patients who have metal stents, if I'm cleaning out and putting in another metal stent, I typically don't. But you know, someone with chronic pancreatitis, maybe they already have a stent and I might not. But in general, I would say 95% of my patients get indomethacin. Again, I place a pancreatic stent, I have a pretty low threshold for that. Consider admitting patients who have pain that's not getting better over time. You know, you can't go wrong with doing that as much as you hate to do that. You don't want to blow off problems because those are the times that you get in trouble. When you don't take your patient's pain seriously and they go home and then they end up, it's also nice to manage them at your own hospital. I really hate it when patients that get a complication from my procedure end up at another hospital where I have no ability to help manage them. And then next thing you know, they're going to surgery and things like that. And you're like, I wish they were here at my institution. So at least I would have some semblance of control. Hydrate these patients well, again, it improves microcirculation in the pancreas. And so the thought is, is that may help patients decrease their risk of pancreatitis and maybe have more mild pancreatitis. Again, if patients, if you admit them, they still have pain the next day, check enamelase and lipase. Think hard before obtaining a CAT scan right away, because there may be little small air bubbles and things like that, that you want to ignore that suddenly, again, they're getting whisked off for laparoscopy or whatever. So just keep those things in mind. And the other thing that I would say when you have an adverse event, you know, and this is what we teach our fellows, your tendency is want to run and hide, right? And let someone else handle it. But that's the exact wrong thing to do. You've got to be there. You've got to show the patient that, you know, you understand this was a complication or an adverse event. You know, it's something we talked about. We told you there was this risk, but I'm going to help you manage this. You know, you're allowed to say, I'm sorry that this happened, but you don't want to say that, you know, you don't want to sort of implicate that it was something that was, you know, out of the ordinary of possibility that would happen, but you do want to be there for the family, know that, you know, that you're there every day and that you care and that you're helping take care of them and they will appreciate that. Thank you for watching.

managing pancreatitis

complications

guidewire-assisted cannulation

rectal indomethacin

admitting patients with persistent pain