Like, where was this hiding all the time??? The best correlation of multiple subjects to make a concept flow with crystal clarity - OMG! Superb! Thank you, Sir. Won't find a better expert than you so easily.
What I like the most about this is the simplicity! Most teachers go on to "repeat" exactly what is written in text books. In contrast, Students expect the lecturers to simplify the concepts and give us a basic outline, from which we can further extend our knowledge by reading a text book.
Well, that's a mouthful...hopefully, for your education, it drops lower and lower on the list replaced by other stellar ones! Best of luck...(and thank you!).
Hello and thanks for the video, however i have a problem understanding this concept, why does chronic kidney disease cause an increase in serum phosphate level but not in calcium serum levels despite both being filtered by the glomerulus? and why does vitamin D hypovitaminosis cause hypocalcemia but not hypophosphatemia, despite intestinal absorption of phosphate and its renal exrection are also controlled by vitamin D in a similar manner to that of calcium?
Failure to filter phosphate leads to hyperphosphatemia. PO4 then binds calcium reducing free ionized calcium and that is an essential concept. Vit D does reduce absorption of both Ca and PO4 (as a second mechanism for functional hypocalcemia), but due to failure of PO4 excretion hyperphosphatemia is the rule (failure to excrete trumps failure to absorb). Calcium does exist but it not functionally available in the free, ionized form rendering a 'hypocalcemic' state (and secondary hyperPTH). It is confusing but extremely important to understand.
Like, where was this hiding all the time??? The best correlation of multiple subjects to make a concept flow with crystal clarity - OMG! Superb! Thank you, Sir. Won't find a better expert than you so easily.
What I like the most about this is the simplicity! Most teachers go on to "repeat" exactly what is written in text books. In contrast, Students expect the lecturers to simplify the concepts and give us a basic outline, from which we can further extend our knowledge by reading a text book.
Thank you so much for taking the time to offer this thought comment. Very much appreciated and will continue to help guide future efforts. HS
Can't stress enough how useful, clear and reasonable your teaching is
One of the top doctors out there, I haven't seen such an easy and comprehensive explanation before
Thank you so much! Much appreciated. HS
One of the top 5 best explanations I have received in my entire (21 years) life
Well, that's a mouthful...hopefully, for your education, it drops lower and lower on the list replaced by other stellar ones! Best of luck...(and thank you!).
This is an absolutely brilliant presentation and so easy to understand. Thank you
Thank you so much!
Best video I've ever seen on this topic.
very helpful, thank you
His videos are like jazz music to ears !! simple n elegant
Perfect. I was struggling with this yet you made it so easy!
Brilliant teacher! Thank you so much ☺
Thank you for your explanation. This is super helpful!
This video is amazing!! Thank you so much
Perfectly succinct and concise! Thank you.
No words to describe your excellence.....
This was AMAZING! Thank You.
Thankyou so much .......this was so useful ❤❤
Thank you a lot!! Such a brilliant explanation
Awesome explanation.Thanks a lot !
Love your lecture
what a great lecture,medicine is so interesting with you.please post more such lectures
excellent and crystal clear
This is most excellent.
Hello and thanks for the video, however i have a problem understanding this concept, why does chronic kidney disease cause an increase in serum phosphate level but not in calcium serum levels despite both being filtered by the glomerulus? and why does vitamin D hypovitaminosis cause hypocalcemia but not hypophosphatemia, despite intestinal absorption of phosphate and its renal exrection are also controlled by vitamin D in a similar manner to that of calcium?
Failure to filter phosphate leads to hyperphosphatemia. PO4 then binds calcium reducing free ionized calcium and that is an essential concept. Vit D does reduce absorption of both Ca and PO4 (as a second mechanism for functional hypocalcemia), but due to failure of PO4 excretion hyperphosphatemia is the rule (failure to excrete trumps failure to absorb). Calcium does exist but it not functionally available in the free, ionized form rendering a 'hypocalcemic' state (and secondary hyperPTH). It is confusing but extremely important to understand.
Thank you so much 👍
Excellent, thanks
Anyone who thinks his voice is like the younger version of the character Dr.Sturgis from young sheldon ...
What does this 12 days in march mean?
I teach an organ system review course at the medical school. It runs for 12 days in march; thus, the name of the website 12DaysinMarch.com. - HS
Excellent
Thanks sir.
Perfect 💗
Hey u are great
👍👍