I have read past 3 editions and i think there is a desperate need of an editor, for both of your books, step2 and step3. The knowledge is haphazardly placed in chapters.
Sir, the book is missing the topic Polycystic kidney Disease, despite it being mentioned in the index (says its on page 392, but nowhere to be found :( )
Dr Fischer, on page 431 of your 6th edition, it states: "pregnancy ... nor does it change normal values/ranges of free serum thyroxine (T4) and TSH. Please elaborate?
I believe this is due to the fact that during pregnancy that there is an increase in thyroxine hormone binding globulin. The globulin sequesters away free hormone, more thyroxine bound to protein, less free thyroxine. Then TSH is not as inhibited as before, so more thyroxine is stimulated by TSH until free hormone reaches a normal range. Once the free hormone feeds back to the pituitary, TSH is inhibited. Overall you have increased total thyroxine, both bound and unbound combined, but the free thyroxine stays the same. The pituitary gland only respond to the free thyroxine.
I have read past 3 editions and i think there is a desperate need of an editor, for both of your books, step2 and step3. The knowledge is haphazardly placed in chapters.
I’m sorry but this book has a lot of mistakes. Where can I submit the errata?
Keep ROKINN Dr Fischer!
Is there something the same for step 1 ?
You convinced me, I'll by it.
I were waiting for you to complete 25yrs so you put a good experience inside your narrative 😆
Sir, the book is missing the topic Polycystic kidney Disease, despite it being mentioned in the index (says its on page 392, but nowhere to be found :( )
You never cease to cheer us up in all your videos no matter what it is about. God will surely bless you. Am about to order this book.
This man loves money
Best teacher in the world
NOPS NOT NOW
Dr Fischer, on page 431 of your 6th edition, it states: "pregnancy ... nor does it change normal values/ranges of free serum thyroxine (T4) and TSH. Please elaborate?
I believe this is due to the fact that during pregnancy that there is an increase in thyroxine hormone binding globulin. The globulin sequesters away free hormone, more thyroxine bound to protein, less free thyroxine. Then TSH is not as inhibited as before, so more thyroxine is stimulated by TSH until free hormone reaches a normal range. Once the free hormone feeds back to the pituitary, TSH is inhibited. Overall you have increased total thyroxine, both bound and unbound combined, but the free thyroxine stays the same. The pituitary gland only respond to the free thyroxine.