Okay, welcome. My name is Devine. This is episode 450 of the Devine Intervention

podcasts. In today's podcast I'm going to be addressing a topic that I call

hyper-natrimia. This is going to be the clutch hypernetremia

podcast. Hypernetremia is one of these weird things that tends to pop up on the USML exams and it's something that's largely misunderstood by a lot of people.

So I basically want to demystify that hypernetremia today so that you can truly understand it and be able to easily

with the questions that you see on a test.

So personally I would not just again focus on giving

you algorithms that you can always learn in some other resource.

Although again many of these things, these algorithms that people dutifully memorize is not particularly

necessary for the exam.

Most times the exams check your thinking as against your ability to have memorized some algorithm.

That's why again I always kind of scratch my head when I see people just memorizing algorithms from

Q banks and everything thinking that they're really studying but they're kind of kind of wasting their time

because if memorizing those algorithms was a must then you know people that did not

memorize them would have done extremely, people that did not memorize

they would have done extremely poorly on their exams. But I'm telling you this,

just as a pro tip for people taking step one, step two, step three, you need to

emphasize understanding. And mostly you should have memorize things, but understanding should on understanding where memorization will not lead you in the right path. All the USMLis have to do is to just

put that information you know in a format you've never seen before. But if the understanding is not there, then you will not be able to critically think

through the novel scenario you see. You may see a novel scenario of a core concept you know, or you've seen.

But when the understanding is not there all those beautiful

algorithms you've memorized screen-shotted taking pictures of all of that just

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