As noted prior, Dr. Reinke will be the source of many ulcers. I had the "pleasure" of learning from Dr. Reinke 8 years ago (my how time flies) and I still have the ulcers to show for it-LOL. All I can say is study for the first test until you are sure you have it mastered, then study some more. That first six weeks of "easy material"(can you believe you can study a cell for 6 weeks? How hard can the test be-it's just a cell) will make you think we are all nuts that we say how hard it is. Study your notes-forget about Guyton-if you have questions, ask Dr. Reinke. He's the one testing you and is very approachable for questions. He is there to help you, but he WILL make you know physiology as well as med students. There are times when you will hate him, but when you are taking boards and getting pimped by MDs at your new job, you will thank him. If you take Valley Review-I guarantee you will not hear any new information. Study for that first exam like you have never studied before. When you get your test score, you can judge how you need to study for the others. I am sure no one will sit there and say they knew the material too well. It is important to do well on that first exam-if you do not, its not the end of the world, but it adds pressure because you must do well on the rest of his tests. By the way, the renal exam is a *****. It is not that all the material he teaches you is that difficult, it's how he tests you. DO NOT memorize your notes only. If you do this, he will bury you. You can memorize your notes, but you had better be able to dig between the lines and apply the principles he teaches you. You are not in nursing school anymore-simple regurgitation of the material will have you shuttling bedpans in the ICU again. This is the speech I received from a prior Dr Reinke student when I arrived at TWU. It scared me to death, but it helped(and it was not an exaggeration). Dr. Reinke will make you know physiology so well, you can have a professional conversation with a MD and very possibly get in the last word. Every headache Reinke gives you is worth it in the end. BUT DO NOT FALL BEHIND!!!!!! Would I do it again? After being in practice for 5 years, yes...I probably would. But it has taken me this long to say that. You will leave campus burned out from studying, but your brain will be overflowing with useful information to aid you in your travels for many years to come. Howard