This is the best clinical physiology text one can buy. Rose has such a beautifully elegant writing style that you will not want to put this book down. I kid you not, this is the only book you will need to understand fluids, electrolytes and acid/base physiology. This text book is filled with repetition all in the hopes of having the reader understand. Fluid and acid/base can be incredibly complicated but this book clearly shows how everthing actually makes sense. Fluid and electrolytes in my opinion are the hub for medicine - this book will get you rolling. Man, they need a gold-bound edition for this bad boy. All kidding aside if you are a fan of Guyton...you'll be a fan of Rose.