Whatever else, DON'T GIVE UP. I was senior biomed engineer at Downstate Medical Center in Brooklyn, NY for 18 years.

Walk in with a positive attitude. It is often uncomfortable. If possible, choose a center which does not reuse dialyzers. Insist on the longest treatment you can get each time. The longer the treatment, the slower the changes you will have to go through and the less discomfort. You are the for your needs, not to make a few extra dollars for the clinic.

If you can, get a clinic which has a Home Hemodialysis program, using the same machines they use in the clinic. If you go for this option, your wife or a very reliable friend has to go through training to serve as your home patient care tech.

CAPD works and allows you more freedom but you have to be finicky about cleanliness. It also allows you to live as much of your old life as possible.

Live long and prosper! People who are careful about the program are living decades longer than when I joined the field.