@dhelmstetter, I could do the roofing nails part without a problem but PD equipment and supplies would take up so much space in my tiny apartment it would be hazardous, especially since am in a wheelchair. Home HD also would be impractical as I already sleep with CPAP mask & tubing and small machine plus my wheelchair is on a charger near my bed all night so where would I put another machine, even assuming I could afford to do dialysis at home with just Medicare and a Medicaid spenddown so high it's about a third of my income? The stark reality is that wealthy and/or well-insured people get treated and poor people die from lack of treatment. If I sound angry, I am. But right now I prefer anger to tears. Sorry to be so blunt.