I am a nurse and have been working in many countries around the world. My volunteer experience has taught me that we are privileged and should always give thanks. I have worked with kidney centers in which dialysis is the only option and available for the patient twice a week. The machines are few and the patients are many; If you miss the chance for your dialysis, you may not have that opportunity again until your next scheduled session. survival rate after being diagnosed is 20%. Transplant is out of the question; even though many people are willing to donate a kidney, the facilities can't test appropriately and carry out that operation. Its a hard world out the in West Africa. I am sharing this because we have the means to do dialysis at home, we have a transplant list which gives us hope for a new kidney one day, we have people who donate to some of us. Others in the world aren't so lucky. They have very little options and CKD becomes a life sentence in many cases. Please let us give back. Let us use this opportunity to reflect on the pain that we feel and consider using the means we have been blessed with to help those who have no hope. It is pitiful working for a hospital in a city of almost 300,000 people and many kidney patients with just two dialysis machines. whatever you do, give back. the little you have would help. If you can't give, by all means pray that everything works out for them. Thank you for reading.