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To my husband, Kevin, thank you for all your support, encouragement, advice, and love. I am a better person because of you. To my girls, Ava and Mila, thank you for understanding that Mommy has to work sometimes. I do all of this for you. To my mother, Angela Harrington, who died of complications from end-stage kidney disease, you are the reason I am a nephrologist. I try to treat every patient as if he/she is family. Finally, to all my patients, you are the reason for this book. We wrote this book to help educate others, so they have more options to get you home.


I would like to first dedicate this book to my Creator who gave me everything I have and to my parents, bless their souls. Would also like to dedicate it to my wife, my daughter, and my son who besides all their support helped me during the time I was dialyzing at home five times a week. The time I spent doing home hemodialysis taught me about end-stage kidney disease more than I learned being a nephrologist for more than 30 years. Not only did it allow me to identify with patients, but allowed me to understand more about care partners, my wife in my case who shouldered most of the burden. I hope this book will serve as a vehicle in teaching practicing nephrologist and trainees to better care of their patients and allowing patients to choose the best modality of care that matches their goals of life.


I dedicate this book to my family—my parents, sisters, husband, daughter, and extended family—for their constant support, encouragement, patience, and love. Thank you as well to my mentors, teachers, and colleagues, for shaping my medical education and making me the physician I am today. Most of all, I dedicate this book to the patients who have entrusted me with their care—helping you face the challenges of living with kidney disease is my honor and privilege.


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