Thanks Michelle and Aleta MM no he doesn't get counseling...except for when him and I have our long chats in the car. We probably both need it actually, maybe I ask him to sign up with me somewhere?!Just like the dominant form of PKD, the recessive has no cure either. You can test for the condition invitro though...Right now he is on the list, but his PRA is 99. So if he gets a call it will be like winning the jackpot! He needs to get that treatment plasmapheresis to lower his PRA. He says next summer 2013 we are going to make a road trip to the MAYO clinic....My uncle facebook me about a week ago asking who he needs to contact about donating his kidney to Neil, but I am unsure how steadfast and committed any of my extended family would be about donating....with the PRA lowering it is going to be a journey to match Neil....I don't see any of them being able to commit to donating that long....Thankfully all he needs is a kidney right now...no liver...yet......but we both are evaluated for liver transplant from year to year....love,R