Hello Everyone - Patty here. Thanks for the warm welcome. I'm sorry it has taken so long to reply. There seems to be so much to do with insurance, his retirement from his job, doctors, dialysis and try'g to find something Spinner can eat he doesn't have much of an appetite. I'm really very happy we found this forum, I know there's a lot of first hand knowledge here. Now for a few questions: Do a lot of ya'll have problems with blood pressure spiking after dialysis?Does the weakness really improve as the Dr's keep saying it will? The dietitian suggested a small glass of wine before meals to boost his appetite, any suggestions on what kind or brand? Do ya'll have much problem with edema between dialysis, even when watching fluids carefully?Any info you can share will be greatly appreciated. Thursday we will be go'ing to the Dr. to see about his permanent catheter, is there anything we should know up front? We hear the fistula is best.Thanks a Lot - Patty