Cindy you are doing a great job. Starting dialysis is overwhelming and emotionally draining. I agree with Sluff saying you have come a long way and I am sooo happy you have. The time factor is a nightmare at first but it will soon become part of your daily routine. (I am doing an exchange as I type.) If you swap to nocturnal it will give your days back. Good luck with the needles. They will be my biggest hurdle if/when I have to switch to haemo. Do you use the Elma cream first?