Glad that you are mot in that dark place. I understand that you don't want to end up like your mom, but Calphalaxis is not that common and if you were to do home HD, or longer, nocturnal in-unit your clearances would be better particularly. why do you not want a fistula? once you have one, it is easy to manage, and cannulating really is no biggie, once you get over the initial thing. anecdotally, most people seem
:cuddle;to prefer a fistula over a catheter and the risk of infection is much lower. the other alternative is a graft but the gold standard for dialysis access is really a fistula because it typically lasts longer, and you can also develop buttonholes which make cannulation much easier and less painful (although there is cream to numb the area anyway). don't close your mind to possibilities out of fear, as that may not lead you to the best option of treatment, if you choose this over no treatment. if you think that depression is coloring your judgement, suggest that you try to address this issue with some professional help. it sounds like you may have some internal issues over your mom's death that you still need to process (i am not trying to psycho-analyze you; just my thoughts from reading your posts. Personally I hope to see you around for a long time .