Petey,Your post was very informative. Thanks. You mentioned a doctor at Duke that believed there was a link between ESRD and ITP. Do you remember her name? I want to talk with her or a least search for any articles she may have written. Ever since the removal of my last kidney this past September, I have had low platelets. They were completely normal before surgery and now they range from 20's to 89 at the last count. No one seems to know the reason for this either. I know it has something to do with dialysis or my absense of kidneys. I wonder if it could be the membranes of the dialyzer, the high blood flow rate or something else. Question...did Marvin have ITP before he began dialysis or did it happen after dialysis began? My end stage renal disease began immediately upon surgery requiring dialysis at the same time. I have no way to distinquish if the ITP is related to dialysis specifically or to ESRD.