I too put off the day of dialysis for several years. My nephrologist never thouht I would start. The only thing I did was have my fistula installed two years before I started dialysis. The fun thing when I showed up the first day was when they looked for the cath in my chest, I told them I had a fistula they then said it took months to mature. I asked how much longer than two years they just shook their heads and used the fistula. I don't regret the years I delayed the start of dialysis. When it was time I went and truthfully it was not as bad as I thought it would be. Though I must admit I don't look at the needles. When I have seen them they look to be the size of the holland tunnel in New York.