I am having to give up home treatment since it is causing too much stress for my wife, even though I do all the work. She has had a serious accident and can no longer tolerate living in a "dialysis house". Ok, so I email my neph and tell him I need some 1 on 1 time. He invites me to his office after hours and gives me over an hour of his time. We spoke of many things, from cabbages and kings to ships and sealing way. He offered many changes to policy to accommodate my style. One of these is that I will be a "self-serve" patient and the medical orders will say I am free to do my own setup, connect, running the machine and disconnect. I will also be managing my fluid takeoff and dry weight directly without RN approval/involvement, accountable to my MD at my monthly meeting. This is going to be "less bad" than going in and waiting for an RN or tech for every little thing, or getting scolded for touching the machine.