At a late afternoon appointment with my wife Jane’s nephrologist, we described our planned trip to Hawaii the following week with our family to celebrate our 50th wedding anniversary.…Her doctor looked at Jane for a long moment and then said, “I’m sorry, but you can’t go. We are going to have to get you started on dialysis” and described the alternatives. Jane and I were stunned…I finally said, “If it were you, what would you do?” He answered, “…I would do hemodialysis overnight at home six nights per week—nocturnal dialysis, it’s called.” I looked at Jane and…said, “Okay, that’s what we’ll do.” I had no idea what I was talking about.