@firstinfamily. Thank you for the positive encouragement. Yes you are right on any given day I can have as many as 4 patients and each of them have a completely different dx. Some days I feel like it is all I can do to remember who is here for what and what S&S, improvements, and lord knows whatever else I'm supposed to keep an eye out for. I want to be somewhere where I feel like I can make a difference in someones life and I think dialysis is the perfect place to achieve that.