Hi, 49 y.o. female. To give a little background on me, I was working in 2008 when I was found to have protein in my urine. Scared and stupid I didn't go back to the nephrologist. Stopped working in 2010, complicated reasons. From 2010 to 2018 health was declining, I kept putting off going to the doctor, partly due to no insurance, no money, being terrified of what they'd find, other excuses, etc. March 2018 wound up in ER, very short of breath and very high BP and stayed 4 days. Sent home with an appointment with a great family doctor who worked with me but in July 2018 things were just still in decline so back to ER and was admitted for 2.5 weeks. Diagnosis was sarcoidosis in lungs and eyes (O2 for rest of my life and cataracts), FSGS kidneys (and only left kidney still functioning). Nephrologist from 2008 saw me in hospital and has been since then. Sarcoidosis is in remission (left with permanently scarred lungs and on O2) and kidneys are not good. 13,16,18...Last 3 GFR #'s (18 the latest #), creatinine near 4. Was listed as Stage IV Severe but the Dr. said last week am now Stage 5 (ESRD? with last GFR of 18? 🤔). Going for fistula surgery in 2 weeks. I'll start PD classes/training in July. My nephrologist is of the mind set that, even doing PD, he prefers to have the fistula in place and healed if I were to have to have HD in an emergency or for other reasons. Is it common to have a fistula put in at this, seemingly early, stage? Is it common at all, when I'm going to be doing PD, to have a fistula put in in advance of even starting PD? I wish with all my wishes that I had listen to my family, begging me for years, to go to the doctor. Years of uncontrolled hbp, diabetes (that too), and sarcoidosis about took me out. How much better health would I be in if I had listened to myself and my family? Who knows, I can only look ahead now. I feel like I'm living in a fog...confused and scared. I have a wonderful husband of 33 years and 2 terrific sons, 32 and 28, all of whom are so supportive. I thank the Good Lord for them every day. Sorry my 1st post is so long, if you've read all of this, I thank you!