councilmember zerda? >> i want to say thank you for touching on the aspect of the end stage for the kidney use. for younger population, oftentimes we hear about certain segments along the way about which populations are being affected. i myself had to deal with chronic health issues through high school and college. you covered what it was. managed time, medications, hospital visits, all of those things. it's a huge order for people at such a young age. i appreciate you touching on some of those issues. >> other councilmembers? i have a question for each of the speakers. dr. wiel first. you described peritoneal dialysis very well. i wonder how much discomfort is this person in. you show them lying peacefully in bed, but is there discomfort involved? >> there is very little discomfort involved in peritoneal dialysis. the abdominal cavity holds a lot of extra fluid and there is at the first few exchanges when the catheter is first put in that stays there, there may be some adjustment discomfort, but the actu