really it's the uremia. i can tell you that i do not have students that don't have any distress. many of them finish school at home. again, there is a lot of loses there too. there is lots of socialization. they are not able to go to school, go to promise and not able to go to college sometimes because they haven't finished their ged. you can imagine them again going into future and how does that translate to adult life and again, getting college degrees, going to technical vocational school or even holding down a regular job, finding a job that will accommodate around a dialysis schedule as well can be very challenging. you can imagine applying for a job says i dielz dialysis monday and wednesday and available tuesday, thursday and saturdays. it's difficult to find employment to be accommodating around that. that's why 3 years after dialysis less than 5 percent are working and 25 percent are keeping their regular jobs. the wait list for a kidney transplant is a little over seven 7 years which is the last i heard. that's the last statistic i heard. it is a long hard life. that sa