Thanks Alison, No I am not seeing a kidney specialist – i have asked but my consultant says i don't need to as he is in contact with him – I feel my sct is a fait complet with my consultant who sees it as the best way forward due to age (52) and maybe's he's right and its just fear clouding my judgement about it – my kidneys at 240 creatnine and urea 14.1 seem a bit better that yours were at SCt and i definately will have dialysis – travelling to hull for dialysis then back to castle hil 3 x a week scares me as well if i'm feeling awful. I've decided i will go with the cnsultant and do SCT because at some stage I guess you have to use whatevers at your disposal to fight MM – the fact that the consultant is very pro sct can only be a good sign, Theres been no mention of the fitness tests to pass etc so i guess they can't be too difficult… thankyou for your input. Rebecca