There is a general lack of information to patients about their situation. Nobody is voluntarily communicating to patients. I have had to fight to see a doctor (forget about the concept of my doctor) or a dietician. When I ask about physical therapy which is proven to be of utmost importance to dialysis patients they look at me like I am barking mad, they have no access to the physical therapy unit at the hospital. These are only signs of a blaring obvious lack of care for patients. Patients quality of life and patient care are both peripheral to the instrumental process of the actual dialysis. The consensus seems to be this: blood runs through machine; everybody is happy.