Acknowledgments: The author wishes to thank the following for their contribution to this article: Fresenius Medical Care NA; Staff at FMC Bexar County Dialysis Unit in San Antonio, Texas; University of the Incarnate Word San Antonio, TX; Dr. Janice Dvorkin, music professor; Frank Torres, music intern; Denise Hart, MD, nephrologist; and Marlene Davis, LD/RD.