Carlos is a 66-year-old man living in a rented apartment with his parents who are in their eighties. Carlos is divorced, and sees his two teenage children on the weekends. During the week, Carlos works in a stockroom and cares for his elderly parents. Carlos decided to move in with his parents when he learned his mother was falling in their home. Over time, Carlos became responsible for preparing his parents meals, doing the shopping, laundry, and most recently, helping his mother in the shower. Carlos' sister lives nearby, but disagrees with Carlos as to how much support their parents really need. Carlos began to feel run down, and went for his yearly follow-up with his primary care physician. His physician referred him to a nephrologist after hearing more about some of Carlos' symptoms, and he was soon diagnosed with kidney disease. Carlos needed to begin dialysis immediately.  In addition to coping with this new chronic illness, Carlos is also struggling with whom he could depend on to help his parents, pay his own bills and pay child support for his children.