Ok...I am caregiver for my Bf, he is 33 and was diagnosed last June with esrd...he has a fistula in his left arm and does in center dialysis. In the last few months he has been hospitalized with Pneumonia four times. I am getting frustrated because no one seems to be able to tell me or give me an idea why this keeps happening...I watch his fluid like a hawk. 32 ounces a day and we stick to it...I am extremely careful about keeping our house clean and making sure others who are there use precautions. Does anyone out there have any information about this?