It is estimated that 20 million Americans have chronic kidney disease. Americans with kidney disease have a very high mortality rate over a five-year period-ranging from about 20 per cent for Americans with mild or moderate kidney disease to almost 50 per cent in Americans with severe kidney disease. In this book, four imaginary characters are used to exemplify how virtues or character strengths determine the outcome of those who were unfortunate enough to have developed kidney disease. Using these characters, the book illustrates how having an illness like chronic kidney disease may involve facing new situations, complicated problems, challenges, and obstacles that sometimes could (or can) have no right or easy answers. In this book you will see that being proactive can prevent kidney damage and early death. The educational material in this book is a survival manual and must read for all individuals with kidney disease.