future open letters to my nephrologist upon urging me to go for dialysis:
test letter #1
go f--- yourself.
test letter #2
i'd rather be dead.  do you know a good physician-assisted suicide program.  thanks. 
test letter #3
i appreciate your efforts on my behalf but i have to wash my hair.
test letter #4
thank you for your great and knowledgeable opinion.  its not you its me.  i will think about your prescription.  i'll call you.  don't call me.
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fortunately i'm in perfect health for 150 years old so these letters are of no concern to me.
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senior, old age, second childhood, sickness and death, ain't we got fun.
