Hello welcome to HCM. I have read your question and understand your concerns. In kidney failure there are 2 options available to sustain normal life. - 1.Regular dialysis which will be increased in frequency in Longterm and has many drawbacks. 2 . kidney transplantation., which will provide you permanent cure from kidney problems. My advice is. 1.Search For suitable kidney donor while maintaining kidney function on dialysis. 2.If you will take regular twice or thrice weekly erythropoetin and maintained your hemoglobin around 10-11gm.. Then there is no need for blood transfusion. You can definitely avoid blood transfusions. Just consult your doctor about increasing your dose of erythropoetin. 3.With dialysis there are many problems in Longterm and quality of life will be poor. So, my advice is better to go for Renal transplantation if possible. Thank you.