It's terrific that you are thinking about what will fit your life and circumstances best, Bob. You make a good case that manual PD may make sense, given your location on a hill. PD tends to be a good first dialysis option anyway, because it is easy to learn, easy to do, and gentle. Our My Life, My Dialysis Choice decision aid may give you a bit more insight as well: http://www.mydialysischoice.org. What remains to be seen is whether you are physically a good candidate for PD, which your nephrologist can advise you about. And, you will need to have space to store the supplies, which seem to take up perhaps 60 cubic feet of space.