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Los Angeles Times AP   TribLIVE s Daily and Weekly email newsletters deliver the news you want and information you need, right to your inbox. LOS ANGELES In the early years of his illness, as his kidneys began to shrink and toxins coursed through his blood, the same four words often floated through Miguel Rangel’s mind: “I’m going to die.” Although some people live much longer, the average life expectancy of dialysis patients is five to 10 years, and Rangel, who has last-stage chronic kidney disease, lives with constant pain and for the last decade has gotten dialysis nightly via a catheter into his abdomen. Still, the 43-year-old electrician, who lives in San Fernando, has trained his mind to linger on hope.

United statesRancho los amigos national rehabilitation centerLos angelesMatt howardGail houseweartCarolyn lemos urquidezAnish mahajanMiguel rangelLos angeles timesSinai medical centerSeattle artificial kidney centerGod panelWashington university school of medicineCalifornia hospital associationDepartment of health servicesCalifornia department of public health