well thanks for everything i went and had it done , it is called a tunneled perm catheter and they gave me a light sedative and then numbed the area they tried to get blood from me but they couldnt the vein collapsed so they waited until they had the catheter in place I have some pain brusing and swelling but, i had my first pheresis today and NO pain with needles just pluged me in and it was done thanks again , this forum is great and so are the people