Memoir  ·  Moore Legacy Press

I Missed
the Signs

A raw, honest memoir about racing at full throttle, ignoring every warning sign — and waking up at Stage 5 kidney disease. By Michael T. Moore. Now on Amazon.

Available in English · Spanish · Portuguese  —  Kindle, Paperback & Hardcover

I Was Running Too Fast to Notice I Was Dying

I was a competitive drag racer. Eight-second quarter-miles. Magazine features. My car was in Chevrolet Performance. I was building a career in IT security, and living at a pace that left no room for anything that looked like weakness. When you're running that hard, you tell yourself the fatigue is because you're busy. The swelling in your ankles is because you've been on your feet. The blood pressure readings? You'll deal with those later. There's always a later.

Except sometimes there isn't. I had Stage 5 Chronic Kidney Disease, and I didn't know it until I was in the ICU. My kidneys were functioning at single-digit percentages. My body had been sending signals for years — real, loud, impossible-to-miss signals — and I had been too focused on the finish line to read any of them. That's not drama. That's just what happened. And it happens to more of us than anyone talks about.

"The warning signs were there. The fatigue. The swelling. The high blood pressure at every physical. I told myself I was just busy. I was just tired. I was just getting older. I was wrong on all of it."

Dialysis is three days a week, four hours a session, needles going into your arm and your blood running through a machine while the rest of the world keeps moving. I won't sugarcoat it. There were days I sat in that chair and didn't know who I was anymore. But I also made a decision in that chair: I was going to build something instead of disappear. That decision became MAVTG — the only medical travel company built by a dialysis patient, for dialysis patients. I learned how to travel on dialysis so you don't have to figure it out alone. I got on the national transplant waiting list and I kept going.

This book is everything I wish had existed before that day in the ICU. It's honest about the mistakes I made. It's real about what dialysis actually looks like. And it's direct about the path forward — because there is one, even when it doesn't feel like it. I wrote it for the person who just got a scary lab result and doesn't know what to do next. I wrote it for the Black man who hasn't been to the doctor in four years. I wrote it for the family member sitting in the waiting room with no answers. If any part of your story looks like mine, this book is for you.

If you recognize yourself here, this is your book

The Newly Diagnosed

You just got your CKD diagnosis and have no idea what this means for your life. You need a real person's account, not a pamphlet.

The Denier

You have symptoms. You've been putting off the appointment. Something in this book will recognize you.

The Caregiver

Your spouse, parent, or friend is sick and won't listen. Read this so you can understand what they're going through — and how to reach them.

The Dialysis Patient

You're already in the chair. You need to know someone else has been here and kept living — fully, with purpose and plans.

Six Things This Book Will Change for You

01

Warning Signs Black Men Ignore

Fatigue, swelling, high blood pressure, foamy urine — learn what they actually mean and why too many of us dismiss them until it's too late.

02

How to Advocate for Yourself in the Medical System

How to ask the right questions, read your own labs, push back when something feels wrong, and navigate a system that doesn't always work in your favor.

03

Dialysis Doesn't Mean Your Life Stops

The real day-to-day of dialysis — what to expect, how to adapt, and how to reclaim your identity when a machine becomes part of your routine.

04

How to Travel on Dialysis

Step-by-step: booking dialysis treatments abroad, what to pack, how to communicate with international centers, and why travel is still on the table for you.

05

Building a Business While Sick

How MAVTG was built — not despite dialysis, but around it. What it takes to create something real when your energy is limited and the stakes are high.

06

Why Sharing Your Story Matters

The lives you can save just by being honest about what you've been through. Your story is not a burden — it's a warning system someone else desperately needs.

A Passage from Chapter 1

Excerpt — Chapter 1: The First Sign I Ignored

The doctor said my creatinine was elevated. I heard the word "elevated" and nodded like I understood what that meant. I didn't ask what creatinine was. I didn't ask what elevated meant for someone my age. I didn't ask what the next step was.

I smiled, said thank you, and made a mental note to look it up later. I never looked it up. I had a flight to catch.

That was 2019. By 2020 I was on dialysis.

Recommended Reading Order

You are here
01

I Missed the Signs

The personal story. Start here if you want to understand what kidney disease feels like before the diagnosis you ignored becomes the one that defines you.

02

Michael's Big Kidney Journey

What happens after diagnosis. Treatment decisions, dialysis life, keeping your identity while your body is being managed by machines.

03

Day One: Understanding Kidney Disease

The plain-language clinical guide. Use this alongside your nephrologist — every term, every decision point, every question you should be asking.

About Michael T. Moore

Michael T. Moore — author, dialysis patient, founder of MAVTG
Michael T. Moore
Dialysis Patient  ·  Founder, MAVTG  ·  Drag Racer  ·  Author  ·  Advocate

Michael T. Moore is a dialysis patient, IT security professional, performance car builder, and father based in Tampa, Florida. He was diagnosed with Stage 5 Chronic Kidney Disease — after years of clinical warning signs that went unread. He has been on dialysis for over six years. He is on the national kidney transplant waiting list.

In that time, he founded MAVTG — the only medical travel resource built by a dialysis patient, for dialysis patients. He also launched Moore Legacy Press, authored multiple books on kidney disease and patient advocacy, and has become a voice for Black men in the chronic illness space. His drag racing cars ran eight-second quarter-miles. His books have reached patients in three languages. His mission in both arenas has always been the same: exceed every limit that was said to apply.

What Readers Are Saying

I've been on dialysis for two years and I thought I knew what I was dealing with. This book still hit me like a truck. The chapter on warning signs I wish I'd read ten years ago. Honest, direct, no self-pity — just the truth. Every dialysis patient needs this.

— Dialysis patient, Atlanta, GA

My brother was just diagnosed with Stage 4 CKD and nobody in our family knew what that meant. This book answered every question we were too scared to ask our doctor. The section on advocating for yourself changed how we show up to his appointments.

— Family member of a CKD patient, Houston, TX

I didn't think I could ever travel again after starting dialysis. Michael's chapter on traveling with treatments made me book my first trip in three years. I'm going. That alone was worth ten times the price of this book.

— Dialysis patient, Miami, FL
Available Now on Amazon

Get the Book

Kindle, paperback, and hardcover editions available now. If this story sounds familiar — if you've been ignoring the signs — this book was written for you.

Published by Moore Legacy Press  ·  Already read it? Leave a review on Amazon →

Medical Disclaimer: This book is a personal memoir and does not constitute medical advice. The experiences described are the author's own. Always consult a qualified nephrologist or healthcare provider for diagnosis, treatment decisions, and medical guidance specific to your situation.

More from Michael Moore