Leon, 91, was diagnosed with metabolic acidosis and acute renal failure due to bilateral hydronephrosis. New to dialysis and a pacemaker, Leon was motivated to participate in three hours of therapy to get back to doing the things he loves. Leon uses the Bioness Integrated Therapy System (BITS) to challenge and assess his physical, visual, auditory and cognitive abilities. He taps on moving numbers in order to work on visual scanning, pursuit, sequencing and standing tolerance. His occupational therapist, Jesley Centeno-Nieves, and OT doctoral intern Lauren Villar provided contact guard assist and visual cues. Working on these skills will help him follow recipes for cooking, which he loves to do, once he's back at home.