As of today, Ralph is in Stage 4 Heart Failure. His at-home IV medication is at its highest dosage. To act as a bridge to his transplant, doctors will implant a V.A.D. (ventricular assist device) to support Ralph's heart function until he receives a new one. The extensive tests to put him on the heart transplant list are completed. But he will not be listed until he has $10,000.00 to cover the costs of immunosuppressant medications and follow-up doctor visits. Ralph's need for your support is crucial.