I am a social worker and worked in dialysis clinics for many years before working with Medical Education Institute, Inc. that runs this site. I hope that you're also talking with the social worker at your dialysis clinic. Even though you are a home dialysis patient, your social worker is a resource to you. Social workers in dialysis clinics are supposed to have masters degrees in social work with specialization in clinical practice (the same training social workers in mental health centers have). What this means is that the social worker should have the skills to counsel you to help you with the multiple losses that you've experienced recently -- your kidneys, health, lifestyle, marriage, financial security, home, independence, etc. If he/she doesn't have time to do this because of the dialysis workload, he/she should be able to refer you to a counselor in the community that has experience working with people with chronic illnesses.
At minimum, your social worker should be able to help you do a self-assessment and set short-term and long-term goals for the future. What are your hopes and expectations for your future? What would you like to do with your life? Your daughter is a great motivator, but what other motivators do you have? What, if any, limitations do you have now that could be improved with some kind of intervention? There would be a long list of things I'd suggest, but I'd like to give your social worker a chance to talk with you to find out what you want and what your goals and dreams are.
Being on PD has the advantage that you don't have to go to a clinic which should allow you time to work and do other activities unrelated to your illness, like spending time with your daughter, doing things with friends that get you out of the house and enjoying interests you have with people your own age. I'm sorry that your wife couldn't handle your illness and left you, but you need to believe that you deserve better. You may not be ready now, but down the road, you may want to find someone else to love. Although it is a common concern, people on dialysis have met and married people that can cope with their health situation.
Bottom line...Patients who I've talked with that are well adjusted tell me that they dialyze to live, not live to dialyze. I hope that you can find things that will bring joy back into your life. I believe you can do it. Others who are on dialysis, like Pierre, can help and many are very anxious to do so. I'm glad that you found us and that you asked for support!
Beth Witten MSW ACSW LSCSW
Medical Education Institute, Inc.