Bryan,
I, too, am dealing with CKD with renal function fluctuating from eGFR of 9 to eGFR of 15. (I'm just rebounding from a kidney infection so it has dropped back into Stage V again. But overall it's at 14-15 eGFR--so very high Stage V or very low Stage IV.)
I have been dealing with very severe anemia since my kidneys were at Stage IIIB. My nephrologist is treating that with an iron medication that I take 3x a day and Procrit (EPO) injections as needed--about once a month for me at this point.)
I'm also taking a potassium binder and following a low potassium, low phosphorous, low sodium, and low fat diet. (I know--not a lot left to eat.)
I'm still working full time. I'm single and have no family left. So I'm dealing with this with some support from friends but no actual family support.
I am still working. I can definitely relate to how exhausted you feel after working. I'm pretty exhausted after working too. I've been fitting my daily diet xercise in throughout the day--walking 2 miles a day splitting it up to 1 mile mid morning and 1 mile late afternoon. I also do 30 minutes on my elliptical machine in the evening after dinner--although this is not at s high intensity.
So by 8 pm I'm pretty wiped out. I do my house cleaning and grocery shopping on the weekends when I'm not working. I just have to stay really organized and on schedule. I also have to do my best not to get sick--that really throws everything into a tailspin so to speak.
At first I was very depressed. I was also pretty anxious. As I developed ways to manage all of this the anxiety subsided. And learning more about dialysis has helped a lot with the depression. I've reached a point where I'm thsnkfulbthere is a form of dialysis I can do by myself at home, PD dialysis. It will also allow me to keep working which I'd really like to do as well.
So while I'm thankful to postpone dialysis as long as possible, I'm no longer balking at the idea of dialysis. I'm ready to give it my best and am hoping for the best. From others on this forum I'm convinced I'll feel better on PD dialysis. They also describe a fairly normal life on dialysis.
But I wanted to share a little with you about my father's experience with CKD. I never knew him when he didn't have CKD. He did exactly what his doctors told him to do. He lived long enough to raise three children, put us all through college, and welcome 4 grandchildren into the world.
He did take a nap every day when he got home from work. My mother would encourage us to play outside or quietly inside while dad took his nap. After he woke up we would have dinner. We then often played board games or ping pong with him until bed. By the way, we did our school homework while dad slept so we would be able to play board games and so forth as a family after dinner.
On the weekends we did things as a family. As we grew up this might include going to football or basketball games, etc. My father was a music teacher so we were very active in the community performing.
I have good memories of my childhood. I knew my father had a serious medical problem. But he approached it with a sense of calmness and a great sense of humor. He certainly taught me and my siblings to live in the moment and to enjoy the small things in life.
I would not trade him for anyone else as a father. He played such a major role in my development! I've no doubt that your girls will feel the same. So rather than focusing on what you aren't able to do, why not focus on what you can do? Build family traditions around your CKD. They will love you regardless. You haven't changed. You just have a chronic medical problem.
Marj