When we’re young, we often wonder what it would be like to see into the future. If you knew what was coming, how would you prepare? Would you even want to know?
What if I told you there’s a group of people who carry this kind of knowing every single day? Not because they’re psychic or chosen, but because they’ve loved someone whose body has quietly declared war on itself.
They’re not clairvoyants.
They’re caregivers.
I discovered this kind of knowing the day I fell in love with someone already eight years into her kidney transplant journey. Like many, I didn’t realise that a transplant isn’t a forever fix. At best, it buys you 15–20 years. And with that awareness, I found myself holding a kind of emotional time machine — able to see the shape of what was coming. And I had to choose: live day by day, or look deeper?
I looked deeper.
To this day, I still don’t know if that was the right thing to do.
When I looked ahead, I saw two forks in the road.
One: the transplant path — invasive, high-risk, full of hospital corridors and white-coat decisions. At least twelve months of recovery, with complications, emotional load, and the pressure of being a match in every possible sense.
The other: dialysis — a slower kind of countdown. Not immediate, but terminal nonetheless. A steady erosion of vitality. A path where I would become a full-time carer, not through sudden collapse, but through gradual necessity.
So I researched. Not just the medicine. I researched what it would mean. For me. For us. For our future.
That’s when it hit me:
Caregivers pay a hidden cost.
Did you know:
- A JAMA study found that caregivers under strain have a 63% higher mortality risk.
- Many experience higher rates of anxiety, depression, and chronic stress.
- Most neglect their own health while managing someone else’s.
- Burnout is real. So is guilt. Isolation. Financial pressure. Grief before the goodbye.
Suddenly, this wasn’t about courage.
It was about survival.
My choices weren’t about dreams anymore — they were about how to navigate inevitability in a way that wouldn’t destroy me before the end arrived.
So here’s the hard question:
If you knew this was your future, what would you do?
Would you still love them?
Would you still stay?
Would you make peace with carrying a grief that hasn’t happened yet — just so they wouldn’t have to carry it alone?
Because no one tells you this: when love is tethered to chronic illness, it becomes both shelter and storm.
You become fluent in hope and dread. You plan holidays around lab results. You celebrate stable bloodwork like a lottery win. And you learn to act like everything’s okay — until it isn’t.
I used to think strength meant being ready.
Now I know it often just means being there.
There are no medals for caregiving. No applause. No audience in the wings. Most of it happens quietly, invisibly. Sometimes, even the person you’re caring for can’t see the toll. That’s not their fault. It’s just the strange math of this kind of love: one person gives more than they knew they had, and the other often feels guilty for needing it.
And still, you stay. Not because you’re a martyr.
But because this is the person you chose.
Because even knowing the end — you wouldn’t trade the middle.
But let me be clear: This path doesn’t make you a saint.
It makes you human.
A human who cries in the car before another appointment.
A human who resents the unfairness but still holds the vomit bag steady.
A human who wonders, quietly: Who’s going to look after me?
And sometimes, the scariest part isn’t the illness.
It’s losing yourself in the slow erosion of the life you once imagined.





