The receipt of the diagnosis of End Stage Kidney Disease (ESKD) is a most devastating piece of news for any patient. It may result in significant decline in the quality of your life. Some patients have to stop working and are now unable to take care of their family. It is usually accompanied by a significant stay in hospital prior to the commencement of dialysis. The advent of ESKD can result in depression and despair. Not many patients adjust their lifestyles, take medication, obtain dialysis or a transplant and live relatively productive and rewarding life. Becoming active in a progressive support organization can become very rewarding in overcoming the receipt of bad news.