I used to believe that loneliness announced itself loudly, that it would arrive with dramatic signs or overwhelming despair, but what I learned instead is that it often settles quietly, showing up in routines where no one expects to stay.
For me, it lived in the waiting room of a renal care clinic on the edge of a mid sized Midwestern city, a place surrounded by auto body shops, discount pharmacies, and a diner that never seemed to close. Three mornings a week, I took the same paratransit van from my apartment, watched the same cracked sidewalk roll past the window, and stepped into the same room that smelled faintly of disinfectant and burnt coffee.
I was forty nine when I started dialysis, old enough to understand the seriousness of what was happening to my body, and young enough to feel deeply cheated by it. My kidneys were failing slowly and stubbornly, the way erosion works on stone, and every treatment felt less like healing and more like postponement.