I am so sorry. Gosh. I have a lot going on myself too. I am finally going to Mayo Clinic in Jacksonville Florida on Monday June 6th for an overhaul from a team of Dr's. They then send all their recommendations back to my Dr's telling them what they would and wouldn't do different. You may look into something like this.

I'm in a similar boat with a rare heart problem, on top of several other things. It's truly exhausting, these days my SOUL feels tired. my advice: sleep when you're tired, eat when you're hungry, and do whatever you can to feel any semblance of physical comfort. buy a lot of pillows. keep your favorite drink stocked in the kitchen. splurge a little on something forp a hobby. when the big picture sucks ass with no hope of improvement any time soon, the little things are that much more important for you to focus on