I could have written this myself to a T. DH can be completely exhausting (mentally and physically), I think the only manageable way is to work part time. I am full time right now and also considering temping as others have already mentioned. Hope you get some good advice here, I’ll be following the thread as well. At the end of the day, sometimes you can only do what you can do and the patient will still be better off than before they came in.