The Spoon Theory is pretty much what I do. I have always lived with lists to keep be organized, but now I don't expect so much of myself. I do what has to be done first. Then I lie down and take a nap (that's a new part of my routine, if needed). Then I get up more rested and tackle household chores and cooking. Thankfully I have an understanding husband. Before getting sick, I worked in my flower gardens, vegetable gardens, and yard every day unless it rained. Now I just can't. It's depressing. That's what I enjoy doing and miss it so much. But we hired someone to keep the yard up. The physical part is a challenge, but the mental and emotional part is even more difficult. I'm a strong person spiritually, so I'm sure in time I will adjust. On another note, I see many people on autoimmune drugs but still have fluctuating hearing loss and other symptoms. What the purpose of taking those drugs? To keep it from getting worse? That quality of live doesn't sound any better than being deaf to me.