Treefrog,
I sounds like your walking that fine line most of us spine people walk.
Always seems like we're giving something up to get something done.
Take care of what you need fixed first .... then you will be able to help those that are in need around you.
I have a 7yr old that watched me for a long time crawl up the steps to put her to bed.
Post-surgery...
(I'm now able to help her in so many new ways)
Todd