[BonnieR]

You mentioned a few solutions already. Maybe a few days off work. Make spinning class a priority, no matter what. Bike to work (sounds COLD! Wear a helmet too!). But you really are talking about quality of life. I know what you are saying about "smelling the roses" and I felt that way when first diagnosed. It was pretty easy to see things with new eyes. Now a few years have passed. I dont have all the responsibilties that you do, still, I fail to have meaningful, rose smelling days! I think real life creeps back in eventually. And that is a good thing in it's way. Cancer is not the star anymore.
At the same time, we dont want to take life for granted. Nor have regrets about things we missed or failed to do. There are days when I wish I could remember better how I felt right after I was diagnosed. Everything superficial fell away. And I did not care about petty things or petty people.
I have a suggestion. I am reading a book by a young woman and mother. "The Happiness Project". It looks at how we can improve our day to day in order to feel happy and fullfilled. Maybe you can relate to it. And it is fun to read.
You have raised an important issue and I am sure it will resonate with others here.
Keep the faith.