I feel at the end of my rope. My sleep/wake cycle is all screwed up. I did fall asleep last night for awhile. But now I've been awake for a few hours. It's just after 5:30 a.m.

I don't know how I'm going to cope. I don't know how I'm going to take care of this man today. But I don't see an alternative.

I'm getting really screwed up.