Welcome back RDM

Whilst it's good to hear some progress has been made, some of your comments concern me. She hears your concerns but then says you're not enthusiastic enough. Is she specific or is this just a criticism to deflect from her? As you say, that is bad. She can't or won't acknowledge how much of your time and energy has been used in helping her.

More time spent with your kids is good as it shows them you are a great person. Getting them involved in projects is also good. Your wife now works PT, so more is loaded onto you. So, her illness has improved if she is now able to do a job. Sorry to sound so cynical!

Although I had to read your co-worker's comment twice, I now understand what she means by rewarding you. Sadly, it seems your wife still cannot openly acknowledge your efforts. I realise you want more than a simple thank you, but that would go some way to making you feel loved and appreciated.