I think I'd mentioned in a comment a few weeks ago that my life and work hours might be getting a little easier:
I've been working for the last almost 4 years with a local Eye MD group, as clinical assistant for one of the surgeons. Due to reasons that would be more appropriately discussed with you all in a non-internet venue, I decided in December to step out of that position and become a ophthalmic technician for the same practice. This is a good move for me. First of all, instead of living in Coon Rapids and working between our Bloomington and Maplewood offices (about 1-1.5h of commute time a day), I'll be working the majority of the time (80-85%) at our Coon Rapids office (5 miles away). Instead of working every hour my doctor is in clinic (often 45-50hr/wk), I will be expected to avoid overtime. Instead of being at the top of my position's payscale, I'll keep my current pay, maybe get a raise at my April review, and have room to grow. I have one more week of training my replacement before I start on my own training.
I lived in Washington D.C. for 9 months in 2004-5, having started a 2 year program to be an Ophthalmic Technician. The program was a waste of my time, I dropped out of school (always wanted to say I've done that), and I studied on my own and earned the same level of certification while working on the job. My new position will basically entail what I had planned on doing to begin with.
Also, at my part time job I was hired on by the company as opposed to being a temp employee. I did get a small raise, and I've changed my hours to start at 8p on work nights instead of 6p.
Pretty darn soon I'll be able to reasonable get a work-out in in the a.m., in the evening, or between jobs.