here will be no jobs dealing with cardiac in the town she now lives in? 9 years IS a long time to spend on a specialty and I do not want to guilt you on it, You do what you have to do.
But while you are reading that, put in Cat's in the Cradle by Harry Chapin...
just a little guilt. ; )
Beyond that.
Sex no sex...
Some will say no, some will say yes. It is situational. If you do and a complaint of hers has been lackluster, make it so her eyes roll back in head.
...little boy blue and the man in the moon... Every time I hear that song, I re-evalute what is important to me, and what I believe is important to me.