I understand and am empathetic. Recent health issues and work life has changed everything for me. I have to say 'goodbye' to projects I desire to do, or at least 'box them up' and put into storage. We all know what happens to stuff in storage - smile.
I have given myself until May 1st to do the reorganization with the veiw of a 3 - 5 year plan. My plan essentially is 5 spokes. Any more and I would forget them. The other thing I am working on is simplify, simplify, simplify home chores etc.
If I make a list it is what I am going to do in the next hour. Otherwise, I keep in my mind the things I have to do and do them as the need for them for the available time arises. I am unemployed at the moment and this approached worked. I held my last job for 22 years whee I was PR director, IT director, investment director and secretary-treasurer. My priorities changed constantly and accordingly little time was left for making a list.
I had a co-worker who wrote a to-do list every afternoon and then re-wrote it the next morning because circumstances had changed.
Keep in your mind the important stuff and be flexible.