I'm sorry to hear things are tough today. Bone spurs are no fun at all.

Don't sweat the mess and destruction. It can be taken care of later. Focus on the important stuff, make sure you make time for yourself later in the day (when and if Caroline takes a nap), and let the rest attend to itself. The more you push yourself under these conditions the more tense and stressed out you'll get.

All of which I know you know perfectly well, but I'd be remiss if I didn't try to help. ;)