My daughter has just started kindy 8:45-2:45 5 days a fortnight. We are lucky I work part time with flexible hours but I don't know how regular families do it. We are also lucky to have a wonderful daycare who allowed us to enrol her in daycare on the other 5 days a fortnight. It's bloody hard though!! 

Maybe you should look into the church her and her husband have moved to. It is as equally cult like as what she left. It is  a shame most of her siblings are still trapped in that environment. 

My biggest advice is go down the path of bypass or mini bypass surgery. Don't get the sleeve. Long term stats are so much better with bypass.