At first (as a disabled chronic pain sufferer) I thought you were unreasonable, but now I think this is the most important part here
"dh makes no effort to say thank you or acknowledge my input and how out of balance things are and despite talking about this time and time again it hasn't changed"
Just because people are ill or have pain, doesn't mean they are automatically a good person doing the best they can against the odds!
Having said that, I know my pain makes me, not selfish exactly, but self centred. It can literally be all that occupies my thoughts, I spend lots of time thinking about it and it's also very very easy to feel very very sorry for myself and resentful of others. In addition to the short temper that comes with being in constant pain.
However I recognise this and make the effort not to be a dick, especially to DH who has also had his life altered for the worst and is a good man doing the very best he can. I make sure I tell him that I know how much he does and that he is also affected. I try to take whatever pressure I can off him (he is now the sole earner and does the majority of child care and household stuff). In fact, he calls me his PA (and threw me a works Xmas party
) as there is so much stuff I can do lying down in bed so that he doesn't have to worry about things like paying bills, renewing insurance etc. It's important to me to still contribute in some way and it's important to us both to recognise each other's contributions.
Your DH sounds like he has perhaps fallen into the very easy trap of becoming very self centred and not thinking of you or recognising your contributions. If you have told him repeatedly how you feel and he doesn't change, it might be worth thinking long term what your plans are. If he didn't have this chronic pain, what do you think he would have been like? If he had a tendency to be selfish or lazy (and some of us do
) this will only exacerbate his traits.
Dealing with something like this is hard, I think it either makes or breaks a relationship. DH and I get on extremely well and generally are much closer but there are still times this comes between us (in my case it's doing too much and having a relapse, DH secretly feels I have been irresponsible, I know this and want to be able to make crap decisions like everyone else...)
Do you think you would be able to discuss this perhaps in couples counselling? It might help you both see each other's POV and bring you closer together, if you think he is a good man at heart. If he isn't, then I think I would be assessing thr relationship trying to disregard his illness/pain.
It's not easy. I sympathise.