Road riders need lightweight, tiny tools that can fit into jersey pockets. A lot of those items are made of carbon fiber, which is lighter than aluminum. Other iconic trappings of road riding, like CO2 cartridges and spandex outfits, are also geared toward minimalism, but all of that downsizing comes at a cost. Commuters don’t have to be as concerned with weight, so unless you covet something specific, don’t spend the extra money.
As you mentioned, it is surprising how often you can get multiple flat tires on while riding, particularly on longer sprints. The tip about bringing a patch kit in your bike repair kit can be incredibly helpful if you’ve already had one flat tire. I agree that all you listed seems like an awful lot to carry, but it’s always better to be safe than sorry, isn’t it?
Basic first aid supplies: A few bandages of varying sizes. 6 Aspirin, or other OTC painkiller of choice. A few alcohol pads in sealed foil packs, useful for cleaning grease off grease and grit off of the bike, and also cleaning cuts on yourself if you take a spill. 1 day supply of any prescription drugs you need to take regularly. Wrap these up in tinfoil and tuck away. It might just save your day.
Professional mountain biker Rebecca Rusch has been on plenty of long rides and experienced enough mechanical failures to know what makes a fully-stocked repair kit. One of her recent journeys, a 1,200-mile journey through the jungles of Vietnam, Laos and Cambodia along the Ho Chi Minh Trail required the utmost degree of preparedness — “We brought with us a lot of extra bearings, o-rings, stuff that you would never be able to find in Laos and Cambodia. Before I go out on these big adventures, I replace every bearing in my bike, my fork got a total rebuild — everything is in pristine condition,” says Rusch.