Be Honest, Caregiver: Serious Profession or Work-Shy Pastime?

Some of you have caregivers who are spouses, family, friends, and if they're good spouses, family, friends, they'd offer the world to see you thrive. I'm not talking about them. I'm talking about hired caregivers who only work for you to make caregiving into a living, caregivers who only work to meet the mortgage or the rent or some other bills that need to get paid. 

Let's look at this logically. Caregiving is one of the few professions where you can--poof!--just become one, training be damned. For the decent ones, I've had, in the eleven years since my stroke, over thirty caregivers, virtually genuflecting to them all to not have them quit.

I fired five of them. They are the following:

I've had a caregiver who was on drugs (I saw labeled cocaine in a plastic baggie, lying among her possessions which she
 brought to work and acted like a schizophrenic with her
 disorganized thinking, delusions, and hallucinations); 

and a caregiver who didn't ask if she could bring her children,
 and then she did (they were rambunctious twin 6-year-old
 boys who whined about lunch for hours, which I bought for them just to stop moaning); 

and the caregiver who would yell at me in sort of dark,
 comedic fashion and laugh as if she was committing elder abuse (I didn't think that's funny); 

and a caregiver who went on eating her strawberry salad
 while we we were out shopping after I fell off the smooth,
 glass-like chair (people around me got up to assist me while
 the caregiver continued picking at her strawberry salad);

and finally, a caregiver who eagerly wanted to work, and
 then, a week later, told me she had diarrhea constantly and
 couldn't work anymore. (Did the diarrhea just start a week
 ago? I wonder.)

Then in January 2020, eleven years later, I achieved the impossible: a caregiver that was a registered nurse at a prominent hospital who retired from her job and was continuing to look for ways to help people. I hired her and was jubilant until one day a month ago, she said she was offered a full-time job to work with a woman who had Alzheimer's, and twice the money I was paying her. I encouraged her to take the job because I couldn't even come close to the family that was offering so much.

She helped me interview new caregivers and I chose two. One was state-certified, meaning she had training on the process of becoming a caregiver, the first for me ever. The other was a seminary student.

"You could always trust a seminary student," the nurse said.

I just shrugged, thinking about all those priests who did the unthinkable. 

But she, too, turned out fine and she demonstrated to be a good person. They've been working since the retired nurse wanted to take the other job. 

So if you don't like your caregiver, there's more to be had, if they're not your spouse, family, friends. Otherwise, you're sort of stuck between a rock and, well, another rock. 

Alcohol and Stroke, or Was My Grandfather Pickled and Other Stuff

My grandfather came from Austria, the home of Schnapps, which he drank at every opportune time, some a week long, of the Jewish holiday regimen. And some after Saturday services. And some before bed. I mean, it was constant. Coming from the German word "obst" meaning fruit, Schnapps was his favorite beverage, and here, as an immigrant, he put cherry or apricot preserves in the Schnapps just as they did "back home."

Schnapps is any of various strong, dry, distilled liquors commonly with a fruit flavor, and has high alcohol levels of 30% or higher, but my grandfather never got drunk, or maybe he was always drunk and my young eyes couldn't see it because that's how he was all the time. Though despite his choice of "diet," he was healthy and lived until 96. Go figure. 

But not everybody is so lucky. Alcohol in steady and huge amounts contribute to stroke risk, and now I know why. Aside from high blood pressure (the most prevalent), diabetes, and atrial fibrillation, all factors in stroke risk, excessive drinking can cause liver damage, and stop the liver from making substances that help your blood to clot. This factor can increase your risk of having a stroke caused by bleeding in your brain, thus a hemorrhagic stroke or, by some interpretations, an aneurysm. 

By the way, in 49 of the 50 states, and the District of Columbia, the legal limit for driving under the influence of alcohol is 0.08. In Utah, the legal Blood Alcohol Content (BAC) limit is 0.05. Commercial drivers have a limit of 0.04. Any detectable BAC is a violation for individuals under the age of 21.

The Dietary Guidelines recommend that if alcohol is consumed, it should be in moderation—up to 1 drink per day for women and up to 2 drinks per day for men—and only with adults of legal drinking age.

The National Highway Traffic Safety Administration lists these effects on driving at different blood alcohol content levels:

• 0.02 BAC: You are likely to feel relaxed and have some
•  loss of judgment. You aren't able to quickly track the
•  movements of other vehicles, pedestrians, or animals. You
•  lose some of your ability to do two things at once, so you
•  are more likely to be distracted.
• 0.05 BAC: You begin to exhibit loss of small-muscle
•  control, such as being able to focus your eyes, and you
•  can have lowered alertness. You have even worse ability
•  to track moving objects. Your ability to steer is degraded. If
•  an emergency situation develops, such as needing to
•  brake quickly or maneuver around an unexpected
•  blockage, you are likely to have a poorer response.
• 0.08 BAC: You will usually exhibit poor muscle
•  coordination, loss of balance, slower reaction time, slurred
•  speech, loss of acuity in vision and hearing, difficulty in
•  detecting danger, and impaired judgment, self-control
• , reasoning, and memory. When driving, you have difficulty
•  with speed control and recognizing and reacting to signals
•  and emergency situations. You have an increased risk of
•  injuries in general, and particularly those related to driving
•  a vehicle.
• 0.10 BAC: At this level, you will have further deterioration
•  of your abilities. It will be hard to maintain lane position
•  and to brake when needed.
• 0.15 BAC: You will have poor muscle control and ability to
•  balance. You are likely to vomit. You will have significant
•  problems in controlling your vehicle and paying attention.

With the holiday season just around the corner, and if your family and friends like you, have a care and keep them happy by not having a stroke from excessive drinking. 

Luck surely came to my grandfather.