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    Already Toast

    Caregiving and Burnout in America

    Author Kate Washington
    Paperback
    $16.95 US
    | $22.95 CAN
    Beacon Press
    On sale Mar 15, 2022 | 224 Pages | 9780807055526
    Grades 9-12
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    The story of one woman’s struggle to care for her seriously ill husband—and a revealing look at the role unpaid family caregivers play in a society that fails to provide them with structural support.

    Already Toast shows how all-consuming caregiving can be, how difficult it is to find support, and how the social and literary narratives that have long locked women into providing emotional labor also keep them in unpaid caregiving roles. When Kate Washington and her husband, Brad, learned that he had cancer, they were a young couple: professionals with ascending careers, parents to two small children. Brad’s diagnosis stripped those identities away: he became a patient and she his caregiver.

    Brad’s cancer quickly turned aggressive, necessitating a stem-cell transplant that triggered a massive infection, robbing him of his eyesight and nearly of his life. Kate acted as his full-time aide to keep him alive, coordinating his treatments, making doctors’ appointments, calling insurance companies, filling dozens of prescriptions, cleaning commodes, administering IV drugs. She became so burned out that, when she took an online quiz on caregiver self-care, her result cheerily declared: “You’re already toast!”

    Through it all, she felt profoundly alone, but, as she later learned, she was in fact one of millions: an invisible army of family caregivers working every day in America, their unpaid labor keeping our troubled healthcare system afloat. Because our culture both romanticizes and erases the realities of care work, few caregivers have shared their stories publicly.

    As the baby-boom generation ages, the number of family caregivers will continue to grow. Readable, relatable, timely, and often raw, Already Toast—with its clear call for paying and supporting family caregivers—is a crucial intervention in that conversation, bringing together personal experience with deep research to give voice to those tasked with the overlooked, vital work of caring for the seriously ill.
    “This is a timely and crucial appeal.”
    —Booklist, Starred Review

    “A biting critique of how America is failing its unpaid caregivers . . . . The result is a bracing antidote to ‘sentimentalized narratives’ that cast unpaid caregiving as its own reward when, the author makes clear, better Family and Medical Leave Act benefits would be far more useful . . . A startling, hard-hitting story of a family medical disaster made worse by cultural insensitivities to caregivers.”
    —Kirkus Review

    “[A] wrenching debut . . . Washington’s tale serves as both an evocative memoir and a strident call to action.”
    —Publishers Weekly

    “Vitally important . . . A gift to caregivers everywhere . . . If we are ever to untangle this multi-limbed crisis, it will be with large thanks to Washington.”
    —Abby Maslin, author of Love You Hard

    “Already Toast is a must-read for those concerned about the coming crisis of care and those currently facing the challenges of the caregiver life. Kate Washington describes caring for her husband suffering from cancer while raising two small children and, in doing so, is not afraid to ask tough questions about how we think about care—an activity both highly valued and taken for granted. A moving, lucidly written true story, Already Toast offers a glimpse into the lives of millions of Americans who give selflessly by providing care to sick, disabled, and/or elderly loved ones, but who pay a steep price in their emotional and physical health and financial stability. Washington argues eloquently that we urgently need to change how we view this practice if we wish to build a compassionate, truly caring society.”
    —Chris Gabbard, author of A Life Beyond Reason

    “Kate Washington movingly describes caring for her extremely ill husband. . . . With [a] keen wit to leaven her load, Washington&rsrquo;s description of a young family turned upside down and the difficulty in finding support and respite hits home, and underscores the societal cost of millions of unpaid family caregivers.”
    —Marilyn Dahl, Shelf Awareness
    Kate Washington is an essayist and food writer who currently serves as the dining critic for The Sacramento Bee. Her work has appeared in many publications, including The Washington Post, Eater, Catapult, and McSweeney’s Internet Tendency. She lives in Northern California. Connect with her at kawashington.com and on Twitter (washingtonkate).
    Kate Washington View titles by Kate Washington
    INTRODUCTION
    Collateral Damage

    CHAPTER ONE
    The Learning Curve: Beginning Caregiving

    CHAPTER TWO
    The Thick of It: BMTU, Part One

    CHAPTER THREE
    On His Blindness: BMTU, Part Two

    CHAPTER FOUR
    Careworn: Life After Discharge

    CHAPTER FIVE
    To a Crisp: Burnout

    CHAPTER SIX
    Invaluable: Work and the Economics of Caring

    CHAPTER SEVEN
    A Lack of Reasonable Options: Sandwiched Caregiving

    CHAPTER EIGHT
    Something Is Not Right: Post-Caregiving Stress

    CHAPTER NINE
    The Aftermath: Rebuilding from Caregiving

    CONCLUSION
    Damage Control: How to (Really) Help Caregivers

    Key Sources and Resources
    Acknowledgments
    Notes
    Index

    About

    The story of one woman’s struggle to care for her seriously ill husband—and a revealing look at the role unpaid family caregivers play in a society that fails to provide them with structural support.

    Already Toast shows how all-consuming caregiving can be, how difficult it is to find support, and how the social and literary narratives that have long locked women into providing emotional labor also keep them in unpaid caregiving roles. When Kate Washington and her husband, Brad, learned that he had cancer, they were a young couple: professionals with ascending careers, parents to two small children. Brad’s diagnosis stripped those identities away: he became a patient and she his caregiver.

    Brad’s cancer quickly turned aggressive, necessitating a stem-cell transplant that triggered a massive infection, robbing him of his eyesight and nearly of his life. Kate acted as his full-time aide to keep him alive, coordinating his treatments, making doctors’ appointments, calling insurance companies, filling dozens of prescriptions, cleaning commodes, administering IV drugs. She became so burned out that, when she took an online quiz on caregiver self-care, her result cheerily declared: “You’re already toast!”

    Through it all, she felt profoundly alone, but, as she later learned, she was in fact one of millions: an invisible army of family caregivers working every day in America, their unpaid labor keeping our troubled healthcare system afloat. Because our culture both romanticizes and erases the realities of care work, few caregivers have shared their stories publicly.

    As the baby-boom generation ages, the number of family caregivers will continue to grow. Readable, relatable, timely, and often raw, Already Toast—with its clear call for paying and supporting family caregivers—is a crucial intervention in that conversation, bringing together personal experience with deep research to give voice to those tasked with the overlooked, vital work of caring for the seriously ill.

    Reviews

    “This is a timely and crucial appeal.”
    —Booklist, Starred Review

    “A biting critique of how America is failing its unpaid caregivers . . . . The result is a bracing antidote to ‘sentimentalized narratives’ that cast unpaid caregiving as its own reward when, the author makes clear, better Family and Medical Leave Act benefits would be far more useful . . . A startling, hard-hitting story of a family medical disaster made worse by cultural insensitivities to caregivers.”
    —Kirkus Review

    “[A] wrenching debut . . . Washington’s tale serves as both an evocative memoir and a strident call to action.”
    —Publishers Weekly

    “Vitally important . . . A gift to caregivers everywhere . . . If we are ever to untangle this multi-limbed crisis, it will be with large thanks to Washington.”
    —Abby Maslin, author of Love You Hard

    “Already Toast is a must-read for those concerned about the coming crisis of care and those currently facing the challenges of the caregiver life. Kate Washington describes caring for her husband suffering from cancer while raising two small children and, in doing so, is not afraid to ask tough questions about how we think about care—an activity both highly valued and taken for granted. A moving, lucidly written true story, Already Toast offers a glimpse into the lives of millions of Americans who give selflessly by providing care to sick, disabled, and/or elderly loved ones, but who pay a steep price in their emotional and physical health and financial stability. Washington argues eloquently that we urgently need to change how we view this practice if we wish to build a compassionate, truly caring society.”
    —Chris Gabbard, author of A Life Beyond Reason

    “Kate Washington movingly describes caring for her extremely ill husband. . . . With [a] keen wit to leaven her load, Washington&rsrquo;s description of a young family turned upside down and the difficulty in finding support and respite hits home, and underscores the societal cost of millions of unpaid family caregivers.”
    —Marilyn Dahl, Shelf Awareness

    Author

    Kate Washington is an essayist and food writer who currently serves as the dining critic for The Sacramento Bee. Her work has appeared in many publications, including The Washington Post, Eater, Catapult, and McSweeney’s Internet Tendency. She lives in Northern California. Connect with her at kawashington.com and on Twitter (washingtonkate).
    Kate Washington View titles by Kate Washington

    Table of Contents

    INTRODUCTION
    Collateral Damage

    CHAPTER ONE
    The Learning Curve: Beginning Caregiving

    CHAPTER TWO
    The Thick of It: BMTU, Part One

    CHAPTER THREE
    On His Blindness: BMTU, Part Two

    CHAPTER FOUR
    Careworn: Life After Discharge

    CHAPTER FIVE
    To a Crisp: Burnout

    CHAPTER SIX
    Invaluable: Work and the Economics of Caring

    CHAPTER SEVEN
    A Lack of Reasonable Options: Sandwiched Caregiving

    CHAPTER EIGHT
    Something Is Not Right: Post-Caregiving Stress

    CHAPTER NINE
    The Aftermath: Rebuilding from Caregiving

    CONCLUSION
    Damage Control: How to (Really) Help Caregivers

    Key Sources and Resources
    Acknowledgments
    Notes
    Index

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