Posts Tagged ‘drinking and driving’

Eating and drinking in Europe: part two

Wednesday, October 5th, 2011

I may switch to red wine

I've been reflecting about our wine drinking in Europe. Here I normally have one glass of sweet white wine (e.g., Riesling Spatlese) three times a week.  It's very rare that I'll have a second glass and when that occurs it's almost always at home. When we're at an evening event we routinely have a "designated drinker" and a designated driver. That's been our pattern for more than twenty years, ever since I saw an Army senior physician, about to move into a choice command position, make the irrevocable error of over-consumption of liquor at a party.

I've noticed a few months ago that other countries have considerably lower blood alcohol limits for drivers than ours in the United States: that altered my own behavior. Rarely in the past, if we were going to spend three or four hours at a party, I might have one drink at the start of the festivities and drive home some hours later. That no longer makes sense.

However, in Portugal, we almost always walked to restaurants and we almost always drank red wine: vino verde (I discovered this meant "young wine", not "green wine), Port or regional products. We were sitting next to a German couple at one delightful meal and started talking about our imbibing habits. They had a white wine bottle on their table while we were trying a local red . They said at home they usually have wine with dinner and drink a bottle every three days. On vacation, they were drinking a bottle a night.

We brought a half bottle back to the hotel and finished it the following evening sitting on the third-story terrace.

Normally, if I do have a second glass of wine I feel a slight buzz. That wasn't happening on this trip. When I thought about it I realized we weren't drinking standing up at a reception, but sitting down at a prolonged meal. Our typical dinner in the States lasts an hour; here we averaged two and a half hours. So both the length of time and our food intake played a part in moderating the effect of the alcohol we were consuming.

We're home now and back to our normal pattern. We ate at our favorite local restaurant yesterday and I had a Thai Ice tea and no wine.

I'm not suggesting any of you should start drinking wine if you don't now, and for those of you who do drink wine now I'm certainly not pushing for increased amounts (having seen far too many cases of cirrhosis). The medical data for a favorable effect of moderate red wine consumption is suggestive, but not definitive as I mentioned in my comments extracted from a Mayo Clinic website. At age seventy, with no history of overconsumption in my family, I'm choosing to err on the side of  the vino. I may even switch from white to red wine.

Drinking and driving

Wednesday, August 3rd, 2011

lots of choices, all with alcohol

Twenty-four years ago I was the brand new Deputy Chief of Staff at our largest Air Force medical center. My counterpart at the Army's hospital across town called and asked if I'd like to attend a party. I said, "Sure, what's the occasion?"

His commander had just gotten a second star and, as a new major general, would be moving to DC soon. His immediate boss was going to get the one-star job running the medical center. That never happened. I don't know the exact details, but was told one drink too many led to an off-color comment to the wrong person and then to a lost opportunity.

I got sensitized, through this episode, to drinking at events and, of course, to drinking and driving. I was in a culture where wine and beer flowed freely at parties, but decided I'd be a one-drink person. My wife and I were outliers sometimes; a friend who was a fellow commander when I moved up to lead a small hospital once told me, "I got picked up CWI last night."

"I know what DWI means; what's CWI?"

He replied, "Crawling while intoxicated." Actually he was joking, while telling his story of leaving a party at the commanding general's home and feeling unsteady while slowly walking to his own quarters, two houses down.

The Wall Street Journal on July 2, 2011, had an article titled "Testing the Limits of Tipsy." Our US legal limit for driving used to be a blood alcohol concentration (BAC) of 0.15%; now it's 0.08%. In much of Europe it's 0.05%; in India it's 0,03% and in China it's 0.02%. That exceedingly low BAC limit may turn out to be the most realistic, especially on crowded streets and roads.

But the results can be bad, even to metal bodies

Our alcohol-related traffic fatalities have fallen by 50% since 1980, but still account for one-third of all deaths on the highway. Your BAC after drinking depends on a number of factors: your weight, age, prior drinking history, rate of consumption, if you're also eating (consuming food may slow absorption of alcohol, but some foods help more than others) and menstrual cycle (women apparently metabolize alcohol a little more rapidly just after ovulating).

Once you've absorbed alcohol, your BAC falls roughly 0.015% per hour (for either gender), so it may take a long time to reach a "safe" level, if there is such a thing. As you age your liver tends to metabolize alcohol more slowly; on the other hand, an elevated BAC may affect younger brains more adversely.

Having read this, I'll plan to continue our long-standing policy: when we go to a function one of us is the "designated drinker," and usually has only one drink at that. The other is the designated driver. We've occasionally each had a glass of wine...at an event where we'll be eating and not driving for a number of hours. It may be time to re-evaluate that policy.

On holidays like New Years Eve, when we know others will be drinking more than we do, we get off the roads early.