I work in breast imaging: screening & diagnostic mammograms and set up/assist/clean up for stereotactic core biopsies. I don't start at 5 but that's when I get up. I actually have 8 different start times, just for day shift.

It ranges from 7:00a-8:30a and occasionally 10:15a. This is a recent change after doing 8a-4:30p for over 20 years. Not that I can't start at 7 it just feel so much earlier, even though 1 hour shouldn't make much difference. Maybe because our trains run less frequently too, that makes my commute time take longer.
Our time off is a decent amount when it only had to cover me. It's just more stressful that now my time has to cover giving my niece a vacation too. My dad is hard to be around any length of time so the fact that she reliably stays there M-F all week, is just all the more reason she deserves a break. I try to plan all my routine dr visits while she's on vacation. I just make them early in the day and go to his house after.
He needs help with meals and meds but also protection from scammer calls and paying his bills. She stays there all week only because her home is 2 hours away. It's not that he needs 24 hr care.
I know the whole situation is hard on her and her family so I do what I can to make things convenient for her & to instill fun on their vacation breaks. This month they are taking a 4 nt
Disney cruise from New Orleans. She's always wanted to visit there so they'll have 4 nights to visit before the cruise sails. I have SW points for their flights and Chase points for their hotel so it's really not as expensive for me as it sounds.
She sooo deserves it and I'm glad I can do it for her. If I still had all the debt that I had when I first found this thread, there's no way we could do any of it.