By now, Lia has been seizing for almost two hours. An intriguing, spirit-lifting, extraordinary exploration of two cultures in uneasy coexistence.... A wonderful aspect of Fadiman's book is her evenhanded, detailed presentation of these disparate cultures and divergent views—not with cool, dispassionate fairness but rather with a warm, involved interest.... Chapter 11 the spirit catches you and you fall down world. Fadiman's book is superb, informal cultural anthropology—eye-opening, readable, utterly engaging. The book is perfectly balanced.
They gave her an enormous amount of medicine, and finally she stopped seizing. Lia's epilepsy, by all accounts, was unusally severe and unresponsive to medication. Award-winning reporter Fadiman has turned what began as a magazine assignment into a riveting, cross-cultural medicine classic in this anthropological exploration of the Hmong population in Merced County, California. In other words, health is promoted by autonomy and empathy, too—sometimes at much as it is promoted by medicine. Or the doctors, who never took the time to understand their patient, her family, and the context in which they lived their lives? So most of them declined to learn any English. The best-educated refugees came in the first wave, and the least-educated came later on. Chapter 11 the spirit catches you and you fall down fiber plus. In my opinion, consensual reality is better than the facts. What was the "role loss" many adult Hmong faced when they came to the United States? She's written two books of essays, Ex Libris: Confessions of a Common Reader (1998) and At Large and At Small: Familiar Essays (2007), and edited Rereadings: Seventeen Writers Revisit Books They Love (2005). Doctor: "How long have you been having these headaches? I rarely read nonfiction, but I found The Spirit Catches You and You Fall Down in a Little Free Library after a one-way run, and picked it up to read at a coffee shop with a post-run latte (pre-COVID-19, sigh).
What Hmong would risk that? When Neil admits he can't give Lia the help she needs, the Lees think he is choosing to abandon her. And do we owe them the same rights/privileges as those who adopt American culture? The doctors put her on a respirator delivering 100% oxygen, inserted two more catheters to monitor her blood pressure and deliver drugs, and put a third catheter through two chambers of her heart to monitor heart function. The Spirit Catches You and You Fall Down - Chapter 11 Summary & Analysis. What are the most important aspects of Hmong culture? This particular passage is quite eerie to read now: For those who do not know, the Hmong were (illegally) recruited by the CIA to fight a secret (and illegal) war in Laos. Lia's parents, Foua and Nao Kao, were part of a large Hmong community in Merced, refugees from the CIA-run "Quiet War" in Laos. However, they misunderstood and believed she was being transferred not due to the severity of her condition, but because Neil was going on vacation. When Lia arrived at the hospital she was still unresponsive. That will make you real ill. Hmong healthcare centered around sacrificing a pig or in more serious cases a cow in the family home.
Fadiman walks a fine line in describing the story fairly from both perspectives; however, it's difficult, as an American, to not feel some anger toward this girl's family. When Lia ends up brain dead, your heart just hurts for everyone involved. This should be a must read for all medical personnel. She recognizes that it's hardly reasonable for any doctor to spend hundreds of hours with a single patient just to understand how they view the world. How was it different from their life in the United States? The terror and confusion the Lees felt as they tried to make sense of what Lia's doctors wanted to do was palpable. Western medicine seems to not only classify problems into different aspects of the overall human – physical, mental, emotional and spiritual, it tends to also over-categorize – different physicians for different organs or diseases, specialization etc. Since MCMC doesn't have a children's Intensive Care Unit, they transferred her to Valley Children's Hospital in Fresno. Following septicemia and a grand mal seizure, Lia entered a vegetative state at the age of 4. It came as a surprise pick from one of our quieter members, but proved to be one of our best choices. Anne Fadiman, The Spirit Catches You and You Fall Down. Chapter 11 the spirit catches you and you fall down synopsis. At the hospital Lia's seizure becomes more violent, defeating all the EMTs' attempts to sedate her. Rarely do I read anything that appeals to the heart and the brain in equal measure, rarer still one that both appeals and challenges.
In understandable and compelling language, it also explains the background of the Hmong (historically, a migrating people without a country) and their CIA-recruited role in the American War in landlocked Laos, a place they didn't want to leave but were forced out of, and how so many of them ended up in Merced, CA. The biggest problem was the cultural barrier. High-Velocity Transcortical head Therapy. Some more Hmong beliefs about illness: Falling ill can be caused by various things, like eating the wrong food, or failing to ejaculate completely during sexual intercourse, or neglecting to make the correct offerings to ancestors or touching a newborn mouse or urinating on a rock that looks like a tiger. From the Lees' perspective, the hospital is failing Lia on purpose. Doubtless the same dynamic is playing out in the current pandemic with regards to the vaccine. After wrestling herself with a collision of two cultures, she comes out of it able to portray both worldviews, seeing the merits in everyone's arguments, and looking for better systems to solve problems rather than casting blame on individuals. Her parents distrust Western medicine, whereas her doctors think traditional medical practices are making Lia worse. Stream Chapter 11 - The Spirit Catches You and You Fall Down from melloky | Listen online for free on. And general reluctance to comply with Lia's complicated medical regimen. Why is it evil to kill and eat one type of animal and not another?
In Lia's case, the two cultures never melded and, after a massive seizure, she was declared brain dead. And I am fairly wedded to it, but I really appreciated this look into a culture so different from my own. And everyone - everyone - involved just wanted what was best for little Lia. The different levels of engagement the Lee family had with various westerners was particularly telling, and explained a lot about the wildly varying opinions people had formed.
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