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More largely, this is the story of a clash between western and eastern cultures, a communication lapse that ultimately ended up hurting the parents of this little girl very profoundly. With the help of their English-speaking nephew, Neil tried to communicate what was happening to Foua and Nao Kao. Both proved difficult. How was it different from their life in the United States? A Little Medicine and a Little Neeb. The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures by Anne Fadiman. What does he mean by this? When Lia first came to the hospital, the language barrier – an inability to take a patient history – caused a misdiagnosis.
For the Hmong people, treatment of quag dab peg would involve shamanism and animal sacrifices to bring back a lost soul. By the time the final seizure came for Lia Lee, her family actively distrusted the people working at the Merced Community Medical Center. Hmong Americans -- Medicine. Eventually, one of her doctors filed a petition with the court to have Lia removed from the home and placed into a foster home. What do you think of Dr. Chapter 11 the spirit catches you and you fall down fiber plus. Fife? Maciej Kopacz, the critical care specialist who sees Lia at VCH, diagnoses her with septic shock. Many Hmong taboos were broken; Lia had her entire blood supply removed twice, though many Hmong believe taking blood can be fatal, and she was given a spinal tap, which they think can cripple a patient in both this and future lives. Discuss the Lees' life in Laos. I can't begin to say how much I loved this book. The Hmong, for the welfare they received in the US? The ordeal required an immense amount of tenacity and courage and demonstrates the enormity of the United States' betrayal, introduced in Chapter 10.
I was skeptical at first but around the middle of the book, I found myself thinking that the fears of Lea's parents are so understandable and that they were really doing what they felt was right. In the culture of Western medicine, this is epilepsy. The statements from Lia's medical charts often have an odd formal tone inconsistent with the emotional nature of the events they describe. I learned so much about the Hmong people; I knew very little before reading this book, and what I knew contained some inaccuracies or at least a lack of context. When doctors tried to obtain permission to perform two more invasive diagnostic tests along with a tracheostomy, a hole cut into the windpipe, they noted that the parents consented -- yet Foua and Nao Kao had little understanding of what they had been told. Unfortunately they might have arrived at the hospital more quickly on foot. I can only say, I wish I could write a book like that one day. It drives me crazy when I hear Westerners ranting about how horrible Chinese people are for eating dogs and cats, while they're shoveling down a burger, some bacon, or a piece of veal. Stream Chapter 11 - The Spirit Catches You and You Fall Down from melloky | Listen online for free on. Fadiman does her best to remain impartial, to give everyone involved their chance to speak out, to give cultural context to her best ability. Having known these guys for years, I was under the impression – wrong, as it turns out – that they were all secular humanists). This is going to be a great book club discussion!
The spinal tap they administer is particularly upsetting to Foua and Nao Kao, who believe the procedure will cripple her. Note on Hmong Orthography, Pronunciation, and Quotations. This allowed for a rough sort of compromise to be reached. By combining the universality of a family tragedy with a scholarly history of Hmong culture, this book offers a unique and thoroughly satisfying reading experience. The Spirit Catches You and You Fall Down is the story of Lia Lee's struggle with epileptic seizures and the conflict between her parents and doctors as they seek healing for her. It's so good it makes me speechless. By following one Hmong family in California as they struggle to care for their epileptic daughter, we see how difficult it can be to assimilate, especially when there are strong differences in the culture of healing. The American doctors, however, got progressively invasive trying, in vain, to assert more control over the situation by intubating, restraining and over-prescribing. No, I never heard of Merced before, either, and for sure the Mercedians never heard of the Hmong before 1978, but then they did. Chapter 11 the spirit catches you and you fall down chapters. Fadiman's observation of the Hmong obsession with American medicine and the behavior and attitudes of American doctors delineates this point clearly. So your illness might be caused by bumping into a dab who lives in a tree or a stream, or if you catch sight of a dwarf female dab eating earthworms or just because a dab likes the look of your soul and lures it away from you. An interesting story that highlights the many cultural differences between Americans and our immigrants (in this case the Hmong culture).
One of my friends read it for an undergrad ethics course. This attitude of cultural humility can be difficult to adopt, especially if you prefer thinking in terms of right and wrong, but it can be useful. When he arrived, Lia was literally jumping off the table. Reading this book felt like an applied form of 21 Lessons for the 21st Century. Women sewed paj ntaub, families raised chickens or tended vegetables, children listened to their elders, and the arts flourished. "TheBestNotes on The Spirit Catches You and You Fall Down".. <%. —Frances Reiher, Fairfax County Public Library, VA. Chapter 11 the spirit catches you and you fall down summary. School Library Journal. Long story short, a lot of them congregated in Merced, in California.