While the doctors felt that the Lees failure to keep Lia on her initial drug regime contributed to her decline, the Lees felt that the medicine itself contributed to their daughter's condition. Along with a large influx of Hmong, Lia lived in Merced, CA when she experienced her first seizures. Well, contrary to Western "wisdom" rats are extremely clean animals and these ones, coming from the pet store, they were not carrying disease. To stop her seizures, Dr. Kopacz gave her a highly potent sedative, which more or less put her under general anesthesia. The statements from Lia's medical charts often have an odd formal tone inconsistent with the emotional nature of the events they describe. I wanted the word to get out in the community that if they deviated from that, it was not acceptable behavior" (p. Chapter 11 the spirit catches you and you fall down litcharts. 79).
The Life or the Soul. Their men joined the military some even becoming pilots. In a desperate move, Ernst removed Lia from her devastated parents and placed her with a foster family in an attempt to make sure her medications were administered properly. I felt it could have been better incorporated into an otherwise almost flawless narrative.
It's definitely not a black and white area but rather a large grey one. He is not highly regarded by some of the other doctors, however. VarLocale = SetLocale(2057). Nao Kao and Foua had always carried Lia to the hospital before, but Nao Kao believed that taking her in an ambulance would make the doctors pay more attention to her. Usually, six drunks sitting around a table can solve most of the world's problems. Chapter 11 the spirit catches you and you fall down fiber. LastModified = lastmodified. Lia Lee was three months old when she suffered her first epileptic seizure. Transcultural medical care. It lacked electricity, running water, and sewage disposal, and there was little for people to do except eat and sleep. No attempt was made to understand how the family saw the disease or what efforts they were making on their own to address the situation. The foreshadowing, which began with Neil's premonition at the end of Chapter 9, continues. Neither of us speak French. Give her the correct prescriptions!
The seizure passed but her parents noted that she remained "sick" and requested ambulance transport for her to MCMC. They gave her an enormous amount of medicine, and finally she stopped seizing. 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. There is a very good argument to be made that health trumps every other value—since you can have neither beliefs nor autonomy without life. Rarely do I read anything that appeals to the heart and the brain in equal measure, rarer still one that both appeals and challenges. If we do, how can we work effectively with someone different from ourselves? Stream Chapter 11 - The Spirit Catches You and You Fall Down from melloky | Listen online for free on. There are so many valuable aspects to this book it's hard to decide what to mention. Unfortunately for Lia, the EMT, who took care of her from home to hospital, was in way over his head. Many eventually immigrated to America, a country whose culture is vastly at odds with theirs. Later that day, the doctors gave Lia a CT scan and an EEG and found that she had essentially become brain-dead.
Can you think of anything that might have prevented it? Still, the frequency and severity of the seizures worried Foua and Nao Kao enough that they took Lia to the Merced County Medical Center Emergency Room. Anne Fadiman's book is so engaging, and touches on so many sensitive subjects, that it's more like a dialogue between author and reader. Like her doctors, Lia's parents wanted her healthy, but "we are not sure we want her to stop shaking forever because it makes her noble in our culture, and when she grows up she might become a shaman" (pp. What ensues is a series of missteps, mistakes, and, again misunderstandings. The author suggests that millenia of Hmong people refusing to be assimilated effects the challenges facing Hmong refugees in their new environments, so she covers quite a bit of Hmong history, particularly in Laos, and how that intersects with American history thanks to "The Secret War. " For American doctors, treatment of epilepsy would involve a cocktail of anticonvulsant medications, antibiotics, and sedatives. She was on the verge of death. The Lees not only complied with her medical protocol but also gave her the best Hmong treatment available, including amulets filled with healing herbs from Thailand (at a cost of one thousand dollars) and a trip to Minnesota for treatment by a famous txiv neeb, or medicine man. One resident went so far as to say, "He's a little thick. " Fadiman has clearly done her research, and I felt like I learned a great deal from the book but never felt like I was reading a textbook. And is there any way to bridge those gaps completely? Chapter 11 the spirit catches you and you fall down audio. Fadiman was a founding editor of the Library of Congress magazine Civilization, and was the editor of the Phi Beta Kappa quarterly The American Scholar. Foua and Nao Kao stay in the VCH waiting room for nine nights.
Having known these guys for years, I was under the impression – wrong, as it turns out – that they were all secular humanists). They were motivated not only by fear of the communists but also by famine. Does any of this sound familiar? Dee and Tom Korda, Lia's former foster parents, and social worker Jeanine Hilt visit VCH. If doctors don't cure an illness they may be blamed whether or not they are responsible. The majority, however, responded by migrating, as their ancestors had so often done. The next time she arrived, however, she was actively seizing. Sherwin B. Nuland - New Republic. The Spirit Catches You and You Fall Down - Chapter 11 Summary & Analysis. Finding this form of balance is truly an impressive feat. This book was amazing, on so many levels. Believing that the family's failure to comply with his instructions constituted child abuse, Lia's doctor had her placed in foster care.
It spent 6 and a half years on my shelf before I read it. There's so much that this book has within it but ahh, I haven't finished my Econ homework so this might be a good place to stop. You know what rendered me speechless? When Neil admits he can't give Lia the help she needs, the Lees think he is choosing to abandon her. The Spirit Catches You and You Fall Down is a tragedy of Shakespearean dimensions, written with the deepest of human feeling.
A fuel preheater helps minimize the accumulation of wax crystals that can form in the fuel as it cools to low temperatures. This assembly is part of the low-pressure portion of the fuel system and incorporates a fuel pressure relief valve to prevent overpressure in the system. Using an electrically driven fuel pump allows the pump to be placed anywhere in the fuel system including inside the fuel tank. The Fuel Return Line should be at least the same size, or one size larger than the supply. Filters can be constructed of metal or plastic. Steel or cast iron valves and fittings are preffered. Fuel lines should be routed to avoid formation of traps, which can catch sediments, or pockets of water, which will freeze in cold weather. Fuel tank supply and return lines. If the fuel ignites and the flow is not stopped, the fire will be more difficult to extinguish. Boat Design Net does not necessarily endorse nor share the view of each individual post. The fuel tank also serves as an important means of dissipating heat from the fuel that is returned from the engine [528]. When making potentially dangerous or financial decisions, always employ and consult appropriate professionals.
Fuel tanks can function as a radiator of sorts, especially in engines that are not equipped with a fuel cooler or engines that use fuel to cool the injectors. Filters with a replaceable element have to be thoroughly cleaned when replacing elements and care must be taken to avoid any dirt residue that could migrate to the intricate parts of the fuel injection system. INJECTION PUMP (HIGH-PRESSURE PUMP). Two stage filter system typically uses a primary filter on the inlet side of the fuel transfer pump and a secondary filter on the outlet side. Water can also freeze in cold temperature conditions and ice may block small fuel injection system passages thus cutting off the fuel supply to the rest of the fuel injection system. 5 to 2 years, with proper storage. MAINTENANCE INTERVALS. Micro glass fibres can also be used but because of the risk of migration of small glass fibre pieces broken off from the main element into critical fuel system components, their use in some applications is avoided [2046]. Normal operation pressure in the low pressure chamber is approximately 160-200 psi. Fuel return line Question. Whether it's a maintenance replacement or a concourse restoration, Inline Tube's Factory correct parking brakes are the market standard.
Whenever possible, route fuel lines so they are visible for leak checking. If no fuel filter is installed, the ball will be drawn by the lift pump against the inlet causing the engine to not start. The stage 1 fuel filter, fuel water separator, and electric lift pump are all one assembly that is mounted on the driver's side frame rail near the fuel tank. It is important to know where these hoses are so you do not accidentally close the valves. The transmission category contains mounts & hardware, back drive, automatic transmission, and manual transmission parts. These covers work great under your permanent car cover as an additional layer of protection against dirt and dust. Follow the Fuel Supply and Return Lines. This means you are getting softened easy to flare and bend tubing and not general off-the-shelf harder specification tube. When the ignition is turned ON, the electric lift pump will run until the fuel system is primed or 90 seconds, whichever comes first. Does the return line air indicate a leak in the pump?
A joint, which is leak-tight to fuel, can sometimes allow air to enter the fuel system, causing erratic running and loss of power. CONSTANT PRESSURE VALVE. The stage 2 filter assembly houses a temperature sensor and a pressure sensor that are used by the ECM for fuel system management. Pipelines should be black iron with no welding. Running diesel return line into supply line.com. WAIT AT LEAST 10 MINUTES after shutting down the engine and turning the ignition OFF before loosening any fuel fittings in the fuel system to allow pressure to decrease to a lower level. The water moves through the filter with the fuel and on the downstream side, falls out of the fuel flow into a collection cup.
The fuel rail pressure relief valve is controlled by a Pulse Width Modulation (PWM) signal from the ECM. Avoid galvanized steel, copper, cast iron and aluminium pipelines as they can cause problems for fuel storage and/or supply. The engine will start best when it is primed. As fuel systems evolve, clearances and stresses on high pressure components increase and the need for clean fuel becomes event more critical. Running diesel return line into supply line youtube. This keeps the pump from deadheading and wearing out due to excessive pressure. The degree of filtration required depends on the specific application. The analysis cookies allow us to study the navigation of the users of our website in general (for example, which sections of the page are the most visited, which services are used the most and if they work correctly, etc. IF THE PUMP IS ENGINE DRIVEN. Some fuel systems, such as those based on a distributor type pump, incorporate a mechanically driven supply pump and the high pressure pump in one unit. 7 psi) and the 3600 or C280 family, which is 350 kPa (51psi). Actually the only thing controlling the volume is the speed at which the pump turns.
Used with diesel fuels. If loosened, the fuel line MUST be replaced with a new line. As the beads become larger, they run down the face of the element into a cup under the force of gravity. Pumps driven by the engine are attached to the engine. The TITAN XD incorporates a robust fuel delivery system to feed the powerful Cummins 5. It can occur in supply and return lines. At Inline Tube we bend over a million feet of tube each year, this allows us to specify grade and softness of our tubing from the mill. Return Line in fuel system. So its a good idea to manage how much fuel is in the tank which will accept the return fuel volume. Return fuel from the injection pump, injectors, and fuel rails is routed to the stage 2 fuel filter.
Ending the return above the fuel level in the tank, or in the filler neck will cause aeration. For this you will have to install a supply line and a return line. Filters can be a box-type or replacement element design, as shown in Figure 2. The previous installation did not have this arrangement. This prevents fuel 'drain down'.
If you are running off a bulk tank, make sure you install a filter in the the supply line. Fuel filters help reduce damage and premature wear from contaminants by retaining very fine particles and water to prevent them from entering the fuel injection system. As shown in Figure 1, fuel systems can contain one or more stages of filtration. Environmental conditions. I glued it with a special plastic glue from jbweld that resist diesel and all. A rail-to-rail fuel supply line directs fuel from the right bank fuel rail to the left bank fuel rail. Zinc is unstable in the presence of sulfur, particularly if moisture is present in the fuel. Using the fuel pump actuator to regulate the volume of fuel that enters the pumping chambers is one of the controls that the ECM uses to regulate fuel pressure within the high-pressure system. Select region and country. In the past, pleated paper, packed cotton thread, wood chips, a mixture of packed cotton thread and wood fibres and wound cotton have also been used [529].
Depending on the characteristics of the combustion engine, these flexible lines can be made in different ways.