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You know what rendered me speechless? When Lia ends up brain dead, your heart just hurts for everyone involved. Through ignorance, people confused the Hmong living in American communities as being Vietnamese, even lumped falsely with the Vietcong. What are the most important aspects of Hmong culture? The Spirit Catches You and You Fall Down - Chapter 11 Summary & Analysis. Parents and doctors both wanted the best for Lia, but their ideas about the causes of her illness and its treatment could hardly have been more different. My dad and I once drove from Paris to Normandy.

1. Chapter 11 the spirit catches you and you fall down essay
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Chapter 11 The Spirit Catches You And You Fall Down Essay

Women sewed paj ntaub, families raised chickens or tended vegetables, children listened to their elders, and the arts flourished. —Rebecca Cress-Ingebo, Fordham Health Sciences Library, Wright State University, Dayton, OH. URL for this record:|||. Equally as an introduction to Hmong culture, and no less U. Chapter 11 the spirit catches you and you fall down essay. medical culture. It is intended to be an ethnography, describing two different cultural approaches to Lia's sickness: her Hmong parents' and her American doctors'. In this case, though, we mostly ended up in total divergence. However, comparing it to another (supposedly antithetical) system through the experiences of the Hmong refugees can be used as a tool to do just that.

Anne Fadiman, The Spirit Catches You and You Fall Down. Who was responsible for Lia's fate? Many who had resisted coming to the US now decided it was the better of the two options, yet nearly 2, 000 Hmong were denied refugee status. Friends & Following. Chapter 11 the spirit catches you and you fall down pdf free. While Fadiman is keenly aware of the frustrations of doctors striving to provide medical care to those with such a radically different worldview, she urges that physicians at least acknowledge their patients' realities. What are his strengths and weaknesses?

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The words tour de force were invented for works like this. • Birth—August 7, 1953. It's ostensibly about a young Hmong girl with epilepsy and her family's conflict with the American medical establishment, and there is much about them here. One perspective is that of her family, who believed that epilepsy had a spiritual rather than a medical explanation, and who had both practical difficulty (as illiterate, non-English speaking immigrants to the U. ) No one acted with malice, everyone wanted what was best for Lia, but there was no way for the two opposing sides – Lia's parents and community vs the doctors and social workers – could come to agreement. Lia had seized for nearly two hours; even a twenty-minute bout is seen as a life-threatening situation. He also informs them of his own planned vacation beginning that night. Into this heart-wrenching story, Fadiman weaves an account of Hmong history from ancient times to the present, including their work for the CIA in Laos and their resettlement in the U. S., their culture, spiritual beliefs, ethics, and etiquette. She was a loved child, tenderly cared for and pampered as the "baby" of the family. The EMT who arrived at the scene attempted to stabilize her but was not able to. Stream Chapter 11 - The Spirit Catches You and You Fall Down from melloky | Listen online for free on. The most obvious question asked by this book is: how should Western medicine deal with members of radically different cultures?

What Hmong would risk that? In Lia's case, the two cultures never melded and, after a massive seizure, she was declared brain dead. I'm not sure if it was the high alcohol content by volume in the beer, but the club somewhat surprisingly split 3-3 on the issue. The story of the Hmong also sheds an illuminating light on the recent Afghanistan withdrawal. 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. They also fight the US government's "secret war" against the communists and bare the brunt of the CIA's unsuccessful agenda. And it's so brilliantly done. Approximately 150, 000 Hmong fled to Thailand after the war; their prewar population in Laos had been between just 300, 000 to 400, 000. • Where—New York, New York, USA. Several times the planes were so overloaded they could not take off, and dozens of people standing near the door had to be pushed out onto the airstrip. These are difficult, fraught topics that Fadiman handles with grace. Chapter 11 the spirit catches you and you fall down menu powered. And is there any way to bridge those gaps completely? Happily, one can now also read memoirs by Hmong authors, such as The Latehomecomer, which tracks the experiences recorded in this book closely but from a first-person perspective.

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Tensions continue to build as Lia's story approaches its climax. Perhaps she would never have gotten septicemia, causing her to go into shock and then seizure. The Hmong people are an ethnic group who once lived in southern China. And the takeaway lesson is in how to conduct your life once you realize that you really have no idea what underpins most other people's framework of reality and have no claims on the truth. Not only do their perceptions indicate important information got lost in translation, they also reflect many patients' views of doctors as more powerful than they really are. However, through this narrative, Anne Fadiman discusses cultural challenges in medicine (and in general), immigration, Hmong history and culture, and trust in an incredibly thorough and fascinating way. It is heartening to learn that this book is being used in educational settings. And I am fairly wedded to it, but I really appreciated this look into a culture so different from my own. The only thing I disliked about this book is that there is a lot of animal sacrifice. Given the history of discrimination in this country, would it be wise to go back to 'separate but equal'? Babies were often drugged with opium to prevent them from making noise; occasionally, an overdose would kill the child. The book expands outward from there, exploring the history and culture of the Hmong, their enlistment in the U. What could be lost in the story is the background the author gives to the story of the Hmong, a culture and people that have been continuously marginalized and persecuted in every society they have lived in.

I feel convinced that several of the ideas here will stay with me for a while. Give her the correct prescriptions! We cannot ourselves metaphorically stand back and try to look at the system from the outside. Lia was, in fact, given an inordinate amount of medication and was also subjected to a large number of diagnostic tests. When I love a book, I talk to people about it. Her sympathies lie with the Lees, and perhaps rightly so; yet she isn't quite willing to extend the same empathy or generosity of viewpoint to others she comes across. This is the heartbreaking story of Lia, a Hmong girl with epilepsy in Merced.

Unfortunately, the time it took for the ambulance to bring Lia to the hospital may have cost her life. WELL, WHAT IS THE TRUTH? When the IV line was finally placed... I've never quite read a book like this. She had seized for two straight hours when a twenty minute continuous seizure is continued life-threatening.

Winner of the National Book Critics Circle Award for Nonfiction When three-month-old Lia Lee arrived at the country hospital emergency room in Merced, California, a chain of events was set in motion from which neither sh…. The American medical profession was not especially interested in all of this and Anne Fadiman is not saying they should have been, either, but there was such a brutal lack of comprehension on either side that when this family's youngest daughter was born with severe epilepsy, a trail of disaster started that led to this girl ending up with what the doctors called hypoxic ischemic encephalopathy (static), yes, what you might call a persistent vegetative condition. They think Neil would have healed Lia if he stayed at MCMC. A clash of Western medicine with Hmong culture, exasperated by a lack of translators, cultural understanding, and education on both sides. I often say that one of the things I most love about Goodreads is that I "discover" through friends' reviews books that I might otherwise have gone my entire life not knowing about. I can only say, I wish I could write a book like that one day.