Chapter 11 The Spirit Catches You And You Fall Down Audio | Hazard Communication And Ghs Quiz Answers

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When the Lees first tried to escape from Laos in 1976, they were captured by Vietnamese soldiers and forced back to their village at gunpoint. This was recommended to me in a cultural literacy course and it certainly delivered. Since Lia's doctors expect her to die, they remove all life support systems. December 14, 1997, p. Stream Chapter 11 - The Spirit Catches You and You Fall Down from melloky | Listen online for free on. 3. With the help of their English-speaking nephew, Neil tried to communicate what was happening to Foua and Nao Kao. The Vietnamese forced Hmong into the lowlands, burned villages, separated children from parents, made people change their names to get rid of clan names, and forbade the practice of Hmong rituals. I read The Spirit Catches You and You Fall Down for as part of my book club, the Eastern Nebraska Men's Biblio & Social Club (formerly known as the Husband's Book Club, after we realized our wives were having all the fun.

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He knows this is "the big one" or the major seizure he's feared. This poignant account by Fadiman, editor of The American Scholar, of the clash between a Hmong family and the American medical community reveals that among the gaps yawns the attitude toward medicine and healing. 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. One of these groups was the Hmong people in central Laos. In any event, I was locked in, totally absorbed. More than 10, 000 Hmong said no to both choices and fled to Wat Tham Krabok, a Buddhist monastery north of Bangkok. Because for several years the U. S. limited the size of extended family groups to eight but not the size of nuclear families, the Hmong grew accustomed to lying to immigration officials about their kinship ties. She attended Harvard University, graduating in 1975 from Radcliffe College at Harvard. They became known as the "least successful refugees". Lia Lee's parents immigrated to this country in the early 1980s from Laos. Chapter 11 the spirit catches you and you fall down synopsis. Doctors assumed her death was imminent, but Lia in fact lived to be 30 years old, outlived by Fuoa and her siblings. Lia had been suffering from a mild runny nose for a few days and had a diminished appetite. 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.

Chapter 11 The Spirit Catches You And You Fall Down Synopsis

How does this loss affect their adjustment to America? 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. The Hmong, traditionally a close-knit and fiercely people, have been less amenable to assimilation than most immigrants, adhering steadfastly to the rituals and beliefs of their ancestors. Just like the hero of the greatest Hmong folktale, Shee Yee, who escaped nine evil dab brothers by shapeshifting into many different animals, the Hmong have always been able to find ways to get out of tight spots. Now, in this book, Fadiman tackles both of these mindsets and manages to find the middle ground. I don't know where I stand now on the concept of assimilation. To stop her seizures, Dr. Kopacz gave her a highly potent sedative, which more or less put her under general anesthesia. Since the Hmong concepts of separation are close to non-existent, their view is that of 'letting go'. This story also sheds an odd light on the current conflict between public health officials and anti-vaxxers. Chapter 11 the spirit catches you and you fall down pdf. Hmong American children -- Medical care -- California. Only those who had supported the communist cause were safe from harsh treatment in Laos. —Rebecca Cress-Ingebo, Fordham Health Sciences Library, Wright State University, Dayton, OH. As a child, Lia develops epilepsy, which her parents see as an auspicious sign suggesting Lia may have the coveted ability to commune with spirits.

Chapter 11 The Spirit Catches You And You Fall Down Pdf

A doctor casually calculated the total cost to the state of Lia's care: $250, 000. It also made me sympathize with the difficulties of the immigrant experience, especially for those who settle in a place so different from their homeland. This faith dictated how the Lees understood Lia's illness and how they wanted it treated. What does it mean, and how is it reflected in the structure of the book? Chapter 11 the spirit catches you and you fall down review. And then too it is about medicine, the goals of American medicine and what it means for health care providers to be culturally competent. It is difficult to acknowledge that no one was right but so easy to fall into a trap of uneasiness and ignorance in the face of the Other, writing such people off as enemies. Much of the vitriol is aimed at the Hmong who are accused, among other things, of being welfare mooches (this book was published right before Clinton signed the Personal Responsibility and Work Opportunity Act, gutting welfare); of ingratitude for the millions of dollars of free medical care they received; of parental negligence; and for their refusal to assimilate into American society.

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Although it was written in 1997, it remains remarkably relevant for so many contemporary issues. In Hmong culture they revere their children so much, it is wonderful. When the IV line was finally placed... Families had to leave behind pretty much everything they owned.

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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. CCXLIV, August 11, 1997, p. 393. That will make you real ill. Hmong healthcare centered around sacrificing a pig or in more serious cases a cow in the family home. We met to discuss this book at a local brew pub where we could drink IPAs and eat pretzels with cheese. On the day before Thanksgiving, Lia had a mild runny nose, but little appetite. Whereas the doctors prescribed Depakene and Valium to control her seizures, Lia's family believed that her soul was lost but could be found by sacrificing animals and hiring shamans to intervene. Saved in: |Author / Creator:|| Fadiman, Anne, 1953- |. The book is perfectly balanced. The Spirit Catches You and You Fall Down - Chapter 11 Summary & Analysis. The doctors declare Lia brain-dead after seven days. Dr. Maciej Kopacz thanks MCMC in a strangely courteous tone for sending an incredibly challenging patient. People are presented as she saw them, in their humility and their frailty—and their nobility.

However, it may be that the additional time required for the ambulance to arrive and respond could have cost Lia her life. It should also be noted that Fadiman is a beautiful writer, and in terms of sheer journalistic enterprise, I've rarely stumbled across a better example of diligent, on-the-ground research. Foua and Nao Kao mistakenly believe Lia is being transported because Neil is going on vacation. Government Property. For the Hmong people, treatment of quag dab peg would involve shamanism and animal sacrifices to bring back a lost soul. In my opinion, consensual reality is better than the facts. This book is a moving cautionary tale about the importance of practicing "cross-cultural medicine, ' and of acknowledging, without condemning, differences in medical attitudes of various cultures. The Vietnamese would kill them for minor offences such as stealing food, and they took away the majority of what they harvested. Table of Contents: - Preface. You can tell she is a journalist, for better or worse, here. For them, the crisis was the treatment, not the epilepsy. "

Chemical manufacturers and importers of chemicals have requirements under the HCS to examine their products for hazards and then provide information on those hazards. These include hazard information from chemical manufacturers, a written Hazard Communication program, safety data sheets, and Hazard Communication training for employees, each of which is described more closely below. However, the larger turbine will actually be slightly more efficient than the smaller turbine.

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In addition, non-routine tasks that expose employees to chemical hazards, and the ways employers will use to inform employees of those hazards, is to be included in the written program. In fact, it is usually one of the first programs OSHA asks for if they perform an inspection. Under the HazCom standard, a multi-pronged approach is used to convey chemical information to workers. Employers have several responsibilities to relay chemical hazards to workers under the HCS, among these requirements is a Written Hazard Communication Program. The Honda Civic GX is the only car offered to consumers in the United States that runs on natural gas and uses no gasoline. Determine and compare the efficiency of the two turbines of the earlier problem. To be sure, MSDS contained ample chemical information on fire, spill and first aid response, as well as the hazards of the chemical and necessary PPE, but they were not uniform in language or construction. In addition to everything written above, you may also find these Haz-Com related articles helpful: Employers have a significant responsibility in this regard, as Hazard Communication training is one of the primary methods to keep workers safe during the use, handling and storage of chemicals. This sample from our online Hazard Communication training course goes over the requirements.

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The Written Hazard Communication Program is far more than that. Apart from minor amendments through the years, there were no major revisions to the HCS. Now, under provisions of the newly aligned HazCom 2012, chemical manufacturers must classify health and physical chemical hazards according to the GHS criteria set forth in the Standard ( Appendices A and B of 1910. Students also viewed. Sets found in the same folder. The provisions of the HazCom 2012 alignment require these to be uniform, in a neatly and easily decipherable 16-section format, which uses consistent language. The condensed income statement for the Consumer Products Division of Milner Industries Inc. is as follows (assuming no service department charges): The manager of the Consumer Products Division is considering ways to increase the rate of return on investment. OSHA has a rather comprehensive list pertaining to HCS training requirements, which include: HCS training is to be given to workers at the time of their initial assignment, and if new chemical hazards are found in the workplace that were not addressed in previous training. And what precautions do they need to take under normal working conditions and foreseeable emergencies when working at your company?

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With the 2013 HazCom alignment, OSHA changed the name of these to, "Safety Data Sheets" or SDS. These should be answered in your HCS written program. The Hazard Communication Standard was built with an excellent foundation through providing information and training to workers. The Hazard Communication Standard (29 CFR 1910. As noted earlier, SDS are created by chemical manufacturers, but employers must keep a copy for each hazardous chemical in the workplace.

Retraining is also given when a worker has exposure to new chemical hazards through a change in job duties or work area. But, in 2012, OSHA made changes to modify the HCS to align with the Globally Harmonized System of Classification and Labelling of Chemicals (GHS). If employees aren't properly made aware of the workplace chemical hazards, disastrous consequences can occur. It was often very challenging to read MSDSs and rapidly grasp any vital hazard information—especially during a chemical emergency. Now enhanced by the 2012 alignment with the GHS, the ease and function of the Standard have been increased. Previously these entities were required to evaluate the hazards of their products, but often that was a fuzzy and confusing process, with no governing or clear methodology for evaluation. The HazCom Standard requires the employers provide "effective information and training" on hazardous chemicals in their work area. Your HazCom training, therefore, should be very thorough. Detailed explanations can be found in 1910. Prior to the HazCom 2012, these were called, "material safety data sheets" or MSDS. For example, hazard information is clearly laid out in Section 2, which is quickly found by anyone examining the document. More than thirty years have elapsed since the rule was published. Then they must convey the hazard information downstream to those that purchase or use their chemical substances.