The Spirit Catches You And You Fall Down: A Hmong Child, Her American Doctors, And The Collision Of Two Cultures By Anne Fadiman, Grand Prairie Business For Sale
When patients get septic shock their circulatory system and vital organs usually fail, and 40 to 60 percent of patients die. What do you think of Dr. Fife? I find that it's easy (for me, at least) to fall into two camps when talking about different cultures and medicine.
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The Hmong and their language and their culture were yet virtually unknown and entirely misunderstood in America at this time while Mia and her family knew only their own culture and language. 2 pages at 400 words per page). This caused a tremendous degree of miscommunication that could potentially have been avoided if the medical personnel had had better procedures for bridging cultural gaps. The time she spent allowed her to see the Lees as fully formed people, not the seemingly-ignorant, oft-mute "other" that presented at the hospital. She had seized for two straight hours when a twenty minute continuous seizure is continued life-threatening. Chapter 11 the spirit catches you and you fall down fiber plus. We cannot ourselves metaphorically stand back and try to look at the system from the outside. San Francisco Chronicle. He knows this is "the big one" or the major seizure he's feared. And is there any way to bridge those gaps completely? 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. Lia becomes a collection of symptoms, not a person with a rich cultural and social history. Nao Kao can tell that this one is serious, so he calls an ambulance for the first time. "Lia's case had confirmed the Hmong community's worst prejudices about the medical profession and the medical community's worst prejudices about the Hmong.
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Eventually, one of her doctors filed a petition with the court to have Lia removed from the home and placed into a foster home. Anne Fadiman, the daughter of Annalee Whitmore Jacoby Fadiman, a screenwriter and foreign correspondent, and Clifton Fadiman, an essayist and critic, was born in New York City in 1953. It is the story of Lia Lee, a young Hmong girl whose family had immigrated to the United States after the Vietnam War. Because of course the USA could not be seen to be fighting directly, that would be a violation of something or another. The Spirit Catches You and You Fall Down - Chapter 11 Summary & Analysis. She insisted rats are dirty and shouldn't be eaten. Judging from other reviews I've read, this is a book that angered people. Some biological force run amok, like Lia's physicians believed, or soul loss, as the Hmong believed? The Hmong only eat meat about once a month, when an animal is sacrificed.
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Lia was in the midst of another grand mal seizure when she arrived at Valley Children's Hospital. Reading Fadiman's account (which sometimes includes actual excerpts from the patient's charts), I was forced to take a hard look at my assumptions. While a few "privileged" families were airlifted or paid a driver to take them to Thailand, most walked. Fictional character. " After two years in refugee camps, they were able to immigrate to the United States, and, like most Hmong, gravitated to the Central Valley of California. Given such vast differences on such fundamental aspects, one wonders if the result could have turned out another way at all. The Hmong family keeps her alive with their love and care, something the doctors had never witnessed. Despite the careful installation of Lia's soul during the hu plig ceremony, the noise of the door had been so profoundly frightening that her soul had fled her body and become lost. She was attended by a team of emergency room staff, nurses, and residents who desperately tried to intubate her and start an intravenous line. Chapter 11 the spirit catches you and you fall down book pdf. Then there's the horrific essays the younger Hmong kids innocently turn in to their shellshocked Californian teachers, and I could go on and on. This is the first of many tragic misunderstandings caused by misinterpretation and colliding realities. "Once, several years ago, when I romanticized the Hmong more (though admired them less) than I do now, I had a conversation with a Minnesota epidemiologist at a health care conference. Can you understand their motivation?
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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. Lia was having trouble breathing, and a resident managed to insert a breathing tube. DR. B: Because I was studying medicine. I am scientifically-minded and perhaps a bit ethnocentric when it comes to certain areas like medicine and science. When I love a book, I talk to people about it. They sign a court order transferring Lia back to MCMC for supportive care, with the option of being released to their care, if Neil authorizes it. At the hospital, she was rushed to the room reserved for the most critical cases. It's so good it makes me speechless. Am I still bitter about that one paragraph that compares the Hmong people to Jews and claims that they are more impressive because they're not bound to a religion together? When she was about three months old, however, Lia had a seizure. Chapter 11 the spirit catches you and you fall down world. To this day we don't know why). The Lees placed her on the mat on the floor where they always placed her at these times.
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I wanted the word to get out in the community that if they deviated from that, it was not acceptable behavior" (p. 79). Perhaps Fadiman believed that the reader needed considerable repetition to get the message (and she may be right about that), but I really didn't' need to be told – again – that the Lees believed a spirit was the cause of Lia's problems, or that they believe the medicine made her worse, or that the doctors thought the Lees were difficult or poor parents. One of my friends read it for an undergrad ethics course. The question is: How should respect for individual autonomy, empathy for differing beliefs, and a need to protect health be balanced when these values conflict? Stream Chapter 11 - The Spirit Catches You and You Fall Down from melloky | Listen online for free on. Only those who had supported the communist cause were safe from harsh treatment in Laos. Neil Ernst said, "I felt it was important for these Hmongs to understand that there were certain elements of medicine that we understood better than they did and that there were certain rules they had to follow with their kids' lives. What do the Hmong consider their most important duties and obligations? I learned of some hidden prejudices in myself: faith healing vs. medicine and a family's right to choose between them for a minor child especially, and to a lesser degree, a prejudice towards immigrants that live off of our health care and tax dollars without contributing to the national coffers.
To the very end, she was treated with unwavering love and care by her family. The Spirit Catches You and You Fall Down is a tragedy of Shakespearean dimensions, written with the deepest of human feeling. We were honked at the entire time. The case study Fadiman explores is a perfect example that you can kind of project onto other situations. A vivid, deeply felt, and meticulously researched account of the disastrous encounter between two disparate cultures: Western medicine and Eastern spirituality, in this case, of Hmong immigrants from Laos. Along with a large influx of Hmong, Lia lived in Merced, CA when she experienced her first seizures. The camp was the largest Hmong settlement in history, with over 40, 000 residents at its peak. Most books are a monologue. Dr. Maciej Kopacz thanks MCMC in a strangely courteous tone for sending an incredibly challenging patient. I've never quite read a book like this. In all that time, no one had said a word to Fous and Nao Kao.
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