The Spirit Catches You And You Fall Down: A Hmong Child, Her American Doctors, And The Collision Of Two Cultures By Anne Fadiman — Facebook Status: "Across The Pond! And Front-Row Seats To The Henley Royal Regatta!" Crossword Clue

Wednesday, 31 July 2024
A clash of Western medicine with Hmong culture, exasperated by a lack of translators, cultural understanding, and education on both sides. Unfortunately, nobody seemed to agree what that actually was. She now holds the Francis chair in nonfiction writing at Yale.

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A review of Lia's medical records indicated that septic shock rather than epileptic seizures probably caused her vegetative state, septic shock to which her body was susceptible because of the heavy doses of medications she had been receiving. The Spirit Catches You and You Fall Down is a tragedy of Shakespearean dimensions, written with the deepest of human feeling. The high stakes of Lia's treatment reveal more details about the culture of biomedicine, including the absurdity of its language. It is clear that many of Lia's doctors, most notably Neil Ernst and Peggy Philp, were heroic in their efforts to help Lia, and that her parents cared for her deeply, yet this arguably preventable tragedy still occurred. The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures by Anne Fadiman. At three months of age, Lia was diagnosed with what American doctors called epilepsy, and what her family called quag dab peg or, 'the spirit catches you and you fall down. ' 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. But this book goes beyond that unanswerable question to examine many that can be answered: How should we treat refugees? It makes you want to listen more, forgive more, learn more about people, and allow for more realities. But overall, this is an absolutely beautiful, touching book, and should be required reading for everyone in California (and everyone else, too).

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It's perfectly rational to think that the Hmong, unable to understand American traffic signs, might be terrible behind the wheel. This should be a must read for all medical personnel. Fadiman isn't out to piss people off. I read this book for a class i am taking called "human behavior and the social environment. " 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. What does Dan Murphy mean by, "When you fail one Hmong patient, you fail the whole community" (p. 253)? Chapter 11 the spirit catches you and you fall down book. They were promised a place in the US and eventually thousands immigrated to the US and other countries. The story of the Hmong, though nonlinear, also comes to a climax, as war refugees brave the dangers of escaping from Laos. In the past, I have always felt it the duty of an immigrant to try to assimilate as much as possible into the dominant culture. The 150, 000 Hmong refugees who came to the United States in the late 1970s arrived in a country and culture that could not have been more foreign to them.

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Their village, Houaysouy, had escaped fighting during the war, as it was isolated from the rest of Laos by the Mekong River. The Spirit Catches You and You Fall Down - Chapter 11 Summary & Analysis. Following the case of Lia (a Hmong child with a progressive and unpredictable form of epilepsy), Fadiman maps out the controversies raised by the collision between Western medicine and holistic healing traditions of Hmong immigrants. Fadiman uses detailed visual imagery to transport us to the hospital, where we can feel the stress and confusion of those present. 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.

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For a time, Lia seemed to thrive. As an example, a health worker visited a Hmong family to check on their daughter – this family is who the book is about. And Lia was caught in the middle. 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. To leave behind friends, family, all of your belongings. Chapter 11 the spirit catches you and you fall down synopsis. The doctors, in turn, can't understand why Lia's parents do not administer her prescribed medications or take the steps they view as necessary to treat Lia's condition. To the very end, she was treated with unwavering love and care by her family. Because empirical Cartesian science-based clinically-trialled peer-reviewed Western medicine IS thought to be true, not just one of several possible truths. 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? Although exceptionally conscientious and concerned, Ernst and Philip were hampered in the treatment of Lia not only by their inability to communicate with her parents (hospital translators were seldom available) but also by their ignorance of the Hmong culture. When a child is involved, who's the boss -- the doctor, or the parents?

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. Foua and Nao Kao never leave Lia's side. Lia was in the midst of another grand mal seizure when she arrived at Valley Children's Hospital. Chapter 11 the spirit catches you and you fall down chapters. Subtitle: A Hmong Child, Her American Doctors, and the Collision of Two Cultures. She was attended by a team of emergency room staff, nurses, and residents who desperately tried to intubate her and start an intravenous line. This was recommended to me in a cultural literacy course and it certainly delivered.

She presents arguments from many different viewpoints, and all of them sympathetically; she isn't afraid of facts that run counter to her arguments, nor does she dismiss opposing opinions out of hand. … After the last American transport plane disappeared, more than 10, 000 Hmong were left on the airfield, fully expecting more aircraft to return. Three of their thirteen children had died from starvation and poor conditions during their flight, and the Lees arrived penniless and illiterate, determined not to be changed by their strange new surroundings. While a few "privileged" families were airlifted or paid a driver to take them to Thailand, most walked. What does he mean by this? 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…. Because I can pretend I'm not "culturalist" and I'm all open and accepting but when it comes down to it, I'm not.
Now, in this book, Fadiman tackles both of these mindsets and manages to find the middle ground. Was any other solution possible in the situation? She was a loved child, tenderly cared for and pampered as the "baby" of the family. Compare them to the techniques used when Lia was born (p. 7). She doesn't veer into either side. 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. This is a fantastic work of journalistic nonfiction. Afterword to the Fifteenth Anniversary Edition. There are a lot of things to discuss. Her parents distrust Western medicine, whereas her doctors think traditional medical practices are making Lia worse. Hmong patient, calmly: "Since I got shot in the head. Hospital staff tried to explain what was happening, but despite the presence of interpreters, the Lees remained confused. She faults the doctors for a lack of cultural curiosity, yet admits that – in order to gain the Lees' trust – she spent hundreds and hundreds of hours with them, speaking to them through a handpicked interpreter.

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