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There were no easy questions or answers in this book but an overabundance of strength, love, anger, frustration, and empathy. The Hmong assumed they would be taken care of if they lost the war; instead, the U. allowed thousands to die attempting to flee their homeland and even denied refugee status to 2, 000 of those who made it to Thailand. They cited the ese of the operation, the social ostracism to which the child would otherwise be condemned. This attitude of cultural humility can be difficult to adopt, especially if you prefer thinking in terms of right and wrong, but it can be useful. Stream Chapter 11 - The Spirit Catches You and You Fall Down from melloky | Listen online for free on. Advertisement - Guide continues below.

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Why do you think the doctors felt such great stress? I'm not sure that cultural misunderstandings caused Lia's eventual "death" (brain-death, that is). The Spirit Catches You and You Fall Down - Chapter 11 Summary & Analysis. A critical care specialist named Maciej Kopacz diagnosed her condition as septic shock, in which bacteria in the circulatory system causes circulatory failure followed by the failure of one organ after another. Others, however, preferred to stay at Ban Vinai. Discussion Questions. It's so good it makes me speechless.

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. This is an impressive work! Chapter 11 the spirit catches you and you fall down syndrome. After wrestling herself with a collision of two cultures, she comes out of it able to portray both worldviews, seeing the merits in everyone's arguments, and looking for better systems to solve problems rather than casting blame on individuals. The edition I read had a new afterword by the author providing some updates and discussion of the impact of the book. "TheBestNotes on The Spirit Catches You and You Fall Down".. <%. A dab is an evil spirit which can suck your blood and do all sorts of stuff.

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And this was so staggeringly heartbreaking — this algorithm reduction of a real little girl from a real family, treated by real doctors to a book character. I was especially interested in this book because I traveled to Laos a couple of years ago, and had the opportunity to visit a Hmong village in the mountains above Luang Prabang. Ex Libris: Confessions of a Common Reader, a collection of first-person essays on books and reading, was published by Farrar, Straus and Giroux in 1998. 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. When I entered "Lia Lee" into Google to see what ultimately happened to her (she died in 2012, at age 30), Google sidebar stated this: "Lia Lee. However, author Anne Fadiman presents both sides in a compassionate light and it's impossible to not see some things the way the Hmong do and to admit that Western medicine, for all the lives it saves, is not 100% perfect. Chapter 11 the spirit catches you and you fall down pdf free. Still, I was really caught up in the story, and appreciated learning more about the Hmong culture. I really enjoyed learning more about Hmong people through this book, and if I go to Laos again in the future I will bring a greater understanding of Hmong people and the political backstory that led to such divide in Laos that endures today. This faith dictated how the Lees understood Lia's illness and how they wanted it treated.

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. That's a far cry from the typical American who eats it every day and sometimes at every meal. What many went through when they came to America is also devastating. On one hand, I still think it is a good thing, especially for the children and grandchildren of those who immigrate. Chapter 11 the spirit catches you and you fall down author. Give her the correct prescriptions! The Lee family succeeded in fleeing Laos in 1979, making their way to a refugee camp in Thailand following a harrowing, twenty-six day journey. Get help and learn more about the design. She chooses to alternate between chapters of Lia's story and its larger background-the history of the Lee family and of the Hmong.

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I knew a little about this case, and before I read the book, I was certain I'd feel infuriated with the Hmong family and feel nothing but disrespect for them, and would side with the American side, even though I have my issues with the western medical establishment as well. Hospital staff tried to explain what was happening, but despite the presence of interpreters, the Lees remained confused. They heard rumors about the United States about urban violence, welfare dependence, being unable to sacrifice animals, doctors who ate the organs of patients, and so on. While I consider myself a culturally sensitive individual, having been raised in a family of doctors and nurses, I have long held the conviction that the world's best doctors (whether imported or native) tread on American soil. Perhaps, the first and only time in history the foster mother even allows the so-called abusive mother baby-sit her OWN children while she takes lia to one of her appointments.

In all that time, no one had said a word to Fous and Nao Kao. Government Property. This story also sheds an odd light on the current conflict between public health officials and anti-vaxxers. With the help of their English-speaking nephew, Neil tried to communicate what was happening to Foua and Nao Kao. It infuriated me how the Lees were seen as ignorant and evil because they killed animals in hopes of appeasing the spirits who they thought had taken Lia's soul. Through a series of events lia ends up in a vegetative state (and at that point her epilepsy in her brain dead state is actually cured), and she is returned home to die. By classifying organisms into different species, genus or families, we try to exert control over nature. 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? She had a seizure around dinner time. In one of the most open-minded works of nonfiction I have ever read, Anne Fadiman analyzes both perspectives—Lia's family and the community of Hmongs on one side and the Merced doctors and nurses on the other. I am scientifically-minded and perhaps a bit ethnocentric when it comes to certain areas like medicine and science. During the war they sided with the Americans. I'm forgetting something, surely. The most obvious question asked by this book is: how should Western medicine deal with members of radically different cultures?

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How do Hmong and American birth practices differ? What does the author believe? As the medical establishment increasingly splinters into specialized groups, this book serves as a vivid reminder that the best medicine must always recognize the interconnectedness of culture, family, body, and soul. LastModified = lastmodified. 's secret war in Laos, and their subsequent refugee experiences. Equally as an introduction to Hmong culture, and no less U. medical culture. Brilliantly reported and beautifully crafted, The Spirit Catches You and You Fall Down explores the clash between the Merced Community Medical Center in California and a refugee family from Laos over the care of Lia Lee, a Hmong child diagnosed with severe epilepsy. 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. Throw in perfect illustrations of the joys and agonies of parenting, numerous examples of fine expositional writing, a compelling family saga, and what am I forgetting? Lia's parents requested to take her to Merced, where she could be with other relatives. The spirit of that bird caused the harelip. Award-winning reporter Fadiman has turned what began as a magazine assignment into a riveting, cross-cultural medicine classic in this anthropological exploration of the Hmong population in Merced County, California.

Can you understand their motivation? Another perspective is that of her doctors, who were extremely frustrated at all the barriers in dealing with this family and felt understandably determined to treat Lia according to the best standards of medicine. None of those doctors spoke the Hmong language. By following one Hmong family in California as they struggle to care for their epileptic daughter, we see how difficult it can be to assimilate, especially when there are strong differences in the culture of healing. It was especially interesting reading it right after Hitchen's God Is Not Great, because, theoretically, had there been no religion involved there wouldn't have been a real culture clash, and Lia could have grown up as an epileptic but functioning girl.

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Most books are a monologue. Would you assign blame for Lia's tragedy? WELL, WHAT IS THE TRUTH? I'm glad I read it and I hope I keep it in mind when I encounter those from other cultures and have difficulties with how I may feel about them. I don't have the answers but I think it is cruel to expect a person to leave behind all of their cultural beliefs and traditions. The child suffered an initial seizure at the age of three months. When America pulled out of Vietnam, a Communist government in Laos persecuted the Hmong, and many fled the country in fear of their lives. The Hmong's presumed non-separation of any of the dimensions of life (least of all the physical) is a good contrast to the western notion of categorization and separation of the physical, emotional, spiritual and mental. Transcultural medical care. When doctors tried to obtain permission to perform two more invasive diagnostic tests along with a tracheostomy, a hole cut into the windpipe, they noted that the parents consented -- yet Foua and Nao Kao had little understanding of what they had been told.

Eventually, one of her doctors filed a petition with the court to have Lia removed from the home and placed into a foster home. In the end, there was no simple solution to their plight, but more mutual respect and understanding of the differences between the cultures would have benefitted everyone involved. When she was about three months old, however, Lia had a seizure. What do you think of traditional Hmong birth practices (pp.

A brilliant study in cross-cultural medicine. The doctors did not understand that the Lee family believed, valued, or thought; and the Lee parents generally had a very different interpretation of the doctors' actions and Lia's illness. Long story short, a lot of them congregated in Merced, in California. 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. On the other hand, the Lees promised to follow the new plan as prescribed. On the way, they passed abandoned villages with former treasures, decomposing corpses, and starving children. She argues: "As powerful an influence as the culture of the Hmong patient and her family is on this case, the culture of biomedicine is equally powerful. This is not to dismiss the very real cultural struggle that this book describes, but some of the author's statements about how cultural misunderstandings "killed" Lia seemed a bit speculative to me. How should we handle these differences? This book was neither. This is a fascinating medical mystery, and a balanced exploration of two very different points of view. This was recommended to me in a cultural literacy course and it certainly delivered.

Carole Horn - Washington Post Book World. Fadiman uses detailed visual imagery to transport us to the hospital, where we can feel the stress and confusion of those present. This lack of categorization also goes beyond the individual and is reflected by a relatively classless structure of Hmong society: Fadiman points out that the Hmong do not separate themselves by class, and live by a more egalitarian standard. In the Lees' view, Lia's soul had fled her body and become lost.

We hope your rules and wisdom choke you. A man with a girl by the throat. Motorcycle boots on the floor.

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Regina said they're just old light. But people for millennia have needed music to survive. And then he kissed me in an alley and I felt my insides coil. And I hope I get my period. Let's get a karaoke backroom. But I look back and smile. She stays completely calm.

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