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Chapter 11 The Spirit Catches You And You Fall Down Pdf Free – Swing Set With House

For the Hmong people, treatment of quag dab peg would involve shamanism and animal sacrifices to bring back a lost soul. They became known as the "least successful refugees". The story of Lia Lee is tragic, and the possibility that it could have turned out differently makes it especially so.

Chapter 11 The Spirit Catches You And You Fall Down Litcharts

It could have been a win-win situation but ended up being a lose-lose situation. If doctors don't cure an illness they may be blamed whether or not they are responsible. On this question, Fadiman is admittedly biased. Subtitle: A Hmong Child, Her American Doctors, and the Collision of Two Cultures. The spinal tap they administer is particularly upsetting to Foua and Nao Kao, who believe the procedure will cripple her.

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Fadiman does her best to remain impartial, to give everyone involved their chance to speak out, to give cultural context to her best ability. She was immediately taken to the cubicle in the ER reserved for the most critical cases. There's probably a way to improve cross-cultural relations though. Also not surprisingly, there was an impenetrable gulf of misunderstanding between the Californians and the Hmong. • Awards—National Book Critics Circle Award, 1997; National. Again, who was right?

Chapter 11 The Spirit Catches You And You Fall Down Chapter 9

Anne Fadiman shows how the situation involving one very sick child went wrong and makes suggestions as to more effective ways to communicate and provide care. The Vietnamese would kill them for minor offences such as stealing food, and they took away the majority of what they harvested. The majority of the camp's inhabitants eventually immigrated to the United States. I felt it could have been better incorporated into an otherwise almost flawless narrative. Given the history of discrimination in this country, would it be wise to go back to 'separate but equal'? Now these were not people emigrating to America with the desire to become Americans and wave the flag and sing the Star Spangled Banner and eat burgers. There are so many valuable aspects to this book it's hard to decide what to mention. I opened this book expecting to learn about a specific people (the Hmong), in a specific time and place (contemporary America). The author did years of research both of the culture, the people and their history and the medical treatment.

Chapter 11 The Spirit Catches You And You Fall Down Essay

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. She discloses the unilateralness of Western medicine, and divulges its potential failings. November 30, 1997, XIV, p. 3. In many ways, this is even more interesting because the Hmong would like not to be on welfare and the Americans would like them not to be on welfare but somehow, precisely because of the cultural differences, everyone ends up unhappy. The Vietnamese tried to stop them with fire and land mines, but somehow they survived. On the way, they passed abandoned villages with former treasures, decomposing corpses, and starving children.

Chapter 11 The Spirit Catches You And You Fall Down Review

The Spirit Catches You and You Fall Down is a sad, beautiful, complicated story that is ostensibly about a tragedy that arose from a clash of cultures, but is really about the tragedy of human beings. 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. Most of the Hmong were eventually consolidated in one large camp in northeast Thailand near the Mekong River called Ban Vinai. 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. Especially in a place like the US. Thus, her doctors were able to determine her malady and come up with a game plan on how to treat it. There is definitely no separation between the physical and the spiritual. What is the cause of illness?

Chapter 11 The Spirit Catches You And You Fall Down Pdf Free

This procedure grieves Foua and Nao Kao who think the doctors are leaving Lia to die. However, it may be that the additional time required for the ambulance to arrive and respond could have cost Lia her life. Shee Yee escaped nine evil dab brothers by shapeshifting into various forms and eventually biting a dab in the testicles. While Foua and Nao Kao usually carried Lia to the hospital, they recognized the severity of her symptoms and called an ambulance instead, believing it would make the medical staff pay more attention to her. 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. She was on the verge of death. 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.

Approximately 150, 000 Hmong fled to Thailand after the war; their prewar population in Laos had been between just 300, 000 to 400, 000. There is a tremendous difference between dealing with the Hmong and dealing with anyone else. The Lees insist Lia be sent home to live with them. It tells the story of a Hmong family in california with a little girl who has epilepsy. Believing that the family's failure to comply with his instructions constituted child abuse, Lia's doctor had her placed in foster care. Lia has another seizure on the way to VCH. The book was published in the late 1990s and was a major success, as both a sales juggernaut and in changing minds. But Anne Fadiman has achieved the success of a great novelist: illuminating the general with the particular. Thus, the Lee's suspicion that the doctors were exacerbating Lia's condition with their treatments was not entirely incorrect, while the doctors' opinion that if Lia's medication had been administered correctly from the start she might not have deteriorated so dramatically may have been accurate as well.

Perhaps the image of Hmong immigrants "hunting pigeons with crossbows in the streets of Philadelphia, " or maybe the final chapter, which provoked the strongest emotional reaction to a book I've ever had, or maybe even a social workers' assessment of the main family's parenting style: "high in delight". She's written two books of essays, Ex Libris: Confessions of a Common Reader (1998) and At Large and At Small: Familiar Essays (2007), and edited Rereadings: Seventeen Writers Revisit Books They Love (2005). Lia's doctors ascribed her seizures to the misfiring of her cerebral neurons; her parents called her illness, qaug dab peg—the spirit catches you and you fall down—and ascribed it to the wandering of her soul. From this initial collision – different languages, different religions, different ways of viewing the world – sprang a dendritic tree of problems that resulted in a medical and emotional catastrophe for Lia, her family, and her doctors.

I thought the book could have used more editing. They're confused and frustrated by all the medicine Lia is receiving. He also informs them of his own planned vacation beginning that night. The biggest problem was the cultural barrier. The clipped phrase "consent is implied" indicates a doctor is about to perform a dangerous procedure on Lia. The majority of those who survived suffered from malnutrition, malaria, anemia, and infections. And it's so brilliantly done. The tests showed that her parents had been giving her the medicine correctly. The prejudice and ethnocentrism they endured is shameful. A doctor casually calculated the total cost to the state of Lia's care: $250, 000. 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.

Who was responsible for Lia's fate? What does it mean, and how is it reflected in the structure of the book? This compassionate and understanding account fairly represents the positions of all the parties involved. September 18, 1997, p. E1. Anytime we are faced with a radically different worldview (such as the Hmong's), we are faced with the disturbing question: How far can our own culture—or own version of reality—be trusted? At this point, the Lees became perfect caregivers, keeping the comatose Lia immaculate and well-nourished and lavishing her with attention and love. Anne Fadiman addresses a number of difficult topics in her depiction of a Hmong couple's quest to restore the soul to their child.

When two divergent cultures collide, unbridgable gaps of language, religion, social customs may remain between them. Living west of the Mekong River, the Lees were able to cross into Thailand by foot, but the river posed an additional challenge for most Hmong. Even with restraints on, Lia was practically jumping off the table. The Spirit Catches You and You Fall Down tells the tragic story of Lia Lee, a young Hmong child living in Merced, California.

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