The Spirit Catches You And You Fall Down - Chapter 11 Summary & Analysis — Black And White Music Notes Clipart

Over many centuries the Hmong fought against a number of different peoples who claimed sovereignty over their lands; they were also forced to emigrate from China. I've dealt with a chronic medical condition for the last couple years that has sent me on a semi-desperate search for a specialist who would listen to me. Lia's epilepsy, by all accounts, was unusally severe and unresponsive to medication. The Lees left northwest Laos, spent time in a Thai refugee camp, and eventually ended up in California, where Lia was born. Chapter 11 the spirit catches you and you fall down fiber. The cultures were so extremely different as the title suggests, A Hmong child, Her American Doctors and a collision of cultures. It was disheartening to see so few individuals who were able to act as cultural brokers, either American or Hmong, but from every corner there were truly good-hearted people who did everything they could to save Lia, heroes in their own right.

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Chapter 11 The Spirit Catches You And You Fall Down Summary

She does not structure her book to lay blame at anyone's feet. It was not as sad as after Lia went to Fresno and got sick" (p. 171). She's a fantastic storyteller, keeping the reader always wanting more, and at the same time, shows humility and a willingness to engage with difficult issues. And the person who suffered was Lia.

The different levels of engagement the Lee family had with various westerners was particularly telling, and explained a lot about the wildly varying opinions people had formed. ME: Did you read it? Retrieved March 9, 2023, from In text. I would absolutely love to see would Fadiman research about every controversial topic ever.

Chapter 11 The Spirit Catches You And You Fall Down Author

At their wit's end the doctors have the little girl removed from the home and placed into foster care. What many went through when they came to America is also devastating. How did you feel about the Lees' refusal to give Lia her medicine? Fadiman observes how holistic their approach is compared to the approach of the American physicians by showing that even though the Lees cared a great deal for Lia (and loved her unconditionally), they still tried to persuade the spirit to let go of Lia's soul so it would come back to her. By the next morning, Lia had developed a disorder called disseminated intravascular coagulation, in which her blood could no longer clot and she started to bleed both from her IV sites and internally. She insisted rats are dirty and shouldn't be eaten. While some of Lia's doctors attempted to understand the Hmong beliefs, many interpreted the cultural difference as ignorance on the part of Lia's parents. Chapter 11 the spirit catches you and you fall down fiber plus. They gave her an enormous amount of medicine, and finally she stopped seizing. Adults usually took turns carrying the elderly, sick, and wounded, but when they could no longer do so, they had to leave their relatives by the side of the trail. An infinite difference" (p. 91). It impressed me and taught me a lot and made me think about the issues it brought up - namely cultural issues - a lot. Foua and Nao Kao were repeatedly noncompliant about medication, and Lia was suffering as a result!

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. The Spirit Catches You and You Fall Down provides an education in Hmong history and American medicine, a compelling family drama, and a new outlook on the world. When she arrives, her doctor diagnoses her with "septic shock, the result of a bacterial invasion of the circulatory system" (11. While "failing to work within the traditional Hmong hierarchy... [they] not only insulted the entire family but also yielded confused results, since the crucial questions had not been directed toward those who had the power to make decisions. The outcome confirmed the Lees' worst fears and eroded whatever trust they still had in the U. medical system. You can tell she is a journalist, for better or worse, here. But it's also a wonderful history book. The story of Lia Lee is tragic, and the possibility that it could have turned out differently makes it especially so. The clipped phrase "consent is implied" indicates a doctor is about to perform a dangerous procedure on Lia. Highly recommended for anyone who wants an engaging and thought-provoking read. The tests showed that her parents had been giving her the medicine correctly. Chapter 11 the spirit catches you and you fall down author. LastModified = lastmodified.

Chapter 11 The Spirit Catches You And You Fall Down Fiber Plus

However, the author is really good at giving voice to both sides, the western doctors (impatient, overworked, stubborn, judgmental, dedicated) and the Hmong family (impatient, overworked, stubborn, judgmental, loving). The Hmong family keeps her alive with their love and care, something the doctors had never witnessed. Published in 1997, The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures is a remarkable masterpiece that feels just as significant today, more than 20 years after being published, for its commentary on cultural differences, social construction of illness, and most important of all, empathy. A visiting nurse in the book angered me by telling the Lees they should raise rabbits to eat instead of buying rats at the pet store. She had a seizure around dinner time. The best-educated refugees came in the first wave, and the least-educated came later on. The Spirit Catches You and You Fall Down - Chapter 11 Summary & Analysis. … After the last American transport plane disappeared, more than 10, 000 Hmong were left on the airfield, fully expecting more aircraft to return. Their use of welfare or social indices like crime, child abuse, illegitimacy, and divorce, all of which were especially low for the Hmong? She doesn't veer into either side.

She aspirated her vomit which compromised her ability to breathe, and her blood oxygen levels were so low that she was essentially asphyxiating. And I am fairly wedded to it, but I really appreciated this look into a culture so different from my own. This book was really enjoyable. The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures by Anne Fadiman. What is the cause of illness? It was emotionally very hard to read, and took me a long time — to recover, to regroup, to stop trying to assign blame in that very human defensive response — because this is indeed a situation where nobody and everybody is to blame. How does this loss affect their adjustment to America? By combining the universality of a family tragedy with a scholarly history of Hmong culture, this book offers a unique and thoroughly satisfying reading experience. The camp was the largest Hmong settlement in history, with over 40, 000 residents at its peak. Many eventually immigrated to America, a country whose culture is vastly at odds with theirs.

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Sometimes men were led away to a "seminar camp, " which combined forced labor and political indoctrination. How did you feel when Child Protective Services took Lia away from her parents? The what ifs are endless, but this book serves as a lesson: as much as cultural barriers may be a behemoth to overcome, they are never insurmountable. The epidemiologist looked at me sharply. A doctor casually calculated the total cost to the state of Lia's care: $250, 000. • Birth—August 7, 1953. Fadiman traces the treatments for Lia's illness, observing the sharp differences between Eastern and Western healing methods. Most psychosocially dysfunctional. When I love a book, I talk to people about it. 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. 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. What do the Hmong consider their most important duties and obligations? The daughter of Hmong refugees, Lia begins suffering epileptic seizures as an infant, but her treatment goes wrong as her parents and the American doctors are unable to understand and respect one another. This is an impressive work!

And then too it is about medicine, the goals of American medicine and what it means for health care providers to be culturally competent. This was Lia's sixteenth admission to the ER. What are his strengths and weaknesses? The foreshadowing, which began with Neil's premonition at the end of Chapter 9, continues.

My GR friend Elizabeth wrote a beautifully compelling review and I knew I had to read this book. Lia, this girl, was in and out of hospitals more times than you could count, and sometimes in intensive care, and still it all went wrong. There the lack of a common language or trained interpreters, and the clash of cultures led to disastrous results. The atmosphere in the cubicle was now charged as people literally lay on Lia's legs to keep her on the table. No attempt was made to understand how the family saw the disease or what efforts they were making on their own to address the situation. Several times the planes were so overloaded they could not take off, and dozens of people standing near the door had to be pushed out onto the airstrip.

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