This fine book recounts a poignant tragedy.... Chapter 11 the spirit catches you and you fall down chapter 1. Her parents call an ambulance, fearing the doctors won't give her immediate attention otherwise. 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. 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). Discussion Questions.
Chapter 11 The Spirit Catches You And You Fall Down Chapter 1
She has won National Magazine Awards for both Reporting (1987) and Essays (2003), as well as a National Book Critics Circle Award for The Spirit Catches You and You Fall Down. Approximately 150, 000 Hmong fled to Thailand after the war; their prewar population in Laos had been between just 300, 000 to 400, 000. I can only say, I wish I could write a book like that one day. People are presented as she saw them, in their humility and their frailty—and their nobility. Why do you think they felt this way? It lacked electricity, running water, and sewage disposal, and there was little for people to do except eat and sleep. I read this book for a class i am taking called "human behavior and the social environment. " Does any of this sound familiar? Dr. The Spirit Catches You and You Fall Down - Chapter 11 Summary & Analysis. Maciej Kopacz thanks MCMC in a strangely courteous tone for sending an incredibly challenging patient. 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. San Francisco Chronicle. I opened this book expecting to learn about a specific people (the Hmong), in a specific time and place (contemporary America). In desperation, Dr. Kopacz removed her entire blood supply - twice - and replaced it with blood that was able to clot.
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At this point, the Lees became perfect caregivers, keeping the comatose Lia immaculate and well-nourished and lavishing her with attention and love. On one hand, as the author points out, Lia probably would not have survived infancy if not for Western medicine. Lia's seizures did return, however, and in November of 1986 she suffered massive seizures that could not be controlled. 341 pages, Paperback. She gets intensely irritated with a waitress who says the Hmong are bad drivers. Sherwin Nuland said of the account, "There are no villains in Fadiman's tale, just as there are no heroes. Foua says, "When we were running from Laos at least we hoped that our lives would be better. Having just learned that Lia, the subject of the book, passed away within the last week I'd like to express sheer admiration to her family, and especially her parents, for loving and caring for her for so many years. The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures by Anne Fadiman. September 18, 1997, p. E1. There's much background about the Hmong people going back centuries and recent history also. But this book goes beyond that unanswerable question to examine many that can be answered: How should we treat refugees? But Anne Fadiman has achieved the success of a great novelist: illuminating the general with the particular. From the Lees' perspective, the hospital is failing Lia on purpose. However, through this narrative, Anne Fadiman discusses cultural challenges in medicine (and in general), immigration, Hmong history and culture, and trust in an incredibly thorough and fascinating way.
Chapter 11 The Spirit Catches You And You Fall Down Synopsis
It is heartening to learn that this book is being used in educational settings. ME: Did you read it? The narrative cites a clinical description of Lia's symptoms as "American medicine at its worst and its best. Chapter 11 the spirit catches you and you fall down free pdf. " Still, the prognosis isn't looking good: Lia is now "effectively brain-dead" (11. The ordeal required an immense amount of tenacity and courage and demonstrates the enormity of the United States' betrayal, introduced in Chapter 10. Lia's parents, Foua and Nao Kao, were part of a large Hmong community in Merced, refugees from the CIA-run "Quiet War" in Laos.
It was all that cold, linear, Cartesian, non-Hmong-like thinking which saved my father from colon cancer, saved my husband and me from infertility, and, if she had swallowed her anticonvulsants from the start, might have saved Lia from brain damage. The Lees left northwest Laos, spent time in a Thai refugee camp, and eventually ended up in California, where Lia was born. How did the EMT's and the doctors respond to what Neil referred to as Lia's "big one"? When the IV line was finally placed... Her fingers and toes were blue, her blood pressure was dangerously low, and her temperature was 104. Chapter 11 the spirit catches you and you fall down synopsis. 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.
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