In 1979, the Lees' infant son died of starvation. Anne Fadiman comments: Foua (the mother) didn't own a watch, nor did she know what a minute was. Government Property. Following septicemia and a grand mal seizure, Lia entered a vegetative state at the age of 4.
Chapter 11 The Spirit Catches You And You Fall Down Chapter 9
The Lees "seemed to accept things that... were major catastrophes as a part of the normal flow of life. The Lees placed her on the mat on the floor where they always placed her at these times. However, nobody thought to take her temperature (101 degrees) or to pay attention to two other unusual signs, diarrhea and a very low platelet count. Chapter 11 the spirit catches you and you fall down pdf. Lia's seizures did return, however, and in November of 1986 she suffered massive seizures that could not be controlled. In a shrinking world, this painstakingly researched account of cultural dislocation has a haunting lesson for every healthcare provider. 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. Between 1975 and 1978, former members of the Armee Clandestine retaliated against the Pathet Lao by shooting soldiers, blocking roads, destroying bridges, blowing up food convoys, and pushing rocks onto enemy troops below.
It tells the story of a Hmong family in california with a little girl who has epilepsy. Clearly sympathizing with both the girl's family and her doctors, Fadiman examines every facet of a complex situation, while challenging her readers' perspectives on medicine and spirituality. 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. 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. Stream Chapter 11 - The Spirit Catches You and You Fall Down from melloky | Listen online for free on. And then too it is about medicine, the goals of American medicine and what it means for health care providers to be culturally competent. Lia Lee was three months old when she suffered her first epileptic seizure. In fact, they got worse. Health worker says to the interpreter "It is good if mama can take her pulse every day. "
Either I find myself thinking that medicine is relativist thing and so each culture has its own valid way of treating ailments cause heck, who knows how this world even works. A dab is an evil spirit which can suck your blood and do all sorts of stuff. 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. Language:||English|. The Spirit Catches You and You Fall Down - Chapter 11 Summary & Analysis. The next time she arrived, however, she was actively seizing. • Awards—National Book Critics Circle Award, 1997; National. Unfortunately for Lia, the EMT, who took care of her from home to hospital, was in way over his head. They felt the fright had caused the baby's soul to flee her body and become lost to a malignant spirit. The author also speaks of other doctors who were able to communicate with the Hmong. "Once, several years ago, when I romanticized the Hmong more (though admired them less) than I do now, I had a conversation with a Minnesota epidemiologist at a health care conference. 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 Author
Lia Lee is a Hmong child with severe epilepsy and the American doctors trying to treat her clash over her entire life with her parents, who are also trying to treat her condition. In doing so, I found that it's on a lot of different curriculums. Lia's treatment plan was simplified and made more palatable to the Lee's wishes. Because for several years the U. S. limited the size of extended family groups to eight but not the size of nuclear families, the Hmong grew accustomed to lying to immigration officials about their kinship ties. Chapter 11 the spirit catches you and you fall down author. Lia's parents, on their part, enlist shamans to help bring back Lia's soul and treat her with herbal remedies and poultices in the hospital and at home. "The Spirit Catches You and You Fall Down" explores the tragedy of Lia Lee, a Hmong child with epilepsy who eventually suffered severe brain damage, from a variety of perspectives. How was it different from their life in the United States? Like Jesus, with more wine. Then there's the horrific essays the younger Hmong kids innocently turn in to their shellshocked Californian teachers, and I could go on and on. It begins with a toddler, Lia Lee, living in California in the 1980s. What if they had properly given her medication from the outset of her very first seizures? They take Lia for treatment, as needed, at the hospital and clinic in Merced, where they are distrustful of the doctors' aggressive, Western approach to treating Lia. The author is telling you something and you listen.
I read this book for a class i am taking called "human behavior and the social environment. Chapter 11 the spirit catches you and you fall down chapter 9. " 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's an eye-opener on cross-cultural issues, especially those in the medical field, but also in the religious, as the Hmong don't distinguish between the two. Ban Vinai, although it was dirty, crowded, and disease-ridden, at least allowed the Hmong to maintain their culture.
If I couldn't get a doctor to give me five minutes of uninterrupted time, I can only imagine the experience of an indigent, non-English speaking patient who walks into the hospital with a life experience 180-degrees different from his or her physician. I doubt very much that this conundrum has any generic answer. However, this time she was so sick that Nao Kao had his nephew who spoke English come over and call 911. Lia was, in fact, given an inordinate amount of medication and was also subjected to a large number of diagnostic tests. High-Velocity Transcortical head Therapy. And this is Lia's story about epilepsy and the wrong treatment. On the other hand, the Lees promised to follow the new plan as prescribed. Thus, her doctors were able to determine her malady and come up with a game plan on how to treat it. A vivid, deeply felt, and meticulously researched account of the disastrous encounter between two disparate cultures: Western medicine and Eastern spirituality, in this case, of Hmong immigrants from Laos.
Chapter 11 The Spirit Catches You And You Fall Down Pdf
Why Did They Pick Merced? At 3 months old, Lia experienced her first seizure, the resulting symptoms recognized as quag dab peg, translating literally to "the spirit catches you and you fall down. " Lia was having trouble breathing, and a resident managed to insert a breathing tube. The Chinese pushed many of the Hmong from their borders, and they ended up living in Burma, Vietnam, Thailand, and Laos. The book was published in the late 1990s and was a major success, as both a sales juggernaut and in changing minds. • Currently—New York City. I now feel like lending/recommending a book proves friendship... ).
I cannot think of a book by a non-physician that is more understanding of the difficulties of caring for of the conditions under which today's medicine is practiced. If doctors don't cure an illness they may be blamed whether or not they are responsible. Fadiman uses detailed visual imagery to transport us to the hospital, where we can feel the stress and confusion of those present. What do you think of Neil and Peggy? And with all the books I love, none of them come close to this one. The resistance movement was defeated in 1978, following 50, 000 deaths. 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. Were you surprised at the quality of care and the love and affection given to Lia by her foster parents? The case frustrated and confounded Lia's doctors, husband and wife Neil Ernst and Peggy Philip, who possessed a "combination of idealism and workaholism that had simultaneously contributed to their successes and set them apart from most of their peers. "
This is a great book to read if you want to try to understand any people who are different from you in any way. So I must thank Eliza for lending it to me. This little girl was her parent's favorite and they believed her epilepsy was a special gift that made her more in tune with the spirit world. It makes you want to beat a hasty retreat from judgment and be a better person. The true tragedy of the book is the the utter failure for both sides to understand one another and address Lia's medical needs before they are beyond control. Could this have been prevented? And so no rating — because I don't think I can possibly assign "stars" to something that felt like a gut punch to the soul. On one hand, as the author points out, Lia probably would not have survived infancy if not for Western medicine.
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. This book was neither.
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