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Pathet Lao soldiers infiltrated most villages and spied on families day and night. The Lees at one point acceded that they would be willing to use a combination of therapies both from their culture and their recently adopted culture, but would the physicians have complied to it as well? Lia Lee had a series of seizures starting from age three months, but perhaps due to a misdiagnosis, experienced a severe seizure that put her in a coma. After walking for twenty-six days, they arrived in Thailand, where they lived for one year in two refugee camps before being allowed to immigrate to the United States. As an example, a health worker visited a Hmong family to check on their daughter – this family is who the book is about. Chapter 11 the spirit catches you and you fall down book pdf. Just don't expect to have a good time when you read it. 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.
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The epidemiologist looked at me sharply. One resident went so far as to say, "He's a little thick. " Families had to leave behind pretty much everything they owned. The author's respect and admiration for both sides is apparent and she writes with utmost compassion. Ironically, but unsurprisingly, these refugees (many of whom were veterans) faced racism and discrimination in their new home—a backlash that eventually made it more difficult for refugees to enter. Stream Chapter 11 - The Spirit Catches You and You Fall Down from melloky | Listen online for free on. She pored over years of medical records, trying to make sense of the events that caused a spirited, loving toddler to slowly devolve into a vegetative state. Richard Bernstein - New York Times. By classifying organisms into different species, genus or families, we try to exert control over nature. The prejudice and ethnocentrism they endured is shameful. The Vietnamese forced Hmong into the lowlands, burned villages, separated children from parents, made people change their names to get rid of clan names, and forbade the practice of Hmong rituals. The Hmong people are an ethnic group who once lived in southern China. If doctors don't cure an illness they may be blamed whether or not they are responsible.
It's so good it makes me speechless. How could the Lees be perceived so radically differently by the doctors and nurses who worked with them vs. the more sympathetic social worker and journalist? Fadiman shows how the American ideal of assimilation was challenged by a headstrong Hmong ethnicity. Nao Kao can tell that this one is serious, so he calls an ambulance for the first time.
She had a seizure around dinner time. Lia's tragedy is placed in context by Fadiman's thoroughly researched chapters on the history of the Hmong. The Lees believed that rather than helping Lia, the drugs were making her worse, and they "didn't hesitate to... modify the drug dosage or do things however they saw fit. Western medicine seems to not only classify problems into different aspects of the overall human – physical, mental, emotional and spiritual, it tends to also over-categorize – different physicians for different organs or diseases, specialization etc. Chapter 11 the spirit catches you and you fall down pdf. Anne Fadiman's book is so engaging, and touches on so many sensitive subjects, that it's more like a dialogue between author and reader. Their use of welfare or social indices like crime, child abuse, illegitimacy, and divorce, all of which were especially low for the Hmong? There's something so fantastically moderate and intelligent about the way she discusses this topic. Especially in a place like the US. Since 1991, around 7, 000 Hmong have returned to Laos, promised that conditions have improved and their lives will not be in danger. And it gives facts about how things have been (poorly) dealt with, and the problems that causes. It lacked electricity, running water, and sewage disposal, and there was little for people to do except eat and sleep.
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What do you think of Neil and Peggy? This book succeeds on so many a primer on organizing huge amounts of information into a highly readable format, for one thing. ME: Did you read it? 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. On the way, they passed abandoned villages with former treasures, decomposing corpses, and starving children. The book expands outward from there, exploring the history and culture of the Hmong, their enlistment in the U. Into this heart-wrenching story, Fadiman weaves an account of Hmong history from ancient times to the present, including their work for the CIA in Laos and their resettlement in the U. S., their culture, spiritual beliefs, ethics, and etiquette. But the emotional detachment of medical language can often help doctors focus and do their jobs. Many (like the Lees) made it to Thailand, and eventually to the United States as refugees. As for Foua and Nao Kao, they had little understanding of what was going on. Chapter 11 the spirit catches you and you fall down fiber plus. Why is it evil to kill and eat one type of animal and not another? In the course of reading this book, I have redefined my idea of what constitutes a good doctor. 341 pages, Paperback. Transcultural medical care.
I can only say, I wish I could write a book like that one day. The EMT who arrived at the scene attempted to stabilize her but was not able to. Language:||English|. The Spirit Catches You and You Fall Down - Chapter 11 Summary & Analysis. There is a tremendous difference between dealing with the Hmong and dealing with anyone else. Still, the frequency and severity of the seizures worried Foua and Nao Kao enough that they took Lia to the Merced County Medical Center Emergency Room.
At the same time, I recognize the need for doctors to better remember their patients are people. The next time she arrived, however, she was actively seizing. 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. Nevertheless, the central conflict of her story pits the Lees versus her doctors. San Francisco Chronicle. During the following few months, Lia suffered nearly twenty more seizures, was admitted to the hospital seventeen times between the ages of eight months and four-and-a-half years, and made more than one hundred outpatient visits to the emergency room or pediatric clinic.
Chapter 11 The Spirit Catches You And You Fall Down Pdf
When he arrived, Lia was literally jumping off the table. However, Hmong guerrillas remained in the jungles between Laos and Thailand, launching sporadic attacks on the Lao communist forces. She aspirated her vomit which compromised her ability to breathe, and her blood oxygen levels were so low that she was essentially asphyxiating. "When Lia was about three months old, her older sister Yer slammed the front door of the Lees' apartment. And the story itself is really interesting.
Lia's treatment plan was simplified and made more palatable to the Lee's wishes. One of these groups was the Hmong people in central Laos. At the hospital Lia's seizure becomes more violent, defeating all the EMTs' attempts to sedate her. I don't know where I stand now on the concept of assimilation. "Lia's case had confirmed the Hmong community's worst prejudices about the medical profession and the medical community's worst prejudices about the Hmong. URL for this record:|||.
This is the heartbreaking story of Lia, a Hmong girl with epilepsy in Merced. Give her the correct prescriptions! Nao Kai thought of the doctors in the ER as tsov tom people, or "tiger bite people. " I don't know why this angered her. But it's also a wonderful history book. However, comparing it to another (supposedly antithetical) system through the experiences of the Hmong refugees can be used as a tool to do just that. The doctors put her on a respirator delivering 100% oxygen, inserted two more catheters to monitor her blood pressure and deliver drugs, and put a third catheter through two chambers of her heart to monitor heart function. Hmong American children -- Medical care -- California. Set fs = CreateObject("leSystemObject"). And it's so brilliantly done. The camps housed other Lao as well, including the king, queen, and crown prince, all of who died there. 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. This book for me was truly emotionally exhausting.
Last Updated on May 5, 2015, by eNotes Editorial. Still, I was really caught up in the story, and appreciated learning more about the Hmong culture. The spinal tap they administer is particularly upsetting to Foua and Nao Kao, who believe the procedure will cripple her. Their fears became so visual and vivid for me. VarLocale = SetLocale(2057). When two divergent cultures collide, unbridgable gaps of language, religion, social customs may remain between them. She acknowledged factors such as cultural blindness and the arrogance of the profession, but did not imply that the doctors were coldhearted, insensitive automatons -- quite the contrary. The doctors declare Lia brain-dead after seven days. To leave behind friends, family, all of your belongings. In all that time, no one had said a word to Fous and Nao Kao.
Camp officials tended to blame the Hmong for their dependence, poor health, and lack of cleanliness, and Westerners at the camp often made disparaging remarks. Dr. Dan Murphy said, "The language barrier was the most obvious problem, but not the most important.