The Spirit Catches You and You Fall Down: A Hmong Child, Her American doctors, and the Collision of Two Cultures. She insisted rats are dirty and shouldn't be eaten. Perhaps Fadiman believed that the reader needed considerable repetition to get the message (and she may be right about that), but I really didn't' need to be told – again – that the Lees believed a spirit was the cause of Lia's problems, or that they believe the medicine made her worse, or that the doctors thought the Lees were difficult or poor parents. Most likely to be in need of mental health treatment. Chapter 11 the spirit catches you and you fall down stand. How was it different from their life in the United States? The Spirit Catches You and You Fall Down is a tragedy of Shakespearean dimensions, written with the deepest of human feeling.
Chapter 11 The Spirit Catches You And You Fall Down Stand
The Hmong, for the welfare they received in the US? Fadiman presents Shee Yee as a symbol of the Hmong people. They recognized the resulting symptoms as qaug dab peg, which means "the spirit catches you and you fall down"…On the one hand, it is acknowledged to be a serious and potentially dangerous condition…On the other hand, the Hmong consider quag dab peg to be an illness of some distinction. 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. There is a great deal of irony in this chapter. The book expands outward from there, exploring the history and culture of the Hmong, their enlistment in the U. 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 essay. " The only thing I disliked about this book is that there is a lot of animal sacrifice.
Chapter 11 The Spirit Catches You And You Fall Down Review
The book jumps back and forth between Lia's story and the broader story of Hmong people, especially Hmong refugees in the United States, and the growing interest in cross-cultural medical care. 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. By classifying organisms into different species, genus or families, we try to exert control over nature. Chapter 11 Summary and Analysis. Chapter 11 the spirit catches you and you fall down review. In July 1982 Foua Yang gave birth to her fourteenth child; Foua and her husband Nao Kao Lee would name the little girl Lia. In fact, they got worse. I don't know why this angered her. It's definitely not a black and white area but rather a large grey one. There's a lot to learn here, but the most important thing for me was the, perhaps needless, conflict and heartbreak that can result when bureaucracies try to fit everyone into their one-does-not-fit-all pigeonholes. The epidemiologist looked at me sharply. Hospital staff tried to explain what was happening, but despite the presence of interpreters, the Lees remained confused.
Chapter 11 The Spirit Catches You And You Fall Down Essay
… After the last American transport plane disappeared, more than 10, 000 Hmong were left on the airfield, fully expecting more aircraft to return. The seizure passed but her parents noted that she remained "sick" and requested ambulance transport for her to MCMC. There is definitely no separation between the physical and the spiritual. Her parents distrust Western medicine, whereas her doctors think traditional medical practices are making Lia worse. Through a series of events lia ends up in a vegetative state (and at that point her epilepsy in her brain dead state is actually cured), and she is returned home to die. One perspective is that of her family, who believed that epilepsy had a spiritual rather than a medical explanation, and who had both practical difficulty (as illiterate, non-English speaking immigrants to the U. ) They also fight the US government's "secret war" against the communists and bare the brunt of the CIA's unsuccessful agenda. In other words, health is promoted by autonomy and empathy, too—sometimes at much as it is promoted by medicine. Not only do their perceptions indicate important information got lost in translation, they also reflect many patients' views of doctors as more powerful than they really are. That will make you real ill. Hmong healthcare centered around sacrificing a pig or in more serious cases a cow in the family home. 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 brings up those questions and doesn't pose solutions but does give ideas at least to open up your mind and eyes to it all. The Spirit Catches You and You Fall Down - Chapter 11 Summary & Analysis. Thus, her doctors were able to determine her malady and come up with a game plan on how to treat it.
Chapter 11 The Spirit Catches You And You Fall Down Synopsis
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. It's not stupidity, it's not lack of common sense, whatever. Why is it evil to kill and eat one type of animal and not another? This story is tragic and I went into it fully thinking I would be on the side of the doctors. It impressed me and taught me a lot and made me think about the issues it brought up - namely cultural issues - a lot. While expected to die, she lived an additional 26 years, adored by her parents and family – and also by Fadiman. And then too it is about medicine, the goals of American medicine and what it means for health care providers to be culturally competent. Best of all, this is one of the rare books I've read that felt truly balanced and three-dimensional. There are so many valuable aspects to this book it's hard to decide what to mention. Well, contrary to Western "wisdom" rats are extremely clean animals and these ones, coming from the pet store, they were not carrying disease. What were they hoping to find in the United States? At the hospital Lia's seizure becomes more violent, defeating all the EMTs' attempts to sedate her. The atmosphere in the cubicle was now charged as people literally lay on Lia's legs to keep her on the table. The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures by Anne Fadiman. Three months after her birth, Lia suffers her first seizure.
Anne Fadiman writes about the clash of two cultures: Hmong and Western medicine. Dee and Tom Korda, Lia's former foster parents, and social worker Jeanine Hilt visit VCH. First published January 1, 1997. Compare them to the techniques used when Lia was born (p. 7). Lia seizes for two hours, an unusually long time since status epilepticus or extended seizures can threaten a patient's life after 20 minutes. One month later, they tried to escape again, along with about four hundred others. 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. Questions from the publisher. I learned so much about the Hmong people; I knew very little before reading this book, and what I knew contained some inaccuracies or at least a lack of context. CCXLIV, August 11, 1997, p. 393. Good doctors may treat the disease, but the best doctors treat the individual.
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