Attire One Might Grapple With Nyt Crossword: Chapter 11 The Spirit Catches You And You Fall Down
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Most psychosocially dysfunctional. This book was neither. Final aside: The Spirit Catches You and You Fall Down was researched in the 1980s and published in the 10990s, meaning that the Hmong experience in America has changed, often drastically. Thus, her doctors were able to determine her malady and come up with a game plan on how to treat it. It is supposed to be 'rational' and evidence-based.
Chapter 11 The Spirit Catches You And You Fall Down Audiobook
Since the Hmong concepts of separation are close to non-existent, their view is that of 'letting go'. Lia's pediatricians, Neil Ernst and his wife, Peggy Philip, cleaved just as strongly to another tradition: that of Western medicine. Health worker says "Well, you just put your finger here, and take your watch, and count for a minute. " To be seen as an evil, ignorant savage by others, whose culture should be wiped out. A Little Medicine and a Little Neeb. If the doctor's goal is to save the body and the family's goal is to save the immortal soul, who should win that conflict? Along with a large influx of Hmong, Lia lived in Merced, CA when she experienced her first seizures. For a variety of reasons (both spiritual and practical), the Lees did not follow the treatment plan, and Lia didn't receive the specific care her doctors ordered. Many drowned or were shot trying to cross the river. When Lia arrived at the hospital she was still unresponsive. Chapter 11 the spirit catches you and you fall down chapter 9. The Spirit Catches You and You Fall Down alternates chapters on Lia Lee's medical record with accounts of Hmong history, culture, and religion. Description:||ix, 355 pages; 21 cm |.
From the Lees' perspective, the hospital is failing Lia on purpose. Despite her foster mother's strict adherence to Lia's drug regimen, she fails to get better and is allowed to return to her parents. After the Vietnam War, in which the US used Hmong men and youth (children as young as 10 years of age were given weapons) to fight the communists, the Hmong had no choice but to try to escape to Thailand. Her fingers and toes were blue, her blood pressure was dangerously low, and her temperature was 104. For American doctors, treatment of epilepsy would involve a cocktail of anticonvulsant medications, antibiotics, and sedatives. Moreover, through this book, it's so easy to empathize with everyone. In other words, health is promoted by autonomy and empathy, too—sometimes at much as it is promoted by medicine. As Foua Lee explained: The doctors can fix some sicknesses that involve the body and blood, but for us Hmong, some people get sick because of their soul, so they need spiritual things. Especially in a place like the US. The Spirit Catches You and You Fall Down - Chapter 11 Summary & Analysis. How should we handle these differences? Many Hmong taboos were broken; Lia had her entire blood supply removed twice, though many Hmong believe taking blood can be fatal, and she was given a spinal tap, which they think can cripple a patient in both this and future lives.
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They felt the fright had caused the baby's soul to flee her body and become lost to a malignant spirit. 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. This book succeeds on so many a primer on organizing huge amounts of information into a highly readable format, for one thing. The spinal tap they administer is particularly upsetting to Foua and Nao Kao, who believe the procedure will cripple her. 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. Chapter 11 the spirit catches you and you fall down images. By 1988 she was living at home but was brain dead after a tragic cycle of misunderstanding, over-medication, and culture clash: "What the doctors viewed as clinical efficiency the Hmong viewed as frosty arrogance. " 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.
In contrast, the Hmong view control quite differently. That's a far cry from the typical American who eats it every day and sometimes at every meal. To stop her seizures, Dr. Kopacz gave her a highly potent sedative, which more or less put her under general anesthesia. Still, the prognosis isn't looking good: Lia is now "effectively brain-dead" (11. Stream Chapter 11 - The Spirit Catches You and You Fall Down from melloky | Listen online for free on. In a shrinking world, this painstakingly researched account of cultural dislocation has a haunting lesson for every healthcare provider. Fadiman was sympathetic to the Hmong and their viewpoint without romaticizing or idealizing them. Ultimately, it led to problems. A few months after returning home, Lia was hospitalized with a massive seizure that effectively destroyed her brain.
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She presents arguments from many different viewpoints, and all of them sympathetically; she isn't afraid of facts that run counter to her arguments, nor does she dismiss opposing opinions out of hand. Her parents keep her alive, caring for her constantly. There may be fundamental differences between two cultures, but could there also be fundamental similarities? They expected that it would last ten minutes or so, and then she would get up and begin to play again. Subject:|| Transcultural medical care -- California -- Case studies. Nao Kai thought of the doctors in the ER as tsov tom people, or "tiger bite people. " As a child, Lia develops epilepsy, which her parents see as an auspicious sign suggesting Lia may have the coveted ability to commune with spirits. On their own terms, they continue to feed her, bathe her, and watch over her literally 24 hours a day (she sleeps in the bed with the mother every night). I like to think of myself as generally broadminded, with a liberal and accepting heart. An intriguing, spirit-lifting, extraordinary exploration of two cultures in uneasy coexistence.... Chapter 11 the spirit catches you and you fall down audiobook. A wonderful aspect of Fadiman's book is her evenhanded, detailed presentation of these disparate cultures and divergent views—not with cool, dispassionate fairness but rather with a warm, involved interest.... Fadiman's book is superb, informal cultural anthropology—eye-opening, readable, utterly engaging. 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.
Whereas the doctors prescribed Depakene and Valium to control her seizures, Lia's family believed that her soul was lost but could be found by sacrificing animals and hiring shamans to intervene. The time she spent allowed her to see the Lees as fully formed people, not the seemingly-ignorant, oft-mute "other" that presented at the hospital. The Vietnamese tried to stop them with fire and land mines, but somehow they survived. How do Hmong and American birth practices differ? She doesn't veer into either side. It spent 6 and a half years on my shelf before I read it. Fadiman spent hundreds of hours interviewing doctors, social workers, members of the Hmong community--anyone who was somehow involved in Lia Lee's medical nightmare. Accessed March 9, 2023.
Chapter 11 The Spirit Catches You And You Fall Down Audio
Lia becomes a collection of symptoms, not a person with a rich cultural and social history. 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. Perhaps the image of Hmong immigrants "hunting pigeons with crossbows in the streets of Philadelphia, " or maybe the final chapter, which provoked the strongest emotional reaction to a book I've ever had, or maybe even a social workers' assessment of the main family's parenting style: "high in delight". She had seized for two straight hours when a twenty minute continuous seizure is continued life-threatening.
Carole Horn - Washington Post Book World. 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. Health worker says to the interpreter "It is good if mama can take her pulse every day. " Finding this form of balance is truly an impressive feat. 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. Since Lia's doctors expect her to die, they remove all life support systems. A compelling anthropological study. I was skeptical at first but around the middle of the book, I found myself thinking that the fears of Lea's parents are so understandable and that they were really doing what they felt was right.
Chapter 11 The Spirit Catches You And You Fall Down Review
Moreover, when another physician removes Lia's intravenous lines the Lees think the hospital is giving up. This was Lia's sixteenth admission to the ER. The Lees insist Lia be sent home to live with them. An infinite difference" (p. 91). Unfortunately for Lia, the EMT, who took care of her from home to hospital, was in way over his head.
Note on Hmong Orthography, Pronunciation, and Quotations. When she arrives, her doctor diagnoses her with "septic shock, the result of a bacterial invasion of the circulatory system" (11. It is heartening to learn that this book is being used in educational settings. Sometimes I agreed with Fadiman.
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And might have saved Lia Lee. They cited the ese of the operation, the social ostracism to which the child would otherwise be condemned. Jeanine Hilt received a call and drove a number of relatives to Fresno; Dee and Tom Korda came as well. Their men joined the military some even becoming pilots. The author did years of research both of the culture, the people and their history and the medical treatment. This should be a must read for all medical personnel. Fadiman presents Shee Yee as a symbol of the Hmong people.
She was on the verge of death.