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The Lees failed to comply with this complicated regimen both because they did not understand it and because they did not want to. The Lees "seemed to accept things that... were major catastrophes as a part of the normal flow of life. Chapter 11 the spirit catches you and you fall down world. Fadiman uses detailed visual imagery to transport us to the hospital, where we can feel the stress and confusion of those present. There's probably a way to improve cross-cultural relations though.
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Chapter 11 The Spirit Catches You And You Fall Down World
It's not stupidity, it's not lack of common sense, whatever. WELL, WHAT IS THE TRUTH? The resistance movement was defeated in 1978, following 50, 000 deaths. I wanted the word to get out in the community that if they deviated from that, it was not acceptable behavior" (p. 79).
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. They sign a court order transferring Lia back to MCMC for supportive care, with the option of being released to their care, if Neil authorizes it. As Fadiman makes clear, both doctors and parents were doing what they believed to be the right thing, according to their knowledge and beliefs. 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. Roger Fife is liked by the Hmong because, in their words, he "doesn't cut" (p. 76). The Spirit Catches You and You Fall Down - Chapter 11 Summary & Analysis. He is clever and resourceful, able to fight and escape rather than be captured or forced into an undesirable situation. They are a clannish group with a firmly established culture that combines issues of health care with a deep spirituality that may be deemed primitive by Western standards. 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). Lia's seizures did return, however, and in November of 1986 she suffered massive seizures that could not be controlled. When Lia first came to the hospital, the language barrier – an inability to take a patient history – caused a misdiagnosis. 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. I'm a college-educated white male with health insurance who often wore a business suit to my appointments since I came straight from work. It is an unfortunate parallel to Lia's story; in both cases, those in power failed to save the Hmong entrusted to their care.
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Just don't expect to have a good time when you read it. Following the case of Lia (a Hmong child with a progressive and unpredictable form of epilepsy), Fadiman maps out the controversies raised by the collision between Western medicine and holistic healing traditions of Hmong immigrants. This poignant account by Fadiman, editor of The American Scholar, of the clash between a Hmong family and the American medical community reveals that among the gaps yawns the attitude toward medicine and healing. Last Updated on May 5, 2015, by eNotes Editorial. My dad and I once drove from Paris to Normandy. Chapter 11 the spirit catches you and you fall down litcharts. 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. A visiting nurse in the book angered me by telling the Lees they should raise rabbits to eat instead of buying rats at the pet store. Government Property. The story of Lia Lee is tragic, and the possibility that it could have turned out differently makes it especially so. She probably hears the Hmong family better than she hears Lia Lee's doctors, but Fadiman tries to understand both.
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 is intended to be an ethnography, describing two different cultural approaches to Lia's sickness: her Hmong parents' and her American doctors'. Why is it evil to kill and eat one type of animal and not another? Anne Fadiman, the daughter of Annalee Whitmore Jacoby Fadiman, a screenwriter and foreign correspondent, and Clifton Fadiman, an essayist and critic, was born in New York City in 1953. She attended Harvard University, graduating in 1975 from Radcliffe College at Harvard. Stream Chapter 11 - The Spirit Catches You and You Fall Down from melloky | Listen online for free on. The New York Times Book Review.
If you read this book and only feel anger…Well, I'd never tell someone they're reading a book wrong, but in this case, you're clearly reading this book wrong. 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. It is difficult to acknowledge that no one was right but so easy to fall into a trap of uneasiness and ignorance in the face of the Other, writing such people off as enemies. Following septicemia and a grand mal seizure, Lia entered a vegetative state at the age of 4.
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They also showed that he had an elevated temperature, diarrhea, and a low blood platelet count. Young Lia was caught between two cultures and her health suffered for it. The Spirit Catches You and You Fall Down: A Hmong Child, Her American doctors, and the Collision of Two Cultures. Retrieved March 9, 2023, from In text. The Hmong see illness aand healing as spiritual matters linked to virtually everything in the universe, while medical community marks a division between body and soul, and concerns itself almost exclusively with the former. To me, those make for the most important and powerful books. Fadiman's book is a difficult read, not because of specialized vocabulary or lofty philosophical concepts, but because there comes a point when the reader realizes that the barriers faced by those involved were much more cultural than they were linguistic. It is hypocritical of Westerners to vilify the Hmong and other cultures for eating dogs when they eat pigs, which are even more intelligent than dogs. Format:||Print Book|. Young Lia was severely epileptic and caught between two vastly different cultures. The Lees insist Lia be sent home to live with them. Ban Vinai, although it was dirty, crowded, and disease-ridden, at least allowed the Hmong to maintain their culture.
The Spirit Catches You and You Fall Down alternates chapters on Lia Lee's medical record with accounts of Hmong history, culture, and religion. • Where—New York, New York, USA. There's so much that this book has within it but ahh, I haven't finished my Econ homework so this might be a good place to stop. Because of course the USA could not be seen to be fighting directly, that would be a violation of something or another. Hmong American children -- Medical care -- California. Lia's tragedy is placed in context by Fadiman's thoroughly researched chapters on the history of the Hmong. And this was so staggeringly heartbreaking — this algorithm reduction of a real little girl from a real family, treated by real doctors to a book character. First published January 1, 1997. A veritable cornucopia of debate, dissention, and gentlemanly disagreement: Vietnam, CIA, Laos, and the debt owed the Hmong; refugee crises and how they are handled; the assimilation of refugees and immigrants; and even end of life decisions. Richard Bernstein - New York Times. The Afterword provides a nice little update, as well as the cathartic tying of some loose ends).
Her family attributed it to the slamming of the front door by an older sister. 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. 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. Harari discusses the four topics of immigration. These are difficult, fraught topics that Fadiman handles with grace. Cultural brokers are important! And I use the word dialogue literally. While I consider myself a culturally sensitive individual, having been raised in a family of doctors and nurses, I have long held the conviction that the world's best doctors (whether imported or native) tread on American soil. They cited the ese of the operation, the social ostracism to which the child would otherwise be condemned.
• Currently—New York City. In Lia's case, the two cultures never melded and, after a massive seizure, she was declared brain dead. When Lia ends up brain dead, your heart just hurts for everyone involved. In a desperate move, Ernst removed Lia from her devastated parents and placed her with a foster family in an attempt to make sure her medications were administered properly.
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