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Just don't expect to have a good time when you read it. The Lees left northwest Laos, spent time in a Thai refugee camp, and eventually ended up in California, where Lia was born. Hmong American children -- Medical care -- California. Chapter 11 the spirit catches you and you fall down summary. Published in 1997, The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures is a remarkable masterpiece that feels just as significant today, more than 20 years after being published, for its commentary on cultural differences, social construction of illness, and most important of all, empathy.

Chapter 11 The Spirit Catches You And You Fall Down Summary

Realizing that important time was being lost, the EMT ordered the driver to rush back to the hospital while he continued his attempts in the back of the ambulance. At age three months Lia had had her first epileptic seizure—as the Lees put it, "the spirit catches you and you fall down. " 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. This particular passage is quite eerie to read now: For those who do not know, the Hmong were (illegally) recruited by the CIA to fight a secret (and illegal) war in Laos. Ms. Chapter 11 the spirit catches you and you fall down free pdf. Fadiman tells her story with a novelist's grace, playing the role of cultural broker, comprehending those who do not comprehend each other and perceiving what might have been done or said to make the outcome different. I was especially interested in this book because I traveled to Laos a couple of years ago, and had the opportunity to visit a Hmong village in the mountains above Luang Prabang.

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On the other.... well, I'm just not so sure anymore. 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. On this question, Fadiman is admittedly biased. Stream Chapter 11 - The Spirit Catches You and You Fall Down from melloky | Listen online for free on. This book also taught me about the American medical system - it looks strange when you step back. Steve Segerstrom, an ER doctor, thought it was worth trying a sapehnous cutdown which meant he would use a scalpel to cut into Lia's vein and insert the necessary tubes to get medicine into her system.

Chapter 11 The Spirit Catches You And You Fall Down Chapter 1

While Fadiman is keenly aware of the frustrations of doctors striving to provide medical care to those with such a radically different worldview, she urges that physicians at least acknowledge their patients' realities. My culture is definitely that of an American (well, a subculture anyway, as there are obviously many cultures within America! ) The story focuses on Lia Lee, whose family immigrated to Merced, Calif., from Laos in 1980. The Spirit Catches You and You Fall Down - Chapter 11 Summary & Analysis. Lia seizes for two hours, an unusually long time since status epilepticus or extended seizures can threaten a patient's life after 20 minutes. I had never heard of them either.

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Harari discusses the four topics of immigration. Three months after her birth, Lia suffers her first seizure. I now feel like lending/recommending a book proves friendship... ). Chapter 11 the spirit catches you and you fall down fiber. November 30, 1997, XIV, p. 3. Hospital staff tried to explain what was happening, but despite the presence of interpreters, the Lees remained confused. The best-educated refugees came in the first wave, and the least-educated came later on. In the Lees' view, Lia's soul had fled her body and become lost.

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She had a seizure around dinner time. Doctors assumed her death was imminent, but Lia in fact lived to be 30 years old, outlived by Fuoa and her siblings. At this point, the Lees became perfect caregivers, keeping the comatose Lia immaculate and well-nourished and lavishing her with attention and love. The Chinese pushed many of the Hmong from their borders, and they ended up living in Burma, Vietnam, Thailand, and Laos. This fine book recounts a poignant tragedy.... However, Hmong guerrillas remained in the jungles between Laos and Thailand, launching sporadic attacks on the Lao communist forces. Shee Yee escaped nine evil dab brothers by shapeshifting into various forms and eventually biting a dab in the testicles. I find that non-fiction books often err on the side of being either informative but too dry, or engaging but also too sensationalist/one-sided. The seizure passed but her parents noted that she remained "sick" and requested ambulance transport for her to MCMC.

Young Lia was severely epileptic and caught between two vastly different cultures. It's not stupidity, it's not lack of common sense, whatever. In understandable and compelling language, it also explains the background of the Hmong (historically, a migrating people without a country) and their CIA-recruited role in the American War in landlocked Laos, a place they didn't want to leave but were forced out of, and how so many of them ended up in Merced, CA. None of those doctors spoke the Hmong language. Since 1991, around 7, 000 Hmong have returned to Laos, promised that conditions have improved and their lives will not be in danger. Foua attributed it to the doctors giving her too much medicine. Friends & Following. By now, Lia has been seizing for almost two hours. She insisted rats are dirty and shouldn't be eaten. A doctor casually calculated the total cost to the state of Lia's care: $250, 000.

What an incredible read! I didn't know anything about Hmong culture and now I do. Families had to leave behind pretty much everything they owned. I learned a bit about their culture, which is so very different than my own. The author's comprehensive research is evidenced by the inclusion of "Notes on Hmong Orthography, Pronunciation, and Quotations, " an extensive bibliography, detailed source notes, and an index. It also made me sympathize with the difficulties of the immigrant experience, especially for those who settle in a place so different from their homeland. The doctors sent Lia home to die, but she defied their expectations and lived on, although in a vegetative state: quadriplegic, spastic, incontinent, and incapable of purposeful movement. Fadiman shows how the American ideal of assimilation was challenged by a headstrong Hmong ethnicity. 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. She is the daughter of the renowned literary, radio and television personality Clifton Fadiman and World War II correspondent and author Annalee Jacoby Fadiman.

This is a great book to read if you want to try to understand any people who are different from you in any way. However, it may be that the additional time required for the ambulance to arrive and respond could have cost Lia her life. I recommend getting the Fifteenth Anniversary Edition with a new Afterword by Fadiman. —Frances Reiher, Fairfax County Public Library, VA. School Library Journal. On November 25, 1986, the day before Thanksgiving, Lia was eating as normal when she began to seize.