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This, in retrospect, might have been a mistake. It wasn't that these Hmong hated the communists, but they got the idea that the communists were going to stop them farming in their own Hmong way. I don't know why this angered her. To keep this review short, the story of Lia Lee, while treading lightly, leaves enormous footprints in the reader's mind.

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You know what rendered me speechless? The author's respect and admiration for both sides is apparent and she writes with utmost compassion. Hospital staff tried to explain what was happening, but despite the presence of interpreters, the Lees remained confused. One of their children died soon afterwards, as there was no medicine. When she arrives, her doctor diagnoses her with "septic shock, the result of a bacterial invasion of the circulatory system" (11. Chapter 11 the spirit catches you and you fall down fiber plus. Here's a more upsetting example: A Hmong child in San Diego was born with a harelip. Fadiman intercuts her narrative of Lia Lee's care with sections on the history of the Hmong in general and the journey of the Lees in particular. The true tragedy of the book is the the utter failure for both sides to understand one another and address Lia's medical needs before they are beyond control. A dab is an evil spirit which can suck your blood and do all sorts of stuff. While Foua and Nao Kao usually carried Lia to the hospital, they recognized the severity of her symptoms and called an ambulance instead, believing it would make the medical staff pay more attention to her. This lack of categorization also goes beyond the individual and is reflected by a relatively classless structure of Hmong society: Fadiman points out that the Hmong do not separate themselves by class, and live by a more egalitarian standard.

This is an eye-opening account of multiculturalism, social services, and the medical community. Fadiman was sympathetic to the Hmong and their viewpoint without romaticizing or idealizing them. Sources for Further Study. As mentioned in the analysis of the previous section, this betrayal helps to explain why the Hmong were wary to trust Americans. Chapter 11 the spirit catches you and you fall down images. • Currently—New York City. The Vietnamese tried to stop them with fire and land mines, but somehow they survived. I was particularly uncomfortable with that last one because I respect people's right to look for a better life but apparently I want them to do so legally and not take advantage of our hospitality for several years.

Chapter 11 The Spirit Catches You And You Fall Down Fiber Plus

Fadiman wrote a fascinating and sympathetic story about a culture that couldn't be much farther removed from ours in the West. The Spirit Catches You and You Fall Down - Chapter 11 Summary & Analysis. Each assumed that their way was best, and neither made a genuine effort to understand the other's motivations, much less their logic. 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. It is a gentle bias.

Moreover, through this book, it's so easy to empathize with everyone. Reading this book felt like an applied form of 21 Lessons for the 21st Century. I had never heard of them either. The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures by Anne Fadiman. The Spirit Catches You and You Fall Down alternates chapters on Lia Lee's medical record with accounts of Hmong history, culture, and religion. Then there's the horrific essays the younger Hmong kids innocently turn in to their shellshocked Californian teachers, and I could go on and on.

Chapter 11 The Spirit Catches You And You Fall Down Summary

In Merced, CA, which has a large Hmong community, Lia Lee was born, the 13th child in a family coping with their plunge into a modern and mechanized way of life. Health worker says to the interpreter "It is good if mama can take her pulse every day. Chapter 11 the spirit catches you and you fall down summary. " Their men joined the military some even becoming pilots. It's now taught at medical schools around the country and it sounds like the stubborn approach of both Lia's doctors and her parents have been alleviated by greater understanding in the medical community about brokering cultural understanding between physicians and patients. A clash of Western medicine with Hmong culture, exasperated by a lack of translators, cultural understanding, and education on both sides.

No, I never heard of Merced before, either, and for sure the Mercedians never heard of the Hmong before 1978, but then they did. US doctors believed they were helping Lia, while the Lees thought their treatments were killing her. As Fadiman makes clear, both doctors and parents were doing what they believed to be the right thing, according to their knowledge and beliefs. By categorizing people according to gender, class and race we try to assign people different roles and duties, further illustrating society's desire to control individual lives - to maintain 'order'. 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? 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. 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. 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. What many went through when they came to America is also devastating. Who was responsible for Lia's fate? These are difficult, fraught topics that Fadiman handles with grace. Because her parents had different ideas of illness' cause than Western doctors, they also saw healing in a different light.

The parents who did not follow their doctors' orders? The Spirit Catches You and You Fall Down tells the tragic story of Lia Lee, a young Hmong child living in Merced, California. The spinal tap they administer is particularly upsetting to Foua and Nao Kao, who believe the procedure will cripple her.