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In the Lees' view, Lia's soul had fled her body and become lost. In July 1982 Foua Yang gave birth to her fourteenth child; Foua and her husband Nao Kao Lee would name the little girl Lia. Melvin Konner - New York Times Book Review. She probably hears the Hmong family better than she hears Lia Lee's doctors, but Fadiman tries to understand both. XCV, November, 1997, p. The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures by Anne Fadiman. 100. Sherwin Nuland said of the account, "There are no villains in Fadiman's tale, just as there are no heroes. The book expands outward from there, exploring the history and culture of the Hmong, their enlistment in the U. The Lees' previous experiences affect their risky decision to call an ambulance. Hmong patient, calmly: "Since I got shot in the head. And Lia was caught in the middle. I really enjoyed learning about the Hmong family in particular, and their own methods of parenting and treating the sick. 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.
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By the next morning, Lia had developed a disorder called disseminated intravascular coagulation, in which her blood could no longer clot and she started to bleed both from her IV sites and internally. However, because they were Hmong, the residents were treated as traitors and abused by the occupying forces. Chapter 11 the spirit catches you and you fall down essays. Three months after her birth, Lia suffers her first seizure. In any event, I was locked in, totally absorbed. There is a tremendous difference between dealing with the Hmong and dealing with anyone else. And the takeaway lesson is in how to conduct your life once you realize that you really have no idea what underpins most other people's framework of reality and have no claims on the truth.
What role has history played in the formation of Hmong culture? This book is so brilliantly written, even though it is tragic. At the hospital Lia's seizure becomes more violent, defeating all the EMTs' attempts to sedate her. As an example, a health worker visited a Hmong family to check on their daughter – this family is who the book is about. One of their children died soon afterwards, as there was no medicine. A brilliant study in cross-cultural medicine. A dab is an evil spirit which can suck your blood and do all sorts of stuff. The climax of the Lee family plot unfolds alongside the catastrophic changes in Hmong history. The Hmong call this condition quag dab peg and consider it something of an honor to have these spirits possessing the child; such a person might even grow up to become a shaman. Friends & Following. Though this book is nonfiction, every page is steeped in emotions both harrowing and uplifting. Chapter 11 the spirit catches you and you fall down author. It is impossible to read this and "pick a side".
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URL for this record:|||. During the course of this book, I found myself audibly voicing my opinions at the page like a crazy person. Would you assign blame for Lia's tragedy? No attempt was made to understand how the family saw the disease or what efforts they were making on their own to address the situation. The Hmong assumed they would be taken care of if they lost the war; instead, the U. allowed thousands to die attempting to flee their homeland and even denied refugee status to 2, 000 of those who made it to Thailand. "The Spirit Catches You and You Fall Down" explores the tragedy of Lia Lee, a Hmong child with epilepsy who eventually suffered severe brain damage, from a variety of perspectives. The Lees placed her on the mat on the floor where they always placed her at these times. I'm forgetting something, surely. Chapter 11 the spirit catches you and you fall down audio. Lia's tragedy is placed in context by Fadiman's thoroughly researched chapters on the history of the Hmong. The suspense of the child's precarious health, the understanding characterization of the parents and doctors, and especially the insights into Hmong culture make this a very worthwhile read. A Little Medicine and a Little Neeb. If I couldn't get a doctor to give me five minutes of uninterrupted time, I can only imagine the experience of an indigent, non-English speaking patient who walks into the hospital with a life experience 180-degrees different from his or her physician. Foua and Nao Kao never leave Lia's side.
More largely, this is the story of a clash between western and eastern cultures, a communication lapse that ultimately ended up hurting the parents of this little girl very profoundly. For many years, she was a writer and columnist for Life, and later an Editor-at-Large at Civilization. Lia Lee was three months old when she suffered her first epileptic seizure. She described some unfair racist reactions to the Hmong, but she also acknowledged the valid resentment felt by people whose taxes were supporting their welfare-receiving huge families. Questions from the publisher. 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. Stream Chapter 11 - The Spirit Catches You and You Fall Down from melloky | Listen online for free on. Finally, one of the residents was able to insert a breathing tube and she was placed on a hand ventilator. The spinal tap they administer is particularly upsetting to Foua and Nao Kao, who believe the procedure will cripple her.
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He knows this is "the big one" or the major seizure he's feared. Fadiman uses detailed visual imagery to transport us to the hospital, where we can feel the stress and confusion of those present. Most books are a monologue. She lives in New York City. There is definitely no separation between the physical and the spiritual.
The epidemiologist looked at me sharply. When he received the call, he "drove to MCMC as fast as he could" (11. In 1979, the Lees' infant son died of starvation. Unfortunately for Lia, the EMT, who took care of her from home to hospital, was in way over his head. Instead, they believe physicians have the ability to heal and preserve life no matter what. A shaman would be there to conduct the right ceremony. This is a practical as much as it is a moral question. When three-month-old Lia Lee Arrived at the county hospital emergency room in Merced, California, a chain of events was set in motion from which neither she nor her parents nor her doctors would ever recover. 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. The case study Fadiman explores is a perfect example that you can kind of project onto other situations. I've never quite read a book like this.
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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. Parents and doctors both wanted the best for Lia, but their ideas about the causes of her illness and its treatment could hardly have been more different. Again, who was right? The Spirit Catches You and You Fall Down provides an education in Hmong history and American medicine, a compelling family drama, and a new outlook on the world.
Since Lia's doctors expect her to die, they remove all life support systems.
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