Over… healthcare settings to improve the way healthcare professionals communicate. Without American combat support, the Hmong were forced to surrender. These negative feelings were not relieved by the attending physicians, mostly because the physicians were unaware of how grossly they were perceived. In 1968, a witness noted that 60% of new recruits were sixteen or younger, with some as young as ten. However, the border between geographic may be weakened while the border between culture still exists.
Fadiman reveals the rigidity and weaknesses of these two ethnographically separated cultures. Over the centuries, the Hmong fought against many different peoples who claimed sovereignty over their lands. Rice fields, at least, eventually reforested. Chapter 10: War According to a Hmong folktale, a king once resolved a land dispute between the Hmong and neighboring tribe by declaring that each tribe would select an envoy that would walk as far as he could between sunset and sunrise. Everyone wanted the best for Lia - especially her devoted parents and the dedicated doctors and staff at the hospital where she was repeatedly treated. In May 1975, the communist Pathet Lao crossed into territory held by Vang Pao. The main focus of this chapter is comparing the birth of the children in Laos where Nao and Foua were from to the American birthing traditions.
This chapter also introduces the characters Nao Kao and Foua Lee. The author made an extensive research on the Hmong culture which is evident in the details she presented in the entirety of the book. Opium was particularly harmful as old fields became covered in a coarse grass that even animals wouldn't eat. The Spirit Catches You and You Fall Down - Summary and Reading Log Chapter 1 - Birth Chapter 1 goes through the traditional birthing methods and traditions of the Hmong people. A more agreeable treatment plan would include therapy and job placement, thereby boosting self confidence, productivity, and generalized happiness. 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.
In the Hmong culture, seizures were believed to occur in a spiritual realm and symbolized a condition deserving of reverence. Four months after returning home, however, Lia went into status epilepticus and had to stay at the hospital for fourteen nights. In Fadiman's opinion, Lia's doctors, Neil Ernst and Peggy Philp, liked the Hmong, but they didn't love them. When Lia Lee entered the American medical system, diagnosed as an epileptic, her story became a tragic case history of cultural miscommunication. Epilepsy is called, quag dab peg1 in the Hmong culture that translates to the spirit catches you and you fall down. For instance, they believed that the body has only a finite amount of blood and that frequently taking one's blood can be harmful or fatal.
Some of the Hmong beliefs are they prefer traditional medicine, are culturally active, host ritual ceremonies, and are spirituality influenced. While in America, Foua delivered their fourteenth child, Lia. As one could easily imagine, this kind of history lends itself to the formation of a culture that consists of a closely-knit community that has a lot of pride. The story therefore begs the question of whether it is in the patient's best interest to privilege Western knowledge. Highly recommended for all collections.
By the time she returns home, she's having major seizures on a regular basis and her development is noticeably slowed. I think Jeanine taught them a valuable lesson in the sense that all Americans are not the same. Lia's parents and her doctors both wanted what was best for Lia, but the lack of understanding between them led to tragedy. The book is a sensitive depiction of the conflicts and misunderstood values within the pluralistic society of California where the protagonists fight for the life of a sick girl child and struggle against odds to keep her alive. To make matters worse, the doctors start to believe that the seizures are causing retardation and that if Nao and Foua would give the child the medicine as directed she would be getting better.
As the book points out, the values and ideals of the Hmong culture and the United States health care system are not always the same and sometimes come into great conflict with each other. In a shrinking world, this painstakingly researched account of cultural dislocation has a haunting lesson for every healthcare provider. Main Author: Format: Book Language: English Published: Farrar, Straus and Giroux, 2012 Edition: Paperback edition. Laos, an economic backwater, was supposed to be neutral. However the diversity in cultures and religions often create hindrances in the doctor patient relationship that in return affects the treatment and health care process.
The Spirit Catches You and You Fall Down by Anne Fadiman, dare us to ponder what we assume we know about health care and what are the ultimate challenges that influenced the way patients were treated in a hospital. The Lees believed Lia had been returned to them because foster care had made her sicker; Neil and Peggy felt that foster care had improved her condition. A combination of Eastern medicine and Western medicine could have been implemented in the care and treatment of Lia so that the parents could be more cooperative with her care. The Sprit Catches You and You Fall Down al Affiliation Discussion At the end of chapter 18, Waller Sukey asks a questionconcerning the level of importance between Life and Soul Fadiman 2002. There is old sayings that how can you go back to something if you know nothing about it.
Its soldiers fought on the ground, directed air strikes, fought behind enemy lines, gathered intelligence on communist forces, sabotaged roads and bridges, and more. Jeanine Hilt, the social worker assigned to Lia when she was placed in foster care, grew to love the family, and in return, they loved her too. Looking at the Lee family from a psycho-social perspective, I would say that they are a very close nit family who value their culture. The tvix neeb tied spirit strings around her wrist and gave her medicine from roots and other natural materials, some boiled and some crystalized and eaten. At her birth, Lia appeared to be a healthy, eight pound seven ounce girl and the delivery was uncomplicated. Most of Merced's doctors, including , never thought to ask how the Hmong treated their illnesses. In Hmong culture seizures are not recognized much as a physical illness as it is spiritual in nature and quab dab peg which translates to, the spirit catches you and you fall down, describes the group of symptoms experienced by Lia in the Hmong culture.
I would recommend that everyone read this book especially people whose professions requires them to do extensive work with people from different backgrounds and cultures. Hmong families tend to be large, with an average of 9. We watch as the destabilizes the region, forcing the Hmong to fight for the U. Rather than assimilate, many migrated to the highlands of Vietnam, Laos, and Thailand. Frances Piper is one of the four Piper girls, and she is indifferent from the rest of them. Not all Hmong became soldiers by choice.