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After I go to record it for you, your points should increase a Qingyi smiled slightly and said, The first place should be stable.

How can we bridge cultural divides? The Spirit Catches You and You Fall Down is a tragedy of Shakespearean dimensions, written with the deepest of human feeling. This book for me was truly emotionally exhausting. It lacked electricity, running water, and sewage disposal, and there was little for people to do except eat and sleep.

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Like Shee Yee, many Hmong refugees in Thailand found an unanticipated solution when pressured to either return to Laos or immigrate to the United States and instead fled to a Buddhist monastery near Bangkok. Combining medical treatments with religious ones, making sure everyone understands each other, taking the time to ask people how they perceive their illness! I knew a little about this case, and before I read the book, I was certain I'd feel infuriated with the Hmong family and feel nothing but disrespect for them, and would side with the American side, even though I have my issues with the western medical establishment as well. The most obvious question asked by this book is: how should Western medicine deal with members of radically different cultures? In the 1960's, the U. S. Central Intelligence Agency recruited the Laotian Hmong, known as skilled and brutal fighters, to serve in their war against the communists. During the war they sided with the Americans. This story also sheds an odd light on the current conflict between public health officials and anti-vaxxers. She now holds the Francis chair in nonfiction writing at Yale. The doctors declare Lia brain-dead after seven days. Both proved difficult. I guess it would be considered part of the medical anthropology genre, but it's so compelling that it sheds that very dry, nerdly-sounding label. "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. Lia was in the midst of another grand mal seizure when she arrived at Valley Children's Hospital. The EMT who arrived at the scene attempted to stabilize her but was not able to.

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There is definitely no separation between the physical and the spiritual. Like Lia's doctors, you can't help but feel frustrated with Lia's noncompliant, difficult, and stubborn parents. When America pulled out of Vietnam, a Communist government in Laos persecuted the Hmong, and many fled the country in fear of their lives. 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'. Knowing she had worked with the Hmong, I started to lament the insensitivity of Western medicine. The atmosphere in the cubicle was now charged as people literally lay on Lia's legs to keep her on the table. And general reluctance to comply with Lia's complicated medical regimen. I'm not sure if it was the high alcohol content by volume in the beer, but the club somewhat surprisingly split 3-3 on the issue. This book succeeds on so many a primer on organizing huge amounts of information into a highly readable format, for one thing. In 1992, Ban Vinai was closed and the remaining 11, 500 inhabitants had only two choices: to apply for resettlement in another country or to return to Laos. When he received the call, he "drove to MCMC as fast as he could" (11. For a time, Lia seemed to thrive. Lia's doctors ascribed her seizures to the misfiring of her cerebral neurons; her parents called her illness, qaug dab peg—the spirit catches you and you fall down—and ascribed it to the wandering of her soul. One of my friends read it for an undergrad ethics course.

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When we perceive difference as threatening– including threatening our cosmology of the world – we tend to reject it and see the other person or culture as wrong or inferior. I think that's a testament to Fadiman's willingness to take on every third rail in modern American life: religion, race, and the limits of government intervention. Although exceptionally conscientious and concerned, Ernst and Philip were hampered in the treatment of Lia not only by their inability to communicate with her parents (hospital translators were seldom available) but also by their ignorance of the Hmong culture. I like to think of myself as generally broadminded, with a liberal and accepting heart. At the hospital, she was rushed to the room reserved for the most critical cases. To refuse to accept the punishment would be a grave insult. Don't read any further unless you don't mind knowing the basic story told in this book (there are no spoilers, since this is not a book with a surprise ending, but if you want to keep a completely open mind, stop now)...

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The Vietnamese forced Hmong into the lowlands, burned villages, separated children from parents, made people change their names to get rid of clan names, and forbade the practice of Hmong rituals. They take Lia for treatment, as needed, at the hospital and clinic in Merced, where they are distrustful of the doctors' aggressive, Western approach to treating Lia. The Lees stayed at the hospital for nine days, although they were only allowed to visit Lia for ten minutes once an hour. Because her parents had different ideas of illness' cause than Western doctors, they also saw healing in a different light. To read Elizabeth's brilliant -and more informative- review of this book, click here. To the very end, she was treated with unwavering love and care by her family. Reading this book felt like an applied form of 21 Lessons for the 21st Century. One month later, they tried to escape again, along with about four hundred others.

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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). Although emergency room doctors at the Merced Community Medical Center initially failed to diagnose Lia's epilepsy (mistakenly treated as a bronchial infection), her family correctly identified her affliction immediately. By combining the universality of a family tragedy with a scholarly history of Hmong culture, this book offers a unique and thoroughly satisfying reading experience. The Hmong people in America are mainly refugee families who supported the CIA militaristic efforts in Laos. I read this book and began seeing things through the eyes of the Hmong people, and of other refugees.

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My wife would ask me what I was saying, and I'd tell her "I'm not talking to you I'm talking to the book! " Hmong Americans -- Medicine. I opened this book expecting to learn about a specific people (the Hmong), in a specific time and place (contemporary America). Fadiman lives in western Massachusetts with her husband, the writer George Howe Colt, and their two children. Then she loses consciousness but remains alive. Dee and Tom Korda, Lia's former foster parents, and social worker Jeanine Hilt visit VCH.

Many (like the Lees) made it to Thailand, and eventually to the United States as refugees. This procedure grieves Foua and Nao Kao who think the doctors are leaving Lia to die. On November 25, 1986, the day before Thanksgiving, Lia was eating as normal when she began to seize. The story of Lia Lee, an epileptic daughter of Hmong refugees, turns out to have wide and deep implications. Foua says, "When we were running from Laos at least we hoped that our lives would be better. Hospital staff tried to explain what was happening, but despite the presence of interpreters, the Lees remained confused.

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. However, an ambulance was always taken seriously. But it's also a wonderful history book. Interpreter says "She says they don't know how to tell the pulse. "

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