The “Spirit Catches You and You Fall Down” by Anne Fadiman is the story of a refugee family from Laos in the United States. The story develops over the tragic case of one of the family’s daughters named Lia, who suffers from epilepsy. The book describes the Hmong’ beliefs and medical Western practices in medicine and how it influences Lia’s life. In addition, the book relates the barriers of becoming part of a new culture, the Western perspective in medicine, and the misunderstanding between the doctors and the Hmong due to the collision of the cultures and the differences of knowledge. Through the book, it is notice how Lia’s doctors (Neil and Peggy who are the main doctors) failure to become cultural sensitive in Lia’s case. But are they …show more content…
Foua and Nao Kao had no way of knowing that Dan had diagnosed it as epilepsy, the most common of all neurological disorders. Each had accurately noted the same symptoms, but Dan would have been surprised to hear that they were caused by soul loss, and Lia's parents would have been surprised to hear that they were caused by an electrochemical storm inside their daughter's head that had been stirred up by the misfiring of aberrant brain cells” ( Fadiman 28).
The Hmong strongly believed that Lia’s seizures were related to spirits. On the other hand, the doctors believed that Lia’s seizures were a result of a malfunction of the body and the only way to cure Lia was through medications. These differences in diagnoses was an essential part in Lia’s case. Lia’s doctors tried all kind of medicines and they changed it repeatedly without having any success. Over the time, Lia’s seizures got worse and her parents refused to administer the medicines. As a result of the continuous seizures and doctors’ failures to cure Lia, she entered in vegetative
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In order to become doctors in the Western culture, they had to go to some medical school. The fact that none of the doctors had courses in “cross-cultural medicine” is a reflection of the Western system failure to teach this. Therefore, the doctors cannot be blamed for not understanding the Hmong culture because they were not taught to be culturally sensitive. Maybe if the doctors were trained to become more cultural, they could develop a proper relationship with the Lees in order to improve Lia’s health. Also, the doctors were thought to be the ones who were right because of their preparation and knowledge. This is revealed when Dan Murphy
The author of this book is called Anne Fadiman. It is based on a story of a Hmong child known as Lia Lee who suffered from epilepsy. The demise of this condition shows the harm that can be contributed by absence of cross-cultural communication especially in the area of medicine. At the age of three months, the elder sister to Lia known as Yer banged a door which caused Lia to have the first seizure.
Lia’s parents spoke the Hmong language, which was a barrier during the treatment of Lia Lee. During the hospital stay at Merced County Medical Center, the doctors tried to explain the procedure of her treatment and provided the medications to cure Lia’s epilepsy. But since Lia’s parents had language barrier, the doctors and Lia’s parents were confused on the medications of what is supposed to be given for the betterment of Lia Lee. They even tried to send a nurse to their home to help with the medication regime. They soon realized that her parents did not want to give the medications to Lia.
‘The spirit catches you and you fall down’ was published in 2012 by essayist and reporter Anne Fadiman. This introductory book review analyzes the way in which different cultures perceive illnesses and diseases. It focuses on the story of the Lees a Hmong family, who moved to the United States and experiences difficulties with language, culture and biomedicine method of healing, which contradict to Hmong’s way of healing. The chapters describe the differences between the ways childbirth is conducted in Hmong society compared to the western society. As well as the struggle the Lees family has with the cultural differences in diagnoses and treatment of their ill daughter.
In Anne Fadiman’s, A Spirit Catches You and You Fall Down, there’s a conflicting battle going on between cultures. While it might never be specifically stated, Anne Fadiman attempts to convey a neutral understanding to her readers of the Hmong beliefs and culture alongside of the culture of biomedicine western society is mostly familiar with. While the Hmong beliefs and practices in medicine are taboo to western society, readers gradually see that Hmong medicine is just as equal or more powerful than biomedicine that we’re so familiar with. It’s an important concept to understand in this book is that the doctors are there to treat Lia’s disease, not precisely concerned with Lia as a person. Hmong medicine seems to be more related to in helping
“The Spirit Catches You and You Fall Down” by Anna Fadiman tells the story of Lia Lee, a Hmong child with epilepsy, whose life could have been different if only her family was caught up in western medicine. This book reveals the tragic struggles between a doctor and patient because of lack of communication. When Lia was around three months old, her older sister Yer accidentally slammed a door and Lia had suddenly fallen into the floor. This is the first recorded time that Lia was experiencing an epileptic shock.
After reading “The Spirit Catches You and You Fall Down” by Anne Fadiman, is an interesting book because it talks about the Hmong culture and their believes in medicine. A lot of cultures have their own way with handling medical issues, whether it is with some sort of herbs or whatever that culture uses to help the sick. In the book it’s about a little girl that suffers from having seizures and how the family is trying to use their cultural believes but also uses Western medicine to stop the seizures. It’s really hard for different cultures to assimilate to the American way because they do not fully understand what they’re trying to do which is helping their daughter. They want the help of the doctors but not too much because they still have
According to Henrietta, physicians at the Hopkins during the 1950s and early 1960s claimed to offer to treat African American patients but in contrary, they did so in a manner that showed segregation especially from the fellow white families. Another strategy to ensure that African Americans did not receive treatment in medical institutions is that there were education and language barrier. According to Skloot, these factors kept the backs away from these institutions unless they thought they had no choice, pg. 16.
Cultural insensitivity is prevalent throughout the Hmong’s journey with the American health care system. Between 8 months and 4.5 years Lia was in the hospital seventeen times and made more the one hundred visits to ER and paediatric clinic. The health care system failed to attempt to understand the Hmong language and culture, which lead to the Hmong adapting their cultural traditions and familiarities to please
Book Review: The Spirit Catches You and You Fall Down Tim Merlino Drexel University November 2017 The patient-doctor relationship recognizes transference affects as a bi-directional relationship which affects the way a health care provider treats a patient and the way the patient responds to treatment (Zinn, 1990). Fadiman’s book examines different problems in the culture of American medicine by highlighting a tragedy centered around a Hmong immigrant family and their sick child, Lia, in California (Fadiman, 2012). The story also highlights some important lessons to be learned by the American health care system to avoid future incidents like described by Fadiman and to ultimately apply cultural competency in public health (Fadiman, 2012).
There were many barriers that they had to overcome, and the barriers between the American doctors and MCMC - Mercy Community Medical Center - and the Lees were enormous, both the language barriers and the cultural barriers. Additionally, the Hmong didn’t have modern medicine when they lived in Laos, and had their own medicinal herbs and practices to keep away diseases, their own ethnomedicine. The book discusses all of these topics in great
The thesis of this chapter states that in certain situations, it is crucial to listen to a medical professional, however, in others, it is very important to listen to yourself and also to do what you feel is right. The author of Complications," Atul Gawane, has written this specific chapter to persuade the reader of his thesis. If the choice you make is incorrect, then it could potentially be a matter of life and death. Atul Gawande gives multiple examples of patients that have made wrong and right decisions to prove his point. He uses the personal anecdotes of four different people, with four decisions to prove his point.
Within the Hmong culture there is great emphasis on symmetry, balance, and complementary sections in bodies, society, and cosmos. Additionally, the soul must be kept in balance to maintain good health; sadly, the soul of Lia was not kept in good health which lead to severe, poorly-treated epilepsy. The medical mistakes and lack of precise communication ultimately lead to an untimely death of Lia; however, between both parties dealing with Lia’s epilepsy, the severity of her illness could have been prevented if both parties took Eliade’s perspective on sacred space into account during treatment. Sacred space, in terms of Eliade’s perspective, is one of the most critical, cherished topics that defines his paradigmatic model for religion. The
Anne Fadiman, author of the book, ‘The Spirit Catches You and You Fall Down” reveals the negative effects of no cross-cultural communication in the medical profession. Lia Lee and her family had no previous experiences in an American hospital, America no less. This proved to be difficult, leading both sides (Hmong family and doctors) to misinterpret what both are doing and saying. This book summary summarized the book, the qualifications of the sources used, and critiques the book as a whole.
Over the progression of the book the view points and relationships between the Lees and the doctors develops slightly. The medical staff was not prepared with a translator or a cultural understanding of the Hmong and how their beliefs would not match up with their medical practices. “Not only do the Hmong fail resoundingly to improve the payer mix- more than eighty percent are on Medi-Cal- but they have proved even more costly than other indigent patients, because they generally require more time and attention, and because there are so many of them that MCMC has to hire bilingual staff members to mediate between patients and providers” (Fadiman 25). This theme in the story was immensely eye opening for all of the cultural gaps that exist throughout the United States. The solution to this problem is for both sides standing on opposite sides of the gap to take the time to bridge the gap together.
During it 's two hour runtime it depicts the both the hardships of pioneering in uncharted territories of medicine as well as the racial discrimination and segregation of America in the 40s. It is a mirror of both great capacity for good and progress as well as inhumane detachment from one another based on race such as with Vivian Thomas or even gender such as with Dr. Helen Taussig. The struggle to advance the discipline of medicine with all cost and at the same time bringing us closer together as human beings under the same purpose no matter the differences is worthy of discussing. The ethical dilemmas depicted on the movie can be divided in two categories; social and medical.