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Summary Of The Spirit Catches You And You Fall Down By Anne Fadiman

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Using Anne Fadiman’s book The Spirit Catches You and You Fall Down I have created a cultural assessment of the Hmong people and their experiences with the American healthcare system. This small Southeast Asian minority known as the Hmong began moving to the United States towards the end of the Vietnam War. This brought a whole new set of challenges for the healthcare providers of the United States due to their cultural beliefs and native practices which made it difficult to perform certain forms of medicine. Doctors and nurses had to find different ways to treat these patients without violating their cultural beliefs or upsetting them. This was especially difficult because they did not speak English and translators were scarce.
Most of the …show more content…

Their body types vary but tend to be smaller in stature and weight and they have skin colors ranging from fair to olive in complexion. Iron deficiency is common in children due to feeding them the same amounts as they did with formula when giving cow’s milk as the child gets older. The Hmong are more susceptible to disease due to their lifestyles and different traditions. The diseases to consider are diabetes, hypertension and strokes.
One thing that could affect the biological variations of Lia verses the rest of Foua’s children is how she was cleaned at the hospital after they had her, she will be healthier and less susceptible to disease since she was cleaned with clean water instead of stream water. “Although she felt that the nurses who bathed Lia with Safeguard did not get her quite as clean as she had gotten her newborns with Laotin stream water, (Fadiman 1997: 8)” even though Foua feels this way we all know that it helped Lia to be clean in filtered water with …show more content…

Majority of Hmong women prefer women doctors or nurses to give them care in these situations, they are known to refuse male doctors or nurses when it comes to anything involving a vaginal examination or birthing. The Hmong believe in no touching of the head because they believe the head is the most sacred because they believe that is where the spirit resides. It is considered inappropriate for opposite genders to sit too close to each other and to avoid misinterpretations it is a male’s responsibility to make sure to keep a distance between himself and the female. Only men shake men’s hands when greeting each other women do not shake hands. Women who are close (close in terms of relationship) will hug each other just like Americans would

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In her book, The Spirit Catches You and You Fall Down, Anne Fadiman describes the story of the Lee family and the conflicting views that arose between Western and Eastern beliefs on providing Lia medical aid. When Laos fell to the communists, the Lees were among the thousands of Hmong who fled the country. They arrived in the U.S. with their seven children and settled in the town Merced. When the Lee’s fourteenth child, Lia, was three months, her older sister slammed the front door of the apartment and Lia fainted. Her parents Nao Kao and Foua Lee believed that the noise frightened Lia’s soul to flee from her body and became lost which they associated with qaug dab peg: “the spirit catches you and you fall down”.

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“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.

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‘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.

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After reading Dr. Galanti 's articles about culturally competent healthcare please answer the following questions: What did you gain from reading Dr. Galanti 's article? Dr. Galanti provides insight into the relationship between cultural diversity and heath care providers. Dr. Galanti’s briefly states the difference between “stereotype and generalization”. The author recognizes that generalization may be a key factor used by workers in the health care community to bring awareness and a better understanding of cultural differences among patients. The article explains that although cultures differ in values, traditions, and beliefs, there are questions (the 4’C’s of culture) that may open up the line of communication, between provider and

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The Lee Family The book The Spirit Catches You and You Fall Down, by Anne Fadiman, is a story of a Hmong child and her family who collide poorly with American culture and medicine. Lia Lee was their last child out of thirteen brothers and sisters. Lia, whose family is from a very cultural land, was diagnosed with epilepsy after her family fled to America. This led to numerous cultural collisions, miscommunication issues along with medical incompetence, and her parents’ custody battle with the American government. They came to America for safety and security, where they were left unfairly treated.

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One of the recurring themes of Anne Fadiman’s novel The Spirit Catches You and You Fall Down is the cultural unawareness that is present, not only the American perspective, but the Hmong perspective as well. This is evident in the recountment of a Hmong American that returns to visit Ban Vinai, a refugee camp in Thailand, after establishing herself in the United States. Most of the book is written with a focus on the Western doctors lacking understanding of Hmong language, customs and culture which in turn made it difficult for them to treat patients such as Lia. They struggled to explain procedures, while practical to them, appeared harmful and life-threating to the Hmong.

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The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures by Anne Fadiman is an analysis of Western medicine and traditional Hmong medicine in the treatment of a young child with severe epilepsy in Merced, California. The book also details Hmong culture, history, and their life as refugees in the United States. The majority of the Hmong populations, especially in central California where the book takes place, rely on welfare and this creates tensions with the other populations in the area. Her book is an eye opening introduction into the Hmong culture, the clash of traditional and western medicine, the discrimination of refugees, and the importance of cultural inclusivity.

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Another critical element is the difference of the two culture in addressing illness. The Hmongs have a Shaman who comes in their home, spends time with the family and the patient. Shamans treat their patient’s spirit as well as the body and can make an immediate diagnosis. The American medical system very different in so many aspects that Fouya and Nao Lee is having a difficult time accepting

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In The Spirit Catches You and You Fall down, Anne Fadiman reflected on ways in which cultural dissonance can have detrimental consequences for those who are caught in the midst of two cultures. In this influential story, the cultural and language barriers between Lia Lee’s family and her doctors caused Lia’s life to be negatively impacted due to improper diagnosis and treatment. The Lees preferred traditional and spiritual treatment that clearly differed from the doctors’ Westernized treatment. Through a constant battle between proper treatment and the Lee parent’s compliance, this caused Lia to live in a persistent vegetative state for the majority of her life. The language barrier that the Lee’s faced at Merced hospital was discouraging,

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Ethnomedicine has been historically defined as any healthcare system not present in the West; now, ethnomedicine is defined as the any cultural beliefs which surround healing in a community. The Hmong—an ethnic group located within present day Laos, Vietnam, and Thailand—have a particular system of ethnomedicine which is described as personalistic. Within a personalistic system, an active agent is the underlying cause of a disease—or etiology. Humans can be the cause of the disease as well as a number of non-human and supernatural agents. When Lia Lee began seizing at three months of age, her parents understood that the active agent which caused her epilepsy was a door slamming which caused her soul to fly from her body, an illness called quag

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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.

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Family and group solidarity are important to the Hmong, yet they were forced to split apart during their journey to America. The Hmong also partook in ceremonies, dances, and sacrifices that were important to them and their religion, however, the doctors and other people were wary of these practices and didn’t condone them, especially when it came to patients such as Lia Lee. Lee’s doctors were constantly giving her shots, medicine, and feeding her through tubes. Her parents didn’t approve of this at all and thought that the medicines they were giving her was what was killing her.

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Hmong Culture The Hmong primarily originated from the “mountainous areas of China, Burma, Vietnam, Thailand, and Laos” (Purnell, 2014, pg. 236) and immigrated to the United States in 1975 after the Vietnam War. Primarily refugees from Laos, the Hmong people began immigrating to the United States in large numbers “after communist forces came to power in their native country.” (Bankston, 2014, pg. 332) Mainly settling in California, the Hmong began to be dispersed by American refugee settlement agencies across the country in the 1980s, also settling in Wisconsin and Michigan.

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