Can you understand their motivation? The doctors sent Lia home to die, but she defied their expectations and lived on, although in a vegetative state: quadriplegic, spastic, incontinent, and incapable of purposeful movement. Chapter 11 Summary and Analysis. On the other hand, according to Fadiman, the Hmong don't even bother with the separation of these different aspects; they do not even have a concept of 'organs' making up a human body. And it's so brilliantly done. When he received the call, he "drove to MCMC as fast as he could" (11.
In contrast, the Hmong view control quite differently. However, they misunderstood and believed she was being transferred not due to the severity of her condition, but because Neil was going on vacation. The majority of the camp's inhabitants eventually immigrated to the United States. She doesn't veer into either side. I feel convinced that several of the ideas here will stay with me for a while. Nao Kao was generally correct in this case, but the ER would have triaged Lia immediately ahead of any other patients given her situation. In many ways, this is even more interesting because the Hmong would like not to be on welfare and the Americans would like them not to be on welfare but somehow, precisely because of the cultural differences, everyone ends up unhappy.
Fadiman also portrayed the doctors as motivated overall by good intentions. Thus, the Lee's suspicion that the doctors were exacerbating Lia's condition with their treatments was not entirely incorrect, while the doctors' opinion that if Lia's medication had been administered correctly from the start she might not have deteriorated so dramatically may have been accurate as well. It impressed me and taught me a lot and made me think about the issues it brought up - namely cultural issues - a lot. Ultimately, it led to problems. They sign a court order transferring Lia back to MCMC for supportive care, with the option of being released to their care, if Neil authorizes it. Ban Vinai, although it was dirty, crowded, and disease-ridden, at least allowed the Hmong to maintain their culture. In doing so, I found that it's on a lot of different curriculums. I recommend getting the Fifteenth Anniversary Edition with a new Afterword by Fadiman. Brilliantly reported and beautifully crafted, The Spirit Catches You and You Fall Down explores the clash between the Merced Community Medical Center in California and a refugee family from Laos over the care of Lia Lee, a Hmong child diagnosed with severe epilepsy. For a time, Lia seemed to thrive.
Still hoping to reunite her soul with her body, they arranged for a Hmong shaman to perform a healing ceremony featuring the sacrifice of a live pig in their apartment. I thought the book could have used more editing. The most obvious question asked by this book is: how should Western medicine deal with members of radically different cultures? This fine book recounts a poignant tragedy.... … After the last American transport plane disappeared, more than 10, 000 Hmong were left on the airfield, fully expecting more aircraft to return. Fictional character. " The story of the Hmong, though nonlinear, also comes to a climax, as war refugees brave the dangers of escaping from Laos. The Lees had little doubt what had happened. It was shocking to look at the bar graphs comparing the Hmong with the Vietnamese, the Cambodians and the Lao…and see how the Hmong stacked up: most depressed.
Reading this book, that idea was challenged. Sources for Further Study. With death believed to be imminent, the Lees were permitted to take her home. I'm not sure that cultural misunderstandings caused Lia's eventual "death" (brain-death, that is). We were honked at the entire time. Because her parents had different ideas of illness' cause than Western doctors, they also saw healing in a different light. However, comparing it to another (supposedly antithetical) system through the experiences of the Hmong refugees can be used as a tool to do just that. Table of Contents: - Preface. Her family attributed it to the slamming of the front door by an older sister. To refuse to accept the punishment would be a grave insult. The book is perfectly balanced. The author did years of research both of the culture, the people and their history and the medical treatment.
Happily, one can now also read memoirs by Hmong authors, such as The Latehomecomer, which tracks the experiences recorded in this book closely but from a first-person perspective. People are presented as she saw them, in their humility and their frailty—and their nobility. • Birth—August 7, 1953.
Foua and Nao Kao were repeatedly noncompliant about medication, and Lia was suffering as a result! For a variety of reasons (both spiritual and practical), the Lees did not follow the treatment plan, and Lia didn't receive the specific care her doctors ordered. What she found was that the doctors' orders, prescribed medications, hospital care, etc., were all based on a number of Western assumptions that did not take the family's (and child's) best interests into consideration. Questions from the publisher. They're confused and frustrated by all the medicine Lia is receiving. Harari discusses the four topics of immigration.
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