Anne Fadiman’s novel The Spirit Catches You and You Fall Down, documents the life of the Lees, Hmong refugees who live in California. Their daughter Lia has a seizure which they diagnosed as qaug dab peg, “the spirit catches you and you fall down”. These seizure cause her to become vegetated for the rest of her life. Her parents believed that her seizures happened because her soul had fled her body. Because of the cultural traditions, aside from her treatment at Merced Community Medical Center, they utilized traditional healing methods. This was because her parents and the Hmong culture believed that they needed to call her soul back. Through the Lee’s story, Fadiman highlights the dangers of a lack of cross-cultural communication in the medical …show more content…
Here we can clearly see how Fadiman wants to show how people should treat others from a different religion. She says that she needs to “more like a Hmong” to understand their culture, religion and traditions. Doing so will help her understand why it is that they do what they do and why they have little trust on American doctors and medicine. If the doctors at the Merced hospital had tried to put themselves in Lia’s parent’s shoes to try and understand their culture they would of been able to come up with solutions that would of helped Lia more in the long run. Simply ignoring the fact that they are dealing with a completely different and trying to do what they can under the circumstances they should of been able to work with the parents. Maybe having a Hmong religious leader talk to them so that they understand what her parents think about the soul and it escaping from the body, would have changed their way of seeing the situation. Fadiman as the writer wanted to think like a Hmong person and thought that if the doctors had taken that same view, Lia might of had a different (more successful)
In a healthcare setting you will see different cultures that will come and go. It is very important to know how to deal with each culture so that you can help them while still making sure they are comfortable. Native Americans have many different characteristics because of the different tribes from all over the world. Healthcare providers should be familiar with them so they know how to distinguish them if needed. While knowing their characteristics they should also know how to interact with Native Americans as well since their culture is a lot different than ours, we want to make sure that we don’t disrespect them.
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” 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.
Lia, unlike her older siblings, was born in the Merced Community Medical Center (MCMC) and thus her placenta was incinerated. The placentas of her other siblings were buried under their hut where they lived before moving to America. The Hmong people believed that the most probable cause for illness was soul loss hence the reason of having
The language barrier also prevented the doctors from figuring out that the parents are trying to help in their own way by buying things that Hmong believe will heal the body. The doctors didn’t know for sure if the parents were serious or not. Basically this whole book so far is showing the importance of being able to understand and communicate with one another
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
Puerto Rican Culture Religion, culture, beliefs, and ethnic customs can influence how patients understand health concepts, how they take care of their health, and how they make decisions related to their health (U.S. Department of Health & Human Services, 2015). As a nurse, it is important to understand that not every patient shares the same healthcare beliefs. A nurse must be able to perform his or her duties without judgement and care for each patient with respect for their own unique set of beliefs and morals. In this paper, the Puerto Rican culture will be discussed, from family units to religious and cultural beliefs, as well as how Western Medicine fits into their healthcare. Explain the culture.
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.
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
Those are just small examples of how different cultures can be. With the absence of cultural competency in health care it could for example happen, that a patient from Japan, called Suzuki Yasuo, is seeing a doctor. The doctor is used to American patients and starts their interaction with big eye contact, and a kind but strong hand shake. While shaking his hand he says: “Good afternoon Yasuo!” and continues speaking with a loud voice about the issue that has to be solved on that day.
The different ways one can look at Paja’s illness is by acknowledging the Hmong culture and by looking at the perspective of the biomedical world.
Between Remembering and Forgetting The book Strength In What Remains by Tracy Kidder, tells the journey of Deo, from his escape from Hutu-Tutsi genocide in the mid-1990s to the United States and back to Burundi. In his journey, Deo struggle’s against his memories of the genocide, he was faced with two different ways of dealing with his memories, to forget or to remember. In the first half of the book, Deo follows the Burundian concept of forgetting about the past, this is due too the unwillingness of victims to recall and, thereby, relive the violence and pain of their recent history. But as he went through his journey, he realizes that although he wants to forget his past tragedies, he was unable to do so.
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.
How you, as a social worker, might interpret the needs of Paula Cortez, the client, through the two cultural lenses you selected. How you, as a social specialist, may decipher the requirements of Paula Cortez, the customer, through the two social focal points you chose. Cultural competence in social work is the primary guideline of social work education and practice. According to Carpenter (2016) As the population in the United States continues to diversify rapidly, the requirement for culturally competent social work administrations is similarly as essential as it ever has been.
Over the past four months, this course has been one of the most eye-opening experiences I have had during my first year of college. Although I have always realized the importance of being culturally competent in daily life, specifically healthcare, I was unaware of the many ways that cultural competence can be obtained. This class gave me the opportunity to view situations from a different perspective, especially through the weekly discussion boards and peer responses. Learning from classmate can teach more valuable lessons than listening to boring lectures or reading hundreds of pages in a textbook because it is easier to relate to experience rather than hypothetical situations. For example, one of the discussion boards asked us to detail