Many immigrants have an extremely difficult time migrating to different parts of the world due to cultural differences, language barriers, and homesickness. Nowadays, there are translators and help available for those that are migrating from different countries. However, what if someone had migrated to the United States and barely had any of that support? The Spirit Catches You and You Fall Down is an incredibly touching book speaking of the struggle of the Hmong immigrants and the walls that were built between them and Americans, particularly the American doctors and medical system. The book focuses on a particular child, Lia Lee, and her family - specifically her parents, Foua Yang and Nao Kao Lee. The book starts from when Lia Lee was still …show more content…
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 …show more content…
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. Her father, Nao Kao Lee, was especially enraged on two occasions. One, when the doctors were performing a spinal tap on Lia, he said that was when “Lia was lost”, as the Hmong believed that procedure would cripple her in this life and her future lives . The second occasion was when he misunderstood that he had to sign a paper that stated that Lia would die in two hours, when it fact “released in two hours” was what was written. “In the Hmong moral code, foretelling a death is strongly taboo.”, and so Nao Kao grabbed his daughter and ran. He was caught afterwards, but these scenarios show that the Hmong had a strong sense of values that the doctors weren’t able to understand and both parties were at a disadvantage. As Fadiman states “The customs they were expected to follow seemed so
After researching the Hmong culture, I learned several interesting facts about their culture, ceremonial practices, and their views on death and dying of a loved one. Many people in the Hmong culture believe in multiple souls that reincarnate. Although for this to occur, these individuals believe that an honored deceased member must have a proper burial to enter the spirit world in a positive way. Funerals in the Hmong culture last for many days, and the more revered the deceased is the longer the funeral may be. Animal sacrifice is a common ritual performed at a Hmong funeral and the animal is used to provide food for the people attending the funeral (Purnell, 2014, p. 246).
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.
“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.
The Hmong practice traditional healing and sacrifices and saw America as a place they could continue doing so. Soon, they learned that American doctors did not respect their traditional beliefs in medicine and saw western medicine as the “right way.” Doctors grew angry that their Hmong patients would not agree with their treatments. The Lee’s are one of many who experienced this first hand.
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.
Qian Julie Wang’s memoir, “Beautiful Country” portrays her experiences immigrating from China to the United States at a young age. She discusses her challenges in adapting to a new culture and school system, changes in her family’s financial situation, and the constant fear of deportation as an undocumented immigrant. Through her personal story, the author sheds light on the struggles faced by immigrants in the United States, particularly those who are undocumented, and the emotional toll these experiences can have on individuals and families. In her memoir, Wang describes several biographical disruptions she experienced as an immigrant to the United States. These include the sudden switch in the family’s economic status, Julie’s transition
The medicine is still a useful concept in Aboriginal healing and many First Nations bands including the Plains Cree people of Thunderchild First Nation support the concept of the traditional teachings of the Medicine Wheel (Graham & Leesberg, 2010). Also Etowa, Jesty, & Vukic (2011), indicated that Aboriginal people have a holistic definition of health that involves a balance of emotional, mental, spiritual and emotional health which has its origins in the medicine wheel and that cultural traditions such as sweat lodges, talking circles, drumming circles, and smudging are crucial elements of healing and empowerment. The medicine wheel is used as a tool to emphasize the need for bal¬ance between these dimensions of life, as well as the holistic
“What is beneath my skin. Inside my bones?” (Tan 40). This is a familiarly asked question by many Asian immigrants, and many find it difficult to answer. The rich historical culture of Asian assimilation is a complex and intriguing subject.
The practical, medical side of the profession, where it may be beneficial to actually have a section in pathology forms that indicate the Indigenous Australian status, so that more data and research could continue to further provide for the Indigenous peoples. This may be able to aid for future competent care of the Aboriginal Australian people’s. Another practical tool and technique that will benefit the Aboriginal Australians would be to have more ‘point-of-care’ (Henery, Houston, Mooney, 2004). resources readily available, so that diseases may be prevented and certain diseases that Indigenous peoples have a higher risk of developing such as diabetes can be treated right on the spot.
The American soldiers brought home Korean brides, arranged adoption of war orphans and sponsored students to come to the U.S. About 6,000 Students, 6,500 Brides, and 6,300 Adopted children arrived between the years of 1951 to 1954. This is just the beginning of how many have immigrated here. More than 100,000 adopted children and 100,000 brides for Americans, have immigrated here since than the Korean War. (Chang, Lai, Arguelles, 2003)
I spent the first half of my life on an island 210 square meters in area in the middle of the Pacific and the last half travelling the world and much of the United States. 1st generation immigrants from the Philippines raised me and it was from them that I learned the definition of hard work and true perseverance. Guam, the forgotten territory of the US, is a melting pot of various Asian influences with a distinct Spanish heritage and a culture that has shaped me to my very core. After growing up with so much exposure to different groups of people, I am a firm believer that diversity and respect for other cultures is integral in being an effective and competent healthcare worker. My opportunity to be president of my church’s “Christian family
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.
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.
According to Purnell (2014) “Hmong children often have not developed a vocabulary that can fully interpret medical terms” (pg. 238) and should be
In Anne Fadiman’s book, The Spirit Catches You and You Fall Down, two cultures clash with each other in the struggle to save Lia Lee, a Hmong child refugee with severe epilepsy. Although Lee and her family live in the United States, and thus receive medical care from Westerners, her family believes that Lee’s condition is sacred and special. The following miscommunications, both culturally and lingually, between the American doctors and the Lee family leave Lia Lee in comatose at the end of the book. However, Lia Lee could have been saved if the Lee’s had a better understanding of the American doctors’ intentions, and the American doctors understood the Hmong culture. Essentially, the tragedy of Lia Lee can be attributed to the clash of American and Hmong cultures at both the surface and sub-surface level.