In her book, The Spirit Catches You and You Fall Down, Anne Fadiman describes the story of the Lee family and the frightening task they had to to undergo to provide their daughter with medical aid. The Lees along with the other thousands of Hmong immigrants, tried to understand the and navigate the complex and sometimes confusing healthcare system in the United States. As the book points out, the values and ideals of the Hmong culture and the United States health care system are not always the same and sometimes come into great conflict with each other. Lia Lee was unfortunately the person stuck in the middle of this great conflict.
Although both the Medical community and the Lees wanted the best for Lia, the Lees showed greater concern over
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Even though the medical community thought the Lees were doing everything to worsen Lia’s condition by stopping all medication, the reasoning behind their actions shows otherwise. During Lia’s critical condition the Lees had decided to go ahead with withdrawing her medications even after being informed of the possible dangers of doing so, “Nao Kao demanded that Lia’s subclavian line to be removed, and all her medications discontinued. Parents understand that the antibiotics are fighting a severe infection and that without medication Lia may get her infection back and die sooner. They understand that once we remove IV, a new line will NOT be replaced” (175). Although it sounds bad to want to put an end to the medication Lia was receiving, the Lees seemed to think that Lia was so sick she might die, and wanted to stop treatment because they thought the medicine is what was killing her. It was however, a serious matter and should have been handled with a better approach, but after Lia got discharged from the hospital and placed in the care of her parents she lived longer than doctors expected. The doctors even noted at one of her appointments that she “was the healthiest she’d ever been. She was just perfect. A perfect vegetable” (214). This showed how Foua and Nao Kao greatly cared for Lia and how their way of healing through herbal remedies was a great contribution to her condition, “At the hospital she was so sick that when she was sleeping in the bed, she sweated so much her bed got all wet. She had too much medicine and her body just gave way. But then we boiled the herbs and we washed her and her sweat stooped and she didn’t die” (180). Foua and Nao Kao continued to care for Lia like they were from the beginning. Foua has devoted her complete attention to Lia making sure that she will never be taken away by the police. And if anything Lia was a greater importance in the family
This is where the conflict begins as the Lee’s are clearly frightened for their daughter, they have a belief that her seizures will provide her with a life of
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
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).
Another major factor of Thao's medication error was fatigue. That had been picking up extra shifts, including the one in which she worked on the fourth of July. Her lack of proper rest and not giving her mind time to receive those eight hours caused the confusion between the two IV containing the two kinds of medication. Despite the fact that Thao had been a nurse for several years prior to the event, Thao did not follow the proper protocol to ensure that patient's safety. She gave her un-prescribed medication which resulted in Jasmines death.
Josie’s death shouldn’t have happened, and would’ve probably been avoided if someone took the time to truly listen to her mother’s concerns. Reading Josie’s story opened my eyes to the dire need of communication between the medical team and patients and/or family members. Sorrel, Josie’s mother, tried numerous times to alert the medical team of the changes observed in her daughter, yet no one listened. She highlights the severe breakdown in communication and the necessary steps needed to rectify our medical
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.
Cross-cultural methods and approaches should be taken to accommodate for the diverse patient population in our communities. I will introduce the culture clash by first describing the Hmong point of view on health and illness. Then, I will proceed my analysis by comparing it with the Western perspectives and practices on healing. Social stigma will also be emphasized as another negative factor
However I do believe the practices with the placenta are a bit peculiar, but who am I to judge it may stand true since Lia was the only one out her siblings to have any complications growing up. When Lia was taken away from her parents that was a tear jerking moment. Ultimately, I have mixed emotions about if it was the right decision to take Lia away. Dr. Neil, saw his job as to practice good medicine.
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.
The Spirit Catches You and You Fall is a novel based on the clash of two cultures---the Hmong culture and the American culture. A little Hmong girl is diagnosed with epilepsy which her parents believe is caused by spirits. Because of this belief, they try to cure her illness not with western medication but their own Hmong ways. There is a huge misunderstanding between the parents and the doctors that Anne Fadiman explores. Anne Fadiman provides readers with a vivid, detailed history of the Hmong in Laos to their involvement in the Vietnam War to their struggles in America that explains this clash.
I watched her face knot up like a thread and then she let go. It fell in a splash, floated for a while, and then sank. And quickly after that she jumped in too” (23). Celianne went through terrible experiences in her past, but her desire for her baby and a better future supported her to keep persisting. However, once this spark of ambition dimmed, she felt as if she had no choice except to give up on living.
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.
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
This is an important issue because by trying multiple techniques to get Vivian’s heart pumping again, such as CPR and electric shock paddles, he violates the ethical principle of autonomy. He refuses to respect what the patient has decided is best for her mind, body, and soul and instead steals her right to that decision away from her. It is clear that this was a deliberate act because Susie exclaims that the order was put in a day before and he even looked at it himself (Bosanquet & Nichols, 2001). He was not lazy and forgot to check her chart, he knew the order was there and made a methodical choice not to abide by it. His motivation to revive her is to keep her alive because she aids his research.
One of it is the proper way of upholding patient 's rights when it comes to medical research. As a nursing major, I am aware that it is one of my ethical responsibilities to ensure that utmost care and treatment are provided to my patient 's advocate which means that we should stand and do something when we see malpractice being done to our patients. The doctors used Vivian as a research subject, but her nurse Susie struggles to guarantee the most beneficial care and treatment is provided for her. This film depicts the significance of advocating and fighting for patients as well as their rights in order to ensure that they are receiving optimal medical treatment.