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In California they barely understood the language, much less Western culture or medicinal practices. There are about five main important events in the story of Lia Lee. The first Chapter goes through the traditional birthing methods and traditions of the Hmong people.
One of the most noteworthy traditions is the burying the placenta. In the first chapter Nao gives birth to Lia Lee in an American hospital, their first child to be born in a hospital.
Lia was born July 19, The baby appeared to be healthy and was released from the hospital 3 days later. The main focus of this chapter is comparing the birth of the children in Laos where Nao and Foua were from to the American birthing traditions.
This would be the beginning of many more seizures to come. In Hmong culture seizures are not recognized much as a physical illness as it is spiritual in nature and quab dab peg which translates to, the spirit catches you and you fall down, describes the group of symptoms experienced by Lia in the Hmong culture.
To make matters worse, the doctors start to believe that the seizures are causing retardation and that if Nao and Foua would give the child the medicine as directed she would be getting better.
Finally a decision is made among medical staff that placing Lia under Foster care may be in her best interest in order to assure a proper dosing regimen.
They took Lia to Minnesota to visit a twix neeb, they also were giving her proper dosages of her medication. She fell off of a swing one day and started to seize, it was a very serious seizure and three weeks after she was discharged she was admitted again.
She went into status epilepticus which means that, no matter how many drugs they gave her, she kept on seizing. She was then transferred to the Pediatric Intensive Care Unit in Fresno after she finally stopped seizing. Everyone thought that Lia was going to die and they were just waiting for it to happen.
There is a misunderstanding in the hospital between the parents and doctors and she is ripped from her tubes by her father in an attempt to take her home, at which time the hospital calls a Code X, and she is recovered and re-intubated, only to go home four hours later.
If her parents would have known how to speak English, maybe there would have been more understanding and communication between them and the medical community.
This may not have solved all of the cultural differences but at least there may have been an even flow and exchange of information and feedback between both parties involved. When asking what could Drs. Ernst and Philip have done to provide Lia with a better quality of care they could have made an effort to learn more of the Hmong language or provide a non-threatening interpreter in order to ensure more understanding, communication and feedback from the Lee family.
They could have respected their traditions and beliefs and found a way to incorporate both into her care, even if it meant being a bit more unconventional and providing a more simple dosing regimen with the least amount of change in medications as possible without the need for tapering and tweaking of meds.
When asking what could the hospital administrator and personnel have done to provide Lia with a better quality of care, I would suggest that they provide interpreters that are non- threatening for the Hmong community of patients they serve. They could have provided specific Hmong culture training to their staff of doctors and nurses.
They could have incorporated into their hospital food menus and diets specific Hmong foods and teas customary to the Hmong culture. A combination of Eastern medicine and Western medicine could have been implemented in the care and treatment of Lia so that the parents could be more cooperative with her care.
In conclusion, any effort to better understand the Hmong customs and traditions in the care of Lia would have resulted in a better outcome for everyone involved. The parents and doctors both wanted the best for Lia, but their ideas about the causes of her illness and its treatment could hardly have been more different.
The Hmong see illness and healing as spiritual matters linked to virtually everything in the universe, while the medical community marks a division between body and soul, and concerns itself almost exclusively with the former. The doctors prescribed anticonvulsants; her parents preferred animal sacrifices.
The spirit catches you and you fall down.Essays & Papers The Spirit Catches You and You Fall Down Essay - Paper Example The Spirit Catches You and You Fall Down Essay - Part 2 1 - The Spirit Catches You and You Fall Down Essay introduction.
Spirit Catches You and You Fall Down December 11, Section 1: Who is the one to delineate fault for a miscommunication and misunderstanding between two cultures? In Anne Fadiman’s novel, The Spirit Catches You and You Fall Down, she begins the novel as an attempt to allocate responsibility for the mistreatment and exacerbation of Lia Lee.
- The Spirit Catches You and You Fall Down by Anne Fadiman > > Anne Fadiman wrote an eye-opening book titled, The > Spirit Catches You and You Fall Down. Fadiman is > the editor of The American Scholar and has been > published numerous times.
Summary of The Spirit Catches You And You Fall Down In ‘The Spirit Catches You And You Fall Down’, Lia, a Hmong baby girl, is born to a Hmong family living in California as refugees away from their war torn land in Laos. In Laos the Lee’s where farmers and lived in . The Spirit Catches You and You Fall Down Questions and Answers.
The Question and Answer section for The Spirit Catches You and You Fall Down is a great resource to ask questions, find answers, and discuss the novel. The first chapter of Anne Fadiman's The Spirit Catches You and You Fall Down sets the stage for the frustrating cross-cultural conflicts that .