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World Famous Comics: The Spirit Catches You and You Fall Down
The Spirit Catches You and You Fall Down
By: Anne Fadiman
Publisher: Farrar, Straus and Giroux
Average Rating:4.50 out of 5.00 stars
Binding: Paperback
Label: Farrar, Straus and Giroux
Number of Items: 1
Number of Pages: 352
Publication Date: September 28, 1998

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The Spirit Catches You and You Fall Down
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Editorial Comments

Amazon.com:
Lia Lee was born in 1981 to a family of recent Hmong immigrants, and soon developed symptoms of epilepsy. By 1988 she was living at home but was brain dead after a tragic cycle of misunderstanding, overmedication, and culture clash: "What the doctors viewed as clinical efficiency the Hmong viewed as frosty arrogance." The Spirit Catches You and You Fall Down is a tragedy of Shakespearean dimensions, written with the deepest of human feeling. Sherwin Nuland said of the account, "There are no villains in Fadiman's tale, just as there are no heroes. People are presented as she saw them, in their humility and their frailty--and their nobility."

Product Description:
Winner of the National Book Critics Circle Award for Nonfiction

When three-month-old Lia Lee Arrived at the county hospital emergency room in Merced, California, a chain of events was set in motion from which neither she nor her parents nor her doctors would ever recover. Lia's parents, Foua and Nao Kao, were part of a large Hmong community in Merced, refugees from the CIA-run "Quiet War" in Laos. The Hmong, traditionally a close-knit and fiercely people, have been less amenable to assimilation than most immigrants, adhering steadfastly to the rituals and beliefs of their ancestors. Lia's pediatricians, Neil Ernst and his wife, Peggy Philip, cleaved just as strongly to another tradition: that of Western medicine. When Lia Lee Entered the American medical system, diagnosed as an epileptic, her story became a tragic case history of cultural miscommunication.

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 aand healing as spiritual matters linked to virtually everything in the universe, while medical community marks a division between body and soul, and concerns itself almost exclusively with the former. Lia's doctors ascribed her seizures to the misfiring of her cerebral neurons; her parents called her illness, qaug dab peg--the spirit catches you and you fall down--and ascribed it to the wandering of her soul. The doctors prescribed anticonvulsants; her parents preferred animal sacrifices.


Download Description:
When three-month-old Lia Lee arrived at the county hospital emergency room in Merced, California, a chain of events was set in motion from which neither she nor her parents nor her doctors would ever recover. Lia's parents, Foua and Nao Kao, were part of a large Hmong community in Merced, refugees from the CIA-run "Quiet War" in Laos. 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. Lia's doctors ascribed her seizures to the misfiring of her cerebral neurons; her parents called her illness qaug dab peg - the spirit catches you and you fall down - and ascribed it to the wandering of her soul. The doctors prescribed anticonvulsants; her parents preferred animal sacrifices. The Spirit Catches You and You Fall Down moves from hospital corridors to healing ceremonies, and from the hill country of Laos to the living rooms of Merced, uncovering in its path the complex sources and implications of two dramatically clashing worldviews.


Customer Reviews
Average Rating:4.50 out of 5.00 stars

5 out of 5 starsA sensitive look at the complexities arising from a medical culture clash...
During my senior year of college, I took a "Holistic Living" course and this was one of the books we were required to read. As I've mentioned in other reviews, I don't normally gravitate towards non-fiction, however, there are instances when I read a piece of non-fiction and find myself as captivated by the story as if it were a novel. "The Spirit Catches You and You Fall Down" was one of these books.

In her book, Ms. Fadiman presents the story of a Hmong-American family who is forced to step outside their comfort zone to seek medical treatment for their infant daughter, Lia, an epileptic. Not only do Lia's parents have to overcome a language barrier, but they also hold views which differ greatly from those held by the Western-trained medical doctors treating Lia. What results, is an enormous culture clash between Lia's parents and her treating physicians. Sadly, the consequences of the mis-communication and cultural mis-understanding which take place between the Lees and Lia's doctors has a tragic and permanent effect on Lia's life.

Alongside the Lee's story, Ms. Fadiman presents an informative history of the Hmong people, while also addressing a number of important ethical considerations germane to the medical treatment of non-western patients.

I highly recommend this book to anyone in the medical profession or to anyone interested in learning about traditional Hmong culture.



3 out of 5 starsFair
This was a required reading for my college class. It was a good read, story base; yet, it was also a frustrating read. Trying to get past the authors too many details - took you on sides roads from the real story. It is a sad story.



5 out of 5 starsSpirit Catches You - Excellent
This book is an extremely well-written and interesting story. I read this book for my bookclub and it made for great discussion about culture, ethics, and healthcare. I highly recommend this book to all healthcare professionals and bookclubs.



5 out of 5 starsWOW!
I enjoyed this book so much! I really appreciated the author's ability to view both sides objectively. Her story telling ability left me breathless for the three days that it took me to finish. I'll recommend this book to everyone that I know.



5 out of 5 starsAmazing, wonderful book!
This author does an incredible job showing all sides of the story. I think it is amazing how she made me feel and hurt for everyone involved in this case. I wish everyone could/would read this book.

I don't think you can read it without looking at life, medical care, and cultural differences just a little differently afterwards.


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