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The spirit catches you and you fall down : a Hmong child, her American doctors, and the collison of two cultures / Anne Fadiman.

Summary:

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 proud 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 and 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.

Record details

  • ISBN: 0374533407
  • ISBN: 9780374533403
  • Physical Description: ix, 355 pages ; 21 cm
  • Edition: Pbk. edition
  • Publisher: New York : Farrar, Straus, and Giroux, 1997.

Content descriptions

General Note:
Includes new afterword by the author.
Reprint. Originally published: New York : Farrar, Straus, and Giroux, 1997.
Bibliography, etc. Note:
Includes bibliographical references (pages 327-340) and index.
Formatted Contents Note:
Birth -- Fish soup -- The spirit catches you and you fall down -- Do doctors eat brains? -- Take as directed -- High-velocity transcortical lead therapy -- Government property -- Foua and Nao Kao -- A little medicine and a little neeb -- War -- The big one -- Flight -- Code X -- The melting pot -- Gold and dross -- Why did they pick Merced? -- The eight questions -- The life or the soul -- The sacrifice.
Subject:
Epilepsy in children.
Hmong American children > Medical care > California.
Hmong Americans > Medicine.
Intercultural communication.
Traditional medicine > Laos.
Transcultural medical care > California > Case studies.
Genre:
Case studies.

Available copies

  • 7 of 8 copies available at NC Cardinal. (Show)
  • 1 of 1 copy available at McDowell County Public Library.

Holds

  • 0 current holds with 8 total copies.
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Location Call Number / Copy Notes Barcode Shelving Location Status Due Date
Marion Library 306.461 FAD (Text) 37810435041214 Adult Nonfiction Available -

Accessibility Features

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1001 . ‡aFadiman, Anne, ‡d1953- ‡0(CARDINAL)356829
24514. ‡aThe spirit catches you and you fall down : ‡ba Hmong child, her American doctors, and the collison of two cultures / ‡cAnne Fadiman.
250 . ‡aPbk. edition
264 1. ‡aNew York : ‡bFarrar, Straus, and Giroux, ‡c1997.
264 4. ‡c©1997
300 . ‡aix, 355 pages ; ‡c21 cm
336 . ‡atext ‡btxt ‡2rdacontent
337 . ‡aunmediated ‡bn ‡2rdamedia
338 . ‡avolume ‡bnc ‡2rdacarrier
500 . ‡aIncludes new afterword by the author.
500 . ‡aReprint. Originally published: New York : Farrar, Straus, and Giroux, 1997.
504 . ‡aIncludes bibliographical references (pages 327-340) and index.
5050 . ‡aBirth -- Fish soup -- The spirit catches you and you fall down -- Do doctors eat brains? -- Take as directed -- High-velocity transcortical lead therapy -- Government property -- Foua and Nao Kao -- A little medicine and a little neeb -- War -- The big one -- Flight -- Code X -- The melting pot -- Gold and dross -- Why did they pick Merced? -- The eight questions -- The life or the soul -- The sacrifice.
520 . ‡aWhen 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 proud 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 and 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.
650 0. ‡aEpilepsy in children. ‡0(CARDINAL)237661
650 0. ‡aHmong American children ‡xMedical care ‡zCalifornia.
650 0. ‡aHmong Americans ‡xMedicine.
650 0. ‡aIntercultural communication. ‡0(CARDINAL)242697
650 0. ‡aTraditional medicine ‡zLaos.
650 0. ‡aTranscultural medical care ‡zCalifornia ‡vCase studies.
655 7. ‡aCase studies. ‡2lcgft ‡0(CARDINAL)351939
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902 . ‡aMARCIVE 201909
902 . ‡aMARCIVE 201912
902 . ‡aMARCIVE 202106
902 . ‡aMARCIVE 202303
901 . ‡a2592475 ‡bOCLC ‡c2592475 ‡tbiblio ‡soclc