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reader ↠ The Spirit Catches You and You Fall Down Þ join or create book clubs Þ ❰Reading❯ ➷ The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures (FSG Classics) by Anne Fadiman (2012-04-24) Author Join or create bBook This was reuired reading for one of my social work classes Excellent example of the need for cultural competency in social services and medical fields with multiple examples of how social workers and medical professionals can better serve a diverse population The author shows the great harm that can be done by those with good intentions who aren't aware of particular cultural needs and practices It really tears into the ugliness of white saviorism the problem of ego and emotional detachment in the medical field and the Vietnam War I learned about the Vietnam War from this book than in any history class I've taken and this was my first introduction to the Hmong people It also does a great job at exploring complex medical conditions the frustration and heartbreak faced by family and staff trying to find answers and teaches the reader a great deal about the sides of epilepsy that are often overlooked or misunderstoodMy main reason for 4 instead of 5 stars is that the author sometimes goes on lengthy tangents that do not pace well I don't necessarily mind learning about the Vietnam War or the exact spiritual beliefs of the Hmong but they are sometimes placed in strange spots and carry on for pages or whole chapters The author packs an enormous amount of information into small sections making it hard at times to truly digest and immerse yourself in the content But I do appreciate the attempt to get the reader up to speed on very sensitive valuable and relevant information Overall this should be reuired reading for those studying social services or medical professions

doc ð A Hmong Child ´ Join or create book clubs

Book This book makes you think It was fascinating and frustrating to read about the struggles of a poor immigrant Hmong family in California facing the impossible task of taking care of their severely ill child thwarted at every turn by having to navigate in a language and culture they could not understand But what upset me is although there are services available today hatred and fear of asylum seekers and immigrants who have customs different than whatever mainstream America thinks it has still prevail The name of the group the border they are crossing how they get there may change over time But there seems to be a pervasive fear of “the other” and a lack of understanding of cultural differences in human interactions

Join or create book clubs ´ Her American Doctors mobi

The Spirit Catches You and You Fall Down A Hmong Child Her American Doctors and the Collision of Two Cultures FSG Classics by Anne Fadiman 2012 04 24Book When a doctor sees a patient for a consultation it is easy to assume that everyone wants the same thing The patient wants help with their ailments The doctor wants to provide that helpBut sometimes things can get in the way We have all experienced it to some degreePerhaps the patient wants a kind of help that the doctor believes is not appropriate But what about the opposite scenario What if the doctor wants to give treatment but the patient refuses What if the patient in uestion is a child and the parents are the ones refusingThis book researched over 8 years takes a massively in depth look at this problem crystallised in the relationship between a family of Vietnamese Hmong immigrants in California and their doctors when one of their daughters develops life threatening epilepsy The doctor patient relationship is massively challenging The family don’t speak English but even once the language barrier is overcome to an extent with interpreters they have unrealistic expectations from the American medical system and a completely different set of beliefs about illness The doctors believe epilepsy is a pathological process in the brain while the family believe “the spirit catches you and you fall down”Aside from the medical parts which are described carefully and objectively and without portioning any blame this book is a very touching story of a family coping with adversity in a brave and dignified way as well as a simple history of the Hmong people of Vietnam covering some of their early history their legends their beliefs their tragic involvement in the Vietnam war and their forced immigrationThe three tales are woven into a coherent narrative There is certainly an element of drama in Lia’s repeated admissions to hospital prolonged seizures and brushes with disaster The odds are stacked up against Lia her family and her doctors all of whom have the child’s interest firmly at heartSome of the doctor patient interactions are terrifying For the first few visits to the emergency room the doctors and the family have no means of communication whatsoever Since the seizures had generally finished by the time Lia reached hospital the entire reason for her visit to hospital was missed It was only after being sent home several times that she arrived at hospital still having a seizure and the doctors realised she had epilepsyLater despite complex treatment regimes Lia would repeatedly turn up at hospital with no anti epileptic medication in her bloodstream Her parents believed the drugs were not working or even made Lia worse; this may have been true or it may not have been and none of the protagonists could really be sureThe book skates carefully through some of the dilemma’s faced by the officials trying to care for Lia – the doctors nurses social workers lawyers and translators At one stage Lia is forcibly removed from her loving family and placed in foster care a decision which is easy to understand but hard to justify knowing the full factsThe end of the book revolves around a particularly severe episodeCould this story have had a different ending The events of the book occurred in the 1980s – how would this play out 30 years later Maybe the ending would be no different – medicine does not have all the answers But some things have changed for the better Researchers have studied compliance now correctly called “adherence” Doctors are less paternalistic open to allowing alternative “healers” to be involved and there would hopefully now be dialogue around treatment decisions Translators are widely available either in person or by phone and modern doctors would hopefully find it easier to communicate with Lia’s family Hopefully they would also make of an effort than featured in some of Lia’s early encounters with doctors But failures like this still occur todayThis book is far than just a case history I defy anyone to read this without caring about Lia her indomitable parents and even her doctors who tried their hardest to fight for her and her family when others might have given upAttitudes and standards have changes in the 30 years that have passed and this book was one of the catalysts for change It is compulsory reading in some medical schools and I think all doctors should read it