
The Spirit Catches You and You Fall Down
A Hmong Child, Her American Doctors, and the Collision of Two Cultures
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Narrated by:
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Pamela Xiong
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By:
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Anne Fadiman
About this listen
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 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.
©1997 Anne Fadiman, Afterword copyright 2012 by Anne Fadiman (P)2015 Audible Inc.Listeners also enjoyed...
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English History Made Brief, Irreverent, and Pleasurable
- By: Lacey Baldwin Smith
- Narrated by: Peter Noble
- Length: 9 hrs and 43 mins
- Unabridged
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Here at last is a history of England that is designed to entertain as well as inform and that will delight the armchair traveler, the tourist, or just about anyone interested in history. No people have engendered quite so much acclaim or earned so much censure as the English: extolled as the Athenians of modern times, yet hammered for their self-satisfaction and hypocrisy. But their history has been a spectacular one.
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Cartoons mentioned in Publisher's Summary omitted
- By Megan G. on 08-27-18
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The Laws of Medicine
- By: Siddhartha Mukherjee
- Narrated by: Santino Fontana
- Length: 1 hr and 44 mins
- Unabridged
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Brimming with fascinating historical details and modern medical wonders, this important audiobook is a fascinating glimpse into the struggles and "eureka!" moments that people outside of the medical profession rarely see. Written with Dr. Mukherjee's signature eloquence and passionate prose, The Laws of Medicine is a critical book not just for those in the medical profession but for everyone who is moved to better understand how their health and well-being are being treated.
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Insightful, sincere and succinct. Not Mukherjee's best.
- By Saurav on 12-20-15
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The Masters of Medicine
- Our Greatest Triumphs in the Race to Cure Humanity's Deadliest Diseases
- By: Andrew Lam
- Narrated by: Jason Vu
- Length: 10 hrs and 42 mins
- Unabridged
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Human history hinges on the battle to confront our most dangerous enemies—the half-dozen diseases responsible for killing almost all of mankind. The story of our medical triumphs reveals an inspiring tapestry of human achievement, but the journey was far from smooth. It is a tale replete with dramatic episodes as spellbinding as any blockbuster Hollywood movie. In The Masters of Medicine, Dr. Andrew Lam, an award-winning author and retinal surgeon, distills the long arc of medical progress down to the crucial moments that were responsible for the world's greatest medical miracles.
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Medical history comes to life
- By Clayton on 11-04-23
By: Andrew Lam
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Being Mortal
- Medicine and What Matters in the End
- By: Atul Gawande
- Narrated by: Robert Petkoff
- Length: 9 hrs and 3 mins
- Unabridged
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In Being Mortal, best-selling author Atul Gawande tackles the hardest challenge of his profession: how medicine can not only improve life but also the process of its ending. Medicine has triumphed in modern times, transforming birth, injury, and infectious disease from harrowing to manageable. But in the inevitable condition of aging and death, the goals of medicine seem too frequently to run counter to the interest of the human spirit.
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A Walk through the Valley of the Shadow
- By George on 11-02-14
By: Atul Gawande
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The Song Poet
- A Memoir of My Father
- By: Kao Kalia Yang
- Narrated by: Kao Kalia Yang
- Length: 8 hrs and 5 mins
- Unabridged
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Bee lost his father as a young boy and keenly felt his orphanhood. He would wander from one neighbor to the next, collecting the things they said to each other, whispering the words to himself at night until one day a song was born. Bee sings the life of his people through the war-torn jungle and a Thai refugee camp. But the songs fall away in the cold, bitter world of a Minneapolis housing project and on the factory floor until, with the death of Bee's mother, the songs leave him for good.
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Beautiful, full of sadness, power, and heart.
- By Melissa L. Magana on 04-27-17
By: Kao Kalia Yang
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Where Rivers Part
- A Story of My Mother's Life
- By: Kao Kalia Yang
- Narrated by: Pamela Xiong, Kao Kalia Yang
- Length: 12 hrs and 2 mins
- Unabridged
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Born in 1961 in war-torn Laos, Tswb’s childhood was marked by the violence of America’s Secret War and the CIA recruitment of the Hmong and other ethnic minorities into the lost cause. By the time Tswb was a teenager, the US had completely vacated Laos, and the country erupted into genocidal attacks on the Hmong people, who were labeled as traitors. Fearing for their lives, Tswb and her family left everything they knew behind and fled their village for the jungle.
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Soul touching and deep
- By M on 04-22-24
By: Kao Kalia Yang
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This Nonviolent Stuff'll Get You Killed
- How Guns Made the Civil Rights Movement Possible
- By: Charles E. Cobb Jr.
- Narrated by: Leon Nixon
- Length: 11 hrs and 14 mins
- Unabridged
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In This Nonviolent Stuff'll Get You Killed, civil rights scholar Charles E. Cobb Jr., describes the vital role that armed self-defense played in the survival and liberation of black communities in America during the Southern Freedom Movement of the 1960s.
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excellent history of black struggle in the US
- By Maylyn B. on 06-29-21
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When I Was Puerto Rican
- By: Esmerelda Santiago
- Narrated by: Esmeralda Santiago
- Length: 8 hrs and 16 mins
- Unabridged
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Esmeralda Santiago reminisces about her childhood in Puerto Rico and her early years in Brooklyn as the oldest of seven (soon to be 11) children. Her upbringing is turbulent on account of her parents’ relentless fighting, which only ever seems to stop when they have another baby. When her youngest brother has an accident, her mother decides to move to New York with her children to seek medical treatment. Arriving in the United States, 13-year-old Santiago experiences uprooting and a loss of identity while she tries to adapt to a culture and language that are foreign to her.
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Praise
- By Deborah De Jesus on 04-25-19
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Napoleon's Hemorrhoids…And Other Small Events That Changed History
- By: Phil Mason
- Narrated by: LJ Ganser
- Length: 8 hrs and 13 mins
- Unabridged
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Hilarious, fascinating, and a roller coaster of dizzying, historical what-ifs, Napoleon's Hemorrhoids is a potpourri for serious historians and casual history buffs. In one of Phil Mason's many revelations, you'll learn that Communist jets were two minutes away from opening fire on American planes during the Cuban missile crisis, when they had to turn back as they were running out of fuel. You'll discover that before the Battle of Waterloo, Napoleon's painful hemorrhoids prevented him from mounting his horse to survey the battlefield.
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They just throw the facts too fast
- By Concerned_llama on 12-11-20
By: Phil Mason
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The Next One Is for You
- A True Story of Guns, Country, and the IRA's Secret American Army
- By: Ali Watkins
- Narrated by: Jennifer Woodward
- Length: 11 hrs and 41 mins
- Unabridged
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Northern Ireland, 1975. Violence has erupted on the streets of Belfast. After years as a guerilla army, the IRA is clashing with Loyalist gangs and heavily armed British soldiers. But the Troubles have spilled beyond the island: An ocean away, in the heart of Philadelphia’s Irish enclave, a teenage girl finds a letter in her mailbox. Inside is a bullet, and the message is clear: The next one is for you or your family. As reporter Ali Watkins reveals, the conflict in Northern Ireland might have gone very differently had it not been for a small ragtag band of gunrunners in the United States.
By: Ali Watkins
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Poet, Mystic, Widow, Wife
- The Extraordinary Lives of Medieval Women
- By: Hetta Howes
- Narrated by: Amy Noble
- Length: 10 hrs and 25 mins
- Unabridged
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Poet, Mystic, Widow, Wife charts the lives and times of four medieval women writers—Marie de France, a poet; Julian of Norwich, a mystic and anchoress; Christine de Pizan, a widow and court writer; and Margery Kempe, a no-good wife—who all bucked convention and forged their own paths. Largely forgotten by modern readers, these women have an astonishing amount to teach us about love, marriage, motherhood, friendship, and earning a living.
By: Hetta Howes
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The Book of Unknown Americans
- A Novel
- By: Cristina Henríquez
- Narrated by: Various
- Length: 9 hrs and 12 mins
- Unabridged
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A boy and a girl who fall in love. Two families whose hopes collide with destiny. An extraordinary novel that offers a resonant new definition of what it means to be American. Arturo and Alma Rivera have lived their whole lives in Mexico. One day, their beautiful fifteen-year-old daughter, Maribel, sustains a terrible injury, one that casts doubt on whether she’ll ever be the same. And so, leaving all they have behind, the Riveras come to America with a single dream: that in this country of great opportunity and resources, Maribel can get better.
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The Book of Re-Opening my Heart
- By Syd Young on 01-04-15
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The Emperor of All Maladies
- A Biography of Cancer
- By: Siddhartha Mukherjee
- Narrated by: Fred Sanders
- Length: 22 hrs and 18 mins
- Unabridged
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The Emperor of All Maladies reveals the many faces of an iconic, shape-shifting disease that is the defining plague of our generation. The story of cancer is a story of human ingenuity, resilience, and perseverance but also of hubris, arrogance, paternalism, and misperception, all leveraged against a disease that, just three decades ago, was thought to be easily vanquished in an all-out "war against cancer".
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Incredible
- By S.R.E. on 03-02-16
What listeners say about The Spirit Catches You and You Fall Down
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- Gabby
- 05-20-16
cultural understandment
Narrator was excellent, loved the book even though it made me sad. This book opens your eyes with cultural differences with western medicine. I recommend this book to all and especially those in the medical field.
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- Kay2
- 08-19-20
Read this!
This book is beautifully written and opens your eyes to how important communication is between cultures. I loved it.
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- Frances
- 12-11-18
Updated Edition
If you read and enjoyed this book, originally published in 1997, you will be pleased that this 15th anniversary edition contains an epilogue so you can find out what happened in later years. The book remains compelling and relevant.
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- Rosi
- 05-25-17
Amazing
This book is awesome!! It really shows the cross cultural defecits that have existed in our western medical facilities and the importance of a patient centered medical home that has providers that are respectful and aware of other cultures like the Hmong and are not so quick to judge. This book really pulls at the heart strings! Loved it! The narrator was great too! Really kept me interested and listening with her tone of voice and enthusiasm.
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- MindyLeigh
- 09-09-21
Excellent read, very informative.
I enjoyed this book immensely. Despite the negative comments about the narrator, I think she did very well overall. I truly believe that the areas in which mistakes were made in pronunciation, etc. complimented the book in it's entirety. It really drives home the difficulties with communication that are detailed so well in the book.
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- Bruce Machona
- 10-03-21
Loved it. The book is well written and I love it.
The book is relevant for my study as a nurse and also a good read
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- Amazon Customer
- 12-01-20
Phenomenal book, reading with some errors
This is a landmark book for understanding how cultural differences can negatively impact patient care when unaddressed, and strengthen bonds when embraced. The reader has a lovely voice, good pacing, and is familiar with Hmong pronunciation. Some English words are mispronounced. For example, she repeatedly refers to the medically “indignant” cared for at MCMC. It is a minor nuisance as ling as you are prepared.
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- Traci J. Alwardt
- 01-29-19
A great book for interpreters
This book can be compared to any form of language interpreting. The story is amazing and common when there is a language barrier and cultural clash. I enjoyed hearing this book narrated by Hmong woman who pronounced all the Hmong words correctly but laughed at how many English words were mispronounced. It was especially strange to hear her way of pluralizing words. Lee’s (leezuzes) I appreciate the author and all the research she did to complete this long and emotional project and am glad it influenced her life in so many ways. This book still applies today with so many cultural barriers and still proves that America is treating refugees as “lesser” humans. So sad.
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- Jennifer
- 04-08-22
The narrator was great!!
In my opinion, people have not been fair to the narrator, and she is Hmong and did a great job on the English and Hmong!
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- KatieA
- 03-20-22
Pure humanity and a look at another world of culture
I enjoyed every moment of this enriching and bittersweet story. I agree with Anne Fatima, our “dry” American culture can learn so much from the Hmong people and how they allow for mourning and tears and whole person wellbeing and existence. I love how she tells the story from both sides of the Americans and the Hmong people. She shares her feelings and allows us to decide what the ethical and humanity challenges are in our world. I feel a heartbeat closer to the Hmong people and I’m only even more so inspired to travel and humbly develop empathic experiences with other cultures. I highly recommend this book for anyone who is looking for truth and diverse stories.
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