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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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I Shall Not Hate
- A Gaza Doctor's Journey on the Road to Peace and Human Dignity
- By: Izzeldin Abuelaish
- Narrated by: Patrick Lawlor
- Length: 8 hrs and 9 mins
- Unabridged
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Overall
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Performance
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Story
Dr. Izzeldin Abuelaish---now known simply as the "Gaza doctor"---captured hearts and headlines around the world in the aftermath of horrific tragedy: On January 16, 2009, Israeli shells hit his home in the Gaza Strip, killing three of his daughters and his niece. By turns inspiring and heartbreaking, hopeful and horrifying, I Shall Not Hate is Abuelaish's account of an extraordinary life.
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A story worth reading, but terrible narration
- By BL Lucas on 04-11-12
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Advice for Future Corpses (and Those Who Love Them)
- A Practical Perspective on Death and Dying
- By: Sallie Tisdale
- Narrated by: Gabra Zackman
- Length: 7 hrs and 11 mins
- Unabridged
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Overall
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Performance
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Story
You get ready to die the way you get ready for a trip. Start by realizing you don't know the way. Listen to a few travel guides. Study the language, look at maps, gather equipment. Let yourself imagine what it will be like. Pack your bags. This book is one of those travel guides - a guide to preparing for your own death and the deaths of people close to you. The fact of death is hard to believe. Sallie Tisdale explores our fears and all the ways death and talking about death make us uncomfortable - but she also explores its intimacies and joys.
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I thought I had more time...
- By Alyssa on 09-09-19
By: Sallie Tisdale
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Changing the Way We Die
- Compassionate End-of-Life Care and the Hospice Movement
- By: Sheila Himmel, Fran Smith
- Narrated by: Coleen Marlo
- Length: 6 hrs and 49 mins
- Unabridged
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Overall
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Performance
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Story
There’s a quiet revolution happening in the way we die. More than 1.5 million Americans a year die in hospice care - nearly 44 percent of all deaths - and a vast industry has sprung up to meet the growing demand. Once viewed as a New Age indulgence, hospice is now a $14 billion business and one of the most successful segments in health care. Changing the Way We Die, by award-winning journalists Fran Smith and Sheila Himmel, is the first book to take a broad, penetrating look at the hospice landscape.
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Sadly, not very engaging.
- By Debra S. Long on 06-16-18
By: Sheila Himmel, and others
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Sometimes Brilliant
- The Impossible Adventure of a Spiritual Seeker and Visionary Physician Who Helped Conquer the Worst Disease in History
- By: Larry Brilliant
- Narrated by: Fred Sanders
- Length: 12 hrs and 27 mins
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Overall
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Performance
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Story
Larry Brilliant's life journey has led him on a purposeful path across continents and countercultural movements, marching arm in arm with the men and women who defined a generation. A man who has always been in the right place at the right time, Brilliant has engaged with some of the most prominent thought leaders, spiritual masters, heroes, and icons in the world, including Neem Karoli Baba (Maharajji), Martin Luther King Jr., Steve Jobs, Mikhail Gorbachev, Wavy Gravy, the Grateful Dead, the Dalai Lama, and Barack Obama.
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Sometimes Brilliant--Brilliant
- By Dr. Sharon G. Solloway on 10-24-16
By: Larry Brilliant
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Birth
- The Surprising History of How We Are Born
- By: Tina Cassidy
- Narrated by: Angela Starling
- Length: 9 hrs and 12 mins
- Unabridged
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Overall
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Performance
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Story
From evolution to the epidural and beyond, Tina Cassidy presents an intelligent, enlightening, and impeccably researched cultural history of how and why we're born the way we are. Women have been giving birth for millennia, but that's about the only constant in the final stage of the great process that is human reproduction. Why is it that every culture and generation seems to have its own ideas about the best way to give birth?
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important historical work, fascinating and fun
- By RT on 02-24-16
By: Tina Cassidy
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Keeping Hope Alive
- One Woman: 90,000 Lives Changed
- By: Hawa Abdi, Sarah J. Robbins
- Narrated by: Robin Miles
- Length: 9 hrs and 16 mins
- Unabridged
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Overall
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Performance
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Story
Dr. Hawa Abdi, "the Mother Teresa of Somalia" and Nobel Peace Prize nominee, is the founder of a massive camp for internally displaced people located a few miles from war-torn Mogadishu, Somalia. Since 1991, when the Somali government collapsed, famine struck, and aid groups fled, she has dedicated herself to providing help for people whose lives have been shattered by violence and poverty.
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How Refreshing
- By Jean Watz on 07-21-14
By: Hawa Abdi, and others
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Doctored
- The Disillusionment of an American Physician
- By: Sandeep Jauhar
- Narrated by: Patrick Lawlor
- Length: 10 hrs and 38 mins
- Unabridged
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Overall
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Performance
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Story
Hoping for the stability he needs to start a family, Sandeep Jauhar, an attending cardiologist, accepts a position at a massive teaching hospital on the outskirts of Queens. With a decade's worth of elite medical training behind him, he is eager to settle down and reap the rewards of countless sleepless nights. Instead, he is confronted with sobering truths. Doctors' morale is low and getting lower.
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Frank, inside perspective on the follies of unintended consequences in medical reform
- By JW on 02-25-18
By: Sandeep Jauhar
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Inferno
- A Doctor's Ebola Story
- By: Steven Hatch MD
- Narrated by: Steven Hatch MD
- Length: 11 hrs and 31 mins
- Unabridged
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Overall
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Performance
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Story
Dr. Steven Hatch first came to Liberia in November 2013 to work at a hospital in Monrovia. Six months later, several of the physicians Dr. Hatch had mentored and served with were dead or barely clinging to life, and Ebola had become a world health emergency. Hundreds of victims perished each week; whole families were destroyed in a matter of days; so many died so quickly that the culturally taboo practice of cremation had to be instituted to dispose of the bodies.
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Good story, spoiled by politics.
- By Roman Vogel on 07-22-17
By: Steven Hatch MD
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The Good Death
- An Exploration of Dying in America
- By: Ann Neumann
- Narrated by: Suzanne Toren
- Length: 8 hrs and 44 mins
- Unabridged
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Overall
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Performance
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Story
Following the death of her father, journalist and hospice volunteer Ann Neumann sets out to examine what it means to die well in the United States. When Ann Neumann's father was diagnosed with non-Hodgkin's lymphoma, she left her job and moved back to her hometown of Lancaster, Pennsylvania. She became his full-time caregiver - cooking, cleaning, and administering medications. When her father died, she was undone by the experience, by grief and the visceral quality of dying.
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Ugh, so boring
- By Maranto on 05-13-19
By: Ann Neumann
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The 1918 Spanish Flu Pandemic: The History and Legacy of the World's Deadliest Influenza Outbreak
- By: Charles River Editors
- Narrated by: Steve Marvel
- Length: 1 hr and 43 mins
- Unabridged
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Overall
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Performance
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Story
In 1918, the world was still in the throes of the Great War, the deadliest conflict in human history at that point, but while World War I would be a catastrophic war surpassed only by World War II, an unprecedented influenza outbreak that same year inflicted casualties that would make both wars pale in comparison.
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Complacency can kill
- By MolllyT on 12-10-16
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Falling into the Fire
- A Psychiatrist's Encounters with the Mind in Crisis
- By: Christine Montross
- Narrated by: Christine Montross
- Length: 8 hrs and 56 mins
- Unabridged
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Overall
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Performance
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Story
Falling into the Fire is psychiatrist Christine Montross's thoughtful investigation of the gripping patient encounters that have challenged and deepened her practice. Beautifully written, deeply felt, Falling into the Fire brings us inside the doctor’s mind, illuminating the grave human costs of mental illness as well as the challenges of diagnosis and treatment. At once rigorous and meditative, Falling into the Fire is an intimate portrait of psychiatry, allowing the reader to witness the humanity of the practice and the enduring mysteries of the mind.
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Buy this book! and READ it
- By joyce on 08-15-13
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Get Well Soon
- History's Worst Plagues and the Heroes Who Fought Them
- By: Jennifer Wright
- Narrated by: Gabra Zackman
- Length: 7 hrs and 44 mins
- Unabridged
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Overall
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Performance
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Story
In 1518, in a small town in Alsace, Frau Troffea began dancing and didn't stop. She danced until she was carried away six days later, and soon 34 more villagers joined her. Then more. In a month more than 400 people had been stricken by the mysterious dancing plague. In late-19th-century England an eccentric gentleman founded the No Nose Club in his gracious townhome - a social club for those who had lost their noses, and other body parts, to the plague of syphilis for which there was then no cure.
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Didn't know syphilis could be so fascinating.
- By Kindle Customer on 02-09-17
By: Jennifer Wright
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Confessions of a GP
- By: Benjamin Daniels
- Narrated by: Eamonn Riley
- Length: 6 hrs and 1 min
- Unabridged
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Overall
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Performance
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Story
Benjamin Daniels is angry. He is frustrated, confused, baffled and, quite frequently, very funny. He is also a GP. These are his confessions.A woman troubled by pornographic dreams about Tom Jones. An 80-year-old man who can't remember why he's come to see the doctor.
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Very enjoyable
- By PCF on 05-27-17
By: Benjamin Daniels
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The Family Gene
- A Mission to Turn My Deadly Inheritance into a Hopeful Future
- By: Joselin Linder
- Narrated by: Khristine Hvam
- Length: 7 hrs and 17 mins
- Unabridged
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Overall
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Performance
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Story
When Joselin Linder was in her 20s, her legs started to swell. She thought little of it until her health problems started to compound in ways that baffled her doctors. Diagnosed with extreme liver blockage and dangerous levels of lymph fluid, Joselin turned to the most similar case she could think of - her father's.
By: Joselin Linder
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Dr. Tweedy’s self Questioning
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English History Made Brief, Irreverent, and Pleasurable
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Cartoons mentioned in Publisher's Summary omitted
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Social Justice for the Sensitive Soul
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Activism for Introverts
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The Masters of Medicine
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Story
With compassion and candor, leading neurosurgeon Henry Marsh reveals the fierce joy of operating, the profoundly moving triumphs, the harrowing disasters, the haunting regrets, and the moments of black humor that characterize a brain surgeon's life. If you believe that brain surgery is a precise and exquisite craft, practiced by calm and detached surgeons, this gripping, brutally honest account will make you think again.
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Uneven
- By Scott on 06-02-15
By: Henry Marsh
What listeners say about The Spirit Catches You and You Fall Down
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- Amazon Customer
- 11-14-18
So interesting
This book was assigned to me for a class so I did not expect much from it. I was wrong. I was captivated by the story, how it was told, the history and cultural sessions, and all the people in the book. It was fascinating and so education but in an engaging and interesting way. I strongly suggest people - especially those in the medical profession - read this book. #medical #culturaldifferences #Mong #epilepsy #tagsgiving #sweepstakes
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- Fileve B. Palmer
- 07-02-16
great resource for cultural understanding
this is a great study on medical anthropology. I also plan to use this book for anthropology of religion course. it is a good example of how the sacred and the mundane are not separate In some cultures, and how treating the spirit as well as the physical is often necessary.
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- Lori Souza
- 04-11-17
what a great book to learn about your own biases
to my friend Sandy do you want I was told this was a book social workers read in school. I was not recommended the book so I picked it up and at first thought it was slow. Then when I found myself doing trainings in the same city where this book takes place, I really took in the environment and culture in the location where I was staying. It is true. We all congregate to each other like our own. There are many things about other cultures and biases that we don't understand and dismiss because we are afraid or simply think it's wrong. But who are we to judge? This book will open your mind and your heart and your eyes to all of that. Highly recommend for people curious about biases and how we should treat each other as human beings not the color of our skin.
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- A. Kuhn
- 03-29-18
Riveting Story, Great Performance
What did you like best about this story?
Fadiman is a compassionate storyteller- she looks for truth in every conversation and sees the honesty in everyone who gives it. She understands the reader, and she understands how western readers will want to understand the story and refuses to let them leave with their views of medicine unshaken.
What does Pamela Xiong bring to the story that you wouldn’t experience if you just read the book?
Ms. Xiong seems to be able to pronounce all the Hmong words phenomenally (I can't speak, and have never heard Hmong outside this book) and despite some errors on some English words (e.g., "indignant" instead of "indigent"), I can't imagine the amount of Hmong that would have been butchered by an English-Only voice actor.
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- Tunia Cole
- 03-20-18
Thank you!
The narrator was Wonderful!! Thank you... Thank you... Thank you again!!! Enjoyed it! Will purchase another book soon.
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- Anonymous User
- 04-13-17
Loved It!
I found this book to be very interesting and thought provoking. I wondered what we could have done to make things easier for these people?
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- gravytrain
- 05-15-17
Great
Great story. I know there are a lot of complaints about the narrator but I appreciate what she lends to the narrative with her correct pronunciation of French and mung. I don't believe English is her first language but that didn't bother me. I thought it was a great book and very nearly an ethnographic piece.
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- Taylor Wright
- 10-10-19
Culture Rich
Anyone who wants to work in a caring profession should listen to this book. It shows a great example of how cultural barriers can influence what the best approach is for a client or patient.
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- J.Kingston
- 12-11-21
Fantastic in every level
My son was assigned this book by his college professor. When he was about 1/3 through it he suggested I also read it. I read the first few chapters and then listened to the rest as an audible book. I am so glad to have read this book. It gave insights into a culture that I didn’t even know existed and was written in such a way that explained Hmong nuance, dignity and love of family in a beautiful way. I am better for having read this book and am grateful to my so.man for suggesting I do.
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- mel
- 04-03-19
excellent read
I really enjoyed reading this book. It is really good to read something that transports you from your everyday box and helps you think differently.
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