
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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Story
Sometimes in medicine the only way to know what is truly going on in a patient is to operate, to look inside with one's own eyes. This audio is exploratory surgery on medicine itself, laying bare a science not in its idealized form, but as it actually is - complicated, perplexing, and profoundly human. Atul Gawande offers an unflinching view from the scalpel's edge, where science is ambiguous, information is limited, the stakes are high. In dramatic and revealing stories of patients and doctors, he explores how deadly mistakes occur and why good surgeons go bad.
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FALLIBILITY, MYSTERY AND UNCERTAINTY
- By AnnH on 10-04-20
By: Atul Gawande
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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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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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Henry VIII: King and Court
- By: Alison Weir
- Narrated by: Phyllida Nash
- Length: 25 hrs and 41 mins
- Unabridged
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This magnificent biography of Henry VIII is set against the cultural, social and political background of his court - the most spectacular court ever seen in England - and the splendour of his many sumptuous palaces. An entertaining narrative packed with colourful description and a wealth of anecdotal evidence, but also a comprehensive analytical study of the development of both monarch and court during a crucial period in English history.
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A concise focus with tremendous detail
- By kwdayboise (Kim Day) on 05-24-17
By: Alison Weir
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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
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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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Spillover
- By: David Quammen
- Narrated by: Jonathan Yen
- Length: 20 hrs and 47 mins
- Unabridged
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The emergence of strange new diseases is a frightening problem that seems to be getting worse. In this age of speedy travel, it threatens a worldwide pandemic. We hear news reports of Ebola, SARS, AIDS, and something called Hendra killing horses and people in Australia - but those reports miss the big truth that such phenomena are part of a single pattern. The bugs that transmit these diseases share one thing: they originate in wild animals and pass to humans by a process called spillover. David Quammen tracks this subject around the world.
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Fascinating, but not Riveting
- By L. M. Roberts on 03-08-14
By: David Quammen
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The People's Hospital
- Hope and Peril in American Medicine
- By: Ricardo Nuila MD
- Narrated by: Ricardo Nuila MD
- Length: 10 hrs and 53 mins
- Unabridged
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Where does one go without health insurance, when turned away by hospitals, clinics, and doctors? In The People’s Hospital, physician Ricardo Nuila’s stunning debut, we follow the lives of five uninsured Houstonians as their struggle for survival leads them to a hospital where insurance comes second to genuine care.
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Ben Taub Nurse
- By Patricia Gonzales on 05-11-23
By: Ricardo Nuila MD
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Desert Death-Song
- A Collection of Western Stories
- By: Louis L'Amour
- Narrated by: John McLain
- Length: 7 hrs and 52 mins
- Unabridged
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A collection of stories from the most famous Western author of all time! Desert Death-Song is a compilation of some of Louis L’Amour’s greatest stories, many of which might otherwise be difficult to find. Whether he was writing under his early pen name, Jim Mayo, or his own, L’Amour’s stories are unforgettable, touching on rough and rugged American ideals, and set in the untamable frontier of the Western United States.
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Best of both
- By Steve K. on 05-04-17
By: Louis L'Amour
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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 History of the Ancient World
- From the Earliest Accounts to the Fall of Rome
- By: Susan Wise Bauer
- Narrated by: John Lee
- Length: 26 hrs and 20 mins
- Unabridged
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This is the first volume in a bold new series that tells the stories of all peoples, connecting historical events from Europe to the Middle East to the far coast of China, while still giving weight to the characteristics of each country. Susan Wise Bauer provides both sweeping scope and vivid attention to the individual lives that give flesh to abstract assertions about human history. This narrative history employs the methods of "history from beneath" - literature, epic traditions, private letters, and accounts - to connect kings and leaders with the lives of those they ruled.
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An Historic Achievement
- By Ellen S. Wilds on 04-25-14
By: Susan Wise Bauer
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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.
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A factual reporting with the tone of a suspense novel
- By John T F on 05-01-25
By: Ali Watkins
What listeners say about The Spirit Catches You and You Fall Down
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- Jen
- 01-27-16
Reader needs an audio dictionary
Fascinating story with broad applications for individuals employed in healthcare, social work, and various other fields in which one may encounter refugees and/or first-generation immigrants.
The reader, however, makes listening almost intolerable. She got two stars because she enunciates well and I assume say the Hmong words correctly. Unfortunately that's all the good I can say. She pauses awkwardly between words, seeming to misunderstand the grammar and thereby confusing content. I understand that many people struggle with medical terminology, but if you're going to narrate a book with one of the major elements being a young girl and her family's struggles in the healthcare system then perhaps you should figure it out. Additionally it's not just medical terms but words that I think most people, at least college-level educated, can pronounce.
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8 people found this helpful
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- Frankie Nordskov
- 02-08-19
Great book marred by amateur narrator
The book is a classic, no question. But as others have said, the narrator isn't at the professional level yet. She turns in a fine effort but her frequent mispronunciations add up to a big distraction from such a great book. It's a shame the producers didn't hire a more experienced narrator, or devote the effort to punching in corrections of English mispronunciations, as they obviously did take the effort to punch in what I assume are correctly and carefully pronounced Hmong and Lao words.
Some notable clunkers by the narrator:
"Indignant" for "Indigent"
"Amino" for "Amnio"
"ReFUSE" for "REFuse" (garbage)
"E-GREG-rious" for "Egregious"
"Injured" for "Inured"
And almost without fail throughout, double "S"s for plural possessives, as in:
Doctorses (for Doctors')
Cowses (for Cows')
Patientses (for Patients')
Similarly: Parentses, Ownerses, Soldierses, Communistses, and on and on like that. It's really bad, folks.
Despite all this, it's still quite listenable, and worth the effort to stay focused on the amazing text, but this book deserves far better narration than it got.
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7 people found this helpful
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- BAC
- 02-16-19
Amazing Book
I read a lot of ppl’s comments complaining about the readers mispronunciations and I’d just like to say she was chosen to read the book not b/c of her perfect English but b/c of her Hmong. You know the people who the book was written about. Personally as a Hmong growing up in America and speaking English well I tend to have an “accent” on various words such as school and bowl. Not to mention the Hmong and other Asian languages do not require pronunciation of words b/c afflictions are used on the same word to mean different things depending on the context. So when switching between languages it takes a conscious effort to try to change an unconscious action such as speaking.
Ironic that a book about cultural miscommunication and its consequences still have close minded comments being made about the Hmong reader... That being said.
The book did an amazing job of telling who the Hmong people are and it included many aspects of the culture which I appreciated as an “Americanize” Hmong since I grew up torn between the two cultures. This book made me appreciate the collective culture I grew up in. I am now able to understand my parents a little better too. My father was a Hmong officer who was captured and sent to seminary camp after the war, but was released when he fell ill after five years. He made it to Thailand where he met and married my mom and they were able to be sponsor by my uncle (dad’s big brother) to get them to America. It’s sad to hear how racist America still is when people like the Hmong also fought and died for it even before we’ve ever lived here. I’ve recently lost my father which makes me have to agree with Anne Fadiman that the American culture is abundant in wealth and opportunities but dry in love.
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1 person found this helpful
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- Jacelyn
- 04-26-16
Read!
It's a great book, if youre going into the medical field I suggest reading this!
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- coco et jabba
- 02-15-20
Incredible
This was a required reading for my medical anthropology class and I had no concept of its contents initially.
After reading it, I have a passion to further educate myself not only on the Hmong but also other cultures.
This was an amazing read and I am better for it.
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- Sara
- 02-28-19
A good read for health care workers
This book was an interesting perspective on how western health care interacts with minorities and how by changing perspectives, we can improve relations in our communities.
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- Joanie Gallagher
- 05-14-21
What a ride!
I came to this book after hearing a recommendation on a podcast.
I started it and could not put it down. I went back and forth emotionally, feeling for both the Lees and the doctors who cared for her at Merced Hospital.
I learned a ton about the Hmong and my major take-away was the cultural void that exists in the practice of American medicine when encountered other than our Western practice.
I enjoyed the journey and highly recommend.
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- Ashley King
- 01-28-19
I felt all the feelings
Loved it! An amazing book about the strength of communication. Thank you for the fifteenth anniversary edition. Simply beautiful
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- bgb121314
- 07-24-16
wordy but good
very wordy but a good book. Great for beginning Medical or ppl going it a job with other people.
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- jessica o'brien
- 07-07-17
Surprisingly amazing
I had to read (or listen to) this book for a sociology class. I wasn't prepared for how much striking information I would take in. Fadiman takes such care in detail, explaining a plethora of intricacies about Hmong culture. The is compelling and pulls at your heartstrings. I truly enjoyed it and it did evoke emotion. I also loved the narrator, which I know helped my experience.
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