The Spirit Catches You Quiz
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Questions and Answers

Why do Hmong traditionally like to keep the placenta after a baby's birth?

They believe a person's soul returns to the placenta and puts it on before journeying to the place where it will be reborn.

What is a 'tvix neeb'?

A shaman who can negotiate with the spirits for his patients' health.

What did Foua think about her experience giving birth at an American hospital?

She was impressed by the number of people there to help her and complained only about the food.

When and where did Lia officially receive her name?

<p>At a soul-calling ceremony about a month after her birth.</p> Signup and view all the answers

What was a part of the soul calling ceremony?

<p>Live chickens were slaughtered and their bodies examined for signs that Lia's soul was happy to reside in her body and her name was a good one.</p> Signup and view all the answers

In what country have the Hmong lived during most of their history?

<p>China.</p> Signup and view all the answers

Why did the Chinese dislike the Hmong?

<p>They were offended by the fact that the Hmong preferred to keep to themselves and maintain their own customs rather than assimilating.</p> Signup and view all the answers

Which of the following is NOT a country where many Hmong have migrated?

<p>India</p> Signup and view all the answers

What is a characteristic of the Hmong, according to their history?

<p>They would rather fight than take orders or surrender.</p> Signup and view all the answers

How did the Lees view Lia's epilepsy?

<p>They were concerned for her health but also proud, as epileptics are often chosen to be shamans and can see things others cannot.</p> Signup and view all the answers

What are challenges faced by the Merced Community Medical Center (MCMC)?

<p>The majority of patients are on public assistance and lack private insurance to pay for treatment.</p> Signup and view all the answers

Why did the doctors at MCMC fail to correctly diagnose Lia with epilepsy at first?

<p>Lia's seizures had stopped by the time she got to the hospital, and there was no interpreter to explain what had happened.</p> Signup and view all the answers

What are reasons the Hmong do not like Western doctors?

<p>All of the above.</p> Signup and view all the answers

What method do Hmong use to cure disease?

<p>Ceremonies conducted by a shaman, dermal treatments, and herbs.</p> Signup and view all the answers

What did Dwight Conquergood do that made his public health campaigns a success among Hmong refugees in Thailand?

<p>He delivered information using characters from Hmong folktales.</p> Signup and view all the answers

What is 'status epilepticus'?

<p>A condition in which an epileptic remains unconscious for twenty minutes or longer as he or she has a seizure.</p> Signup and view all the answers

What are the names of Lia's doctors at MCMC?

<p>Neil Ernst and Peggy Phelp.</p> Signup and view all the answers

What was one of the side effects of Lia's medication?

<p>All of the above</p> Signup and view all the answers

Why did Neil and Peggy feel angry with the Lees?

<p>They showed no deference to the doctors' many years of schooling, awards, and time spent educating themselves about the Hmong.</p> Signup and view all the answers

Why did Neil recommend that Lia be placed in foster care?

<p>He felt that her parents were jeopardizing her health by not following her medical regimen.</p> Signup and view all the answers

Why didn't the Hmong fight back when they were abused in the US?

<p>Nothing in the US is worth defending.</p> Signup and view all the answers

What does the phrase 'quab dab peg' mean?

<p>Spirit catches you and you fall down.</p> Signup and view all the answers

Why was Nao Kao angry at the interpreter Sue Xiong?

<p>She didn't translate statements, came with CPS worker to get Lia, married to Nao Kao's nephew.</p> Signup and view all the answers

What is the name of the ceremony that gave Lia her official name?

<p>Hu plig, or soul calling.</p> Signup and view all the answers

Who is Jeanine Hilt?

<p>She is the social worker who makes Lia her personal cause.</p> Signup and view all the answers

Who are Niel and Peggy Philp?

<p>They are Lia's main doctors at the Merced Community Medical Center.</p> Signup and view all the answers

Who are Foua Yang and Nao Kao Lee?

<p>They are Lia's parents who love her very much.</p> Signup and view all the answers

Who is Anne Fadiman?

<p>She is the author and narrator of the book.</p> Signup and view all the answers

Why does a shaman tie cords around a baby's wrist?

<p>He wants to bind the soul to the body.</p> Signup and view all the answers

What are 'nyias'?

<p>Cloth baby carriers embroidered with soul-retaining motifs.</p> Signup and view all the answers

Who is Bill Selvidge?

<p>The chief resident of family practice at the country hospital in Merced.</p> Signup and view all the answers

How many children did Foua and Nao Kao Lee have?

<p>Fifteen children, eight of whom survived.</p> Signup and view all the answers

What would too much medicine do?

<p>Reduce the neeb's effect.</p> Signup and view all the answers

Who is Jeanine Hilt?

<p>The Child Protective Services (CPS) caseworker assigned to Lia.</p> Signup and view all the answers

Who is Dan Murphy?

<p>The family practice resident on call when Lia was brought to the emergency room.</p> Signup and view all the answers

Who is Roger Fife?

<p>A popular doctor among the Hmong in Merced.</p> Signup and view all the answers

Who are Dee and Tom Korda?

<p>Lia's foster parents during the year she was placed in foster care.</p> Signup and view all the answers

Who is Sue Xiong?

<p>The Hmong interpreter who came to the Lee's home with Child Protective Services.</p> Signup and view all the answers

Who is May Ying Xiong?

<p>Fadiman's 'cultural broker' who taught her about the Hmong.</p> Signup and view all the answers

Who is May Lee?

<p>One of Lia's older sisters.</p> Signup and view all the answers

Who is Terry Hutchinson?

<p>Lia's neurologist at Valley Children's Hospital.</p> Signup and view all the answers

What sickness did Lia end up having?

<p>Bacillus caused septic shock.</p> Signup and view all the answers

Who is Vang Pao?

<p>Leader of Hmong forces in Laos.</p> Signup and view all the answers

Who is Dang Moua?

<p>The first Hmong to relocate to Merced, CA.</p> Signup and view all the answers

Who are Blia Yao Moua and Jonas Vangay?

<p>Two Hmong leaders who taught Fadiman about the Hmong.</p> Signup and view all the answers

Who is Dwight Conquergood?

<p>An ethnographer who worked at the Ban Vinai refugee camp in Thailand.</p> Signup and view all the answers

What are Hmong dermal treatments?

<p>Traditional healing techniques such as acupuncture, massage, and scraping the skin.</p> Signup and view all the answers

What is a febrile seizure?

<p>An epileptic seizure associated with a high body temperature.</p> Signup and view all the answers

What is a grand mal seizure?

<p>A full-blown seizure in which electrical disturbance extends throughout a wide area of the brain.</p> Signup and view all the answers

What is 'hu plig'?

<p>A soul-calling ceremony, in which a baby's name is officially conferred.</p> Signup and view all the answers

What is 'kua quav'?

<p>A beef stew made from cow's intestines, heart, liver, and lungs.</p> Signup and view all the answers

What is 'neeb'?

<p>Healing spirit or shamanic ritual.</p> Signup and view all the answers

What is 'paj ntaub'?

<p>A traditional Hmong textile art comprised of geometric or organic designs.</p> Signup and view all the answers

What is 'plig'?

<p>Soul.</p> Signup and view all the answers

What is 'qeej'?

<p>Hmong musical instrument with 6 bamboo tubes.</p> Signup and view all the answers

What is 'septic shock'?

<p>A potentially fatal medical condition resulting from severe infection and sepsis.</p> Signup and view all the answers

What is 'status epilepticus'?

<p>A condition in which seizures continue one after another with no intervals of consciousness.</p> Signup and view all the answers

Study Notes

Hmong Traditions and Beliefs

  • Hmong people keep the placenta after birth believing the soul returns to it for rebirth.
  • "Tvix neeb" refers to a shaman who negotiates with spirits for health.

Lia's Birth and Name

  • Foua appreciated the medical assistance during her birth at an American hospital but was dissatisfied with the food.
  • Lia received her official name at a soul-calling ceremony, known as "hu plig," one month after birth.

Soul-Calling Ceremony

  • The ceremony included slaughtering live chickens to check if Lia's soul was happy, binding her soul with wrist ties, and sacrificing a pig to invite an ancestor's spirit into her body.

Hmong Migration and History

  • Hmong predominantly lived in China before migrating due to oppressive policies.
  • They faced dislike from the Chinese for maintaining their customs and resisting assimilation.

Medical Challenges

  • Merced Community Medical Center (MCMC) struggles with high public assistance patient rates and language barriers impacting medical history taking.
  • Initial misdiagnosis of Lia’s epilepsy resulted from stopped seizures and no interpreter present.

Cultural Differences in Healthcare

  • Hmong distrust Western doctors due to required tests and perceived invasiveness.
  • Healing methods include shamanic ceremonies, dermal treatments, and herbal remedies.

Lia's Medical Journey

  • Lia's doctors, Neil Ernst and Peggy Phelp, balanced medical training with cultural sensitivity but struggled to grasp the Hmong view of the soul in healing.
  • The side effects of Lia’s medications included high blood pressure and memory loss.

Family Dynamics and Cultural Clash

  • The Lees, Lia’s parents, were proud yet concerned about her epilepsy, associating it with shamanic abilities.
  • Tensions arose between the Lees and doctors due to cultural misunderstandings and perceived lack of respect.

Foster Care and Advocacy

  • Lia was placed in foster care due to non-compliance with medication, leading to her foster parents Dee and Tom Korda caring for her despite language barriers.
  • Jeanine Hilt, the social worker, was dedicated to advocating for Lia and educating her parents about medication management.

Key Figures

  • Anne Fadiman, the author, highlights the importance of cultural understanding in medical settings and integrates personal narratives.
  • Vang Pao was a leader of Hmong forces in Laos and promoted education while employing shamans for healthcare.
  • Dwight Conquergood was an ethnographer who advocated for culturally relevant health education among Hmong refugees.

Medical Terms

  • "Status epilepticus" describes prolonged seizures without consciousness, while "grand mal seizure" refers to full-body seizures leading to loss of consciousness.
  • "Septic shock" is a severe medical condition from infection causing inflammatory responses and potential organ failure.

Hmong Cultural Elements

  • "Qeej" is a traditional Hmong musical instrument made of six bamboo tubes, reflecting Hmong artistry.
  • "Paj ntaub" is a traditional textile art, signifying cultural heritage through intricate designs.

Food and Nutrition in Hmong Culture

  • "Kua quav" is a traditional beef stew, emphasizing cultural significance in cuisine.

Neurological Insights

  • "Febrile seizures" commonly occur in young children with high fevers and are different from other seizure types.
  • Lia ultimately suffered from septic shock, which contributed to her health decline, showcasing the intersection of cultural beliefs and medical realities.

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Description

Test your knowledge on key concepts from 'The Spirit Catches You and You Fall Down'. This practice test includes flashcards about Hmong culture and beliefs related to birth and healing practices. Perfect for anyone looking to deepen their understanding of the text.

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