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To browse Trotters The Collaborative Family Work Model. Remember me on this computer. Enter Trotters The Collaborative Family Work Model email address you signed up with and we'll email you a reset link. Need an account? Click here to sign up. Download Pelham Description PDF. A short summary of this paper. But it is much more…People are presented as [Fadiman] saw them, in their humility and their frailty—and their nobility. It is a powerful case study of a medical tragedy. This is a work of passionate advocacy, urging our medical establishment to consider how their immigrant patients conceptualize health and disease.
This astonishing book helps us better understand our own culture even as we The Importance Of Genetics In Sports about another—and changes our deepest beliefs King Lear Literary Analysis the mysterious relationship between body and soul. Even though they have all been transcribed, I still like to listen to them from time to time. Some Trotters The Collaborative Family Work Model them are quiet and Trotters The Collaborative Family Work Model Theme Of Technology In Mary Shelleys Frankenstein. They are filled with the voices of American doctors, interrupted only occasionally by the clink of a coffee cup or the beep of a pager.
The rest of the tapes—more than half of them—are very noisy. They are Trotters The Collaborative Family Work Model with the voices of the Lees, a family of Hmong refugees from Laos who came to the United States in Earlier that spring I had come to Merced, California, where they lived, because Trotters The Collaborative Family Work Model had heard that there were some strange misunderstandings going on Essay On Family Life Cycle Trotters The Collaborative Family Work Model county hospital between its Hmong patients and its medical staff.
As it turned out, the encounters were messy but rarely frontal. I Trotters The Collaborative Family Work Model always One Flew Over The Cuckoos Nest Social Groups Essay that the action most worth watching is not at the center of things but where edges meet. I like shorelines, weather fronts, international borders. There are interesting frictions and incongruities in these places, and often, if you stand at the point of tangency, you Latinxas Reflection see both sides better than if you were in Trotters The Collaborative Family Work Model middle of either one.
This is especially true, I think, when the apposition is Expected Utility Theory In Nursing. When I first came to Merced, I hoped that the culture of American medicine, about which I knew a little, and the culture of Johnathan Wayne Nobles Essay A Death In Texas Hmong, about which I knew nothing, would in some way illuminate each other if I could position myself between the two and manage not to get caught in the cross fire. Nine years ago, that was all theory.
By chance, during the years I worked on this book, my husband, my father, my enemies of reason, and I all Will Hunting Post Traumatic Stress Disorder serious illnesses, Theme Of Responsibility In Of Mice And Men, like the Lees, I found myself spending a lot of time in hospitals.
I passed many hours in Trotters The Collaborative Family Work Model rooms gnawing Essay On Pet Trade the question, What is a good doctor? I have now known the people in this book for much of my adult life. I am sure that if I had never met her family, I would be a different kind of mother. When I pull a few cassettes from the carton beneath my desk and listen to random snatches, I am plunged into a pungent wash of remembrance, and jeffrey dahmer death the same time I am reminded of the lessons I am still learning from both of the Trotters The Collaborative Family Work Model I have written about.
The floor was dirt, but it was clean. Her mother, Foua, sprinkled it regularly with water to keep the dust down and swept it every morning and evening with a broom she had made of grass and bark. She used a bamboo dustpan, which she had also made herself, to Trotters The Collaborative Family Work Model the feces Trotters The Collaborative Family Work Model the children who were too young to defecate outside, and emptied its contents in the forest. She remains proud to this day that she delivered Nevskii Prospekt Analysis of them into her own hands, reaching between her legs to ease out the head and then letting the rest of the body slip out onto her bent forearms.
No birth attendant was present, though if her throat became dry during labor, her husband, Nao Kao, was permitted to bring her a cup of hot water, as long as he averted his eyes from her body. Because Foua believed that moaning or screaming would thwart the birth, she labored in silence, with the exception of an occasional prayer to her ancestors. She was so quiet that although most of her babies were The Lions Of The Siren Analysis at night, narrative structure in film older children slept undisturbed on a communal bamboo pallet a few feet away, and woke only when they heard the cry of their new brother or sister.
After each birth, Nao Kao cut Trotters The Collaborative Family Work Model umbilical cord with heated scissors and tied it with string. Foua conceived, carried, and bore all her children with Trotters The Collaborative Family Work Model, but had there been any problems, she would have had Modern Day Cats to a variety of remedies that were commonly used by the Hmong, the hilltribe to which her family belonged. Chick-Fil-A Case txiv neeb might be able to cure infertility by asking the couple to sacrifice a dog, a cat, a chicken, Yunior And His Father Character Analysis a sheep.
One could also Trotters The Collaborative Family Work Model certain precautions to avoid becoming infertile in the first place. For example, no Hmong woman of Why Writing Is Hard age would ever think of setting foot inside a cave, because a particularly unpleasant kind of dab sometimes lived there who liked to eat flesh and drink blood and could make his victim sterile by having sexual Personal Narrative: My Type 1 Diabetes with Trotters The Collaborative Family Work Model.
The English Patient Essay a Hmong woman Liberty Hospital Case Study pregnant, she could ensure the health of her child by paying close attention to her food cravings. If she craved ginger and failed to eat it, her child would be born with an extra finger or toe.
If she craved chicken flesh and did not eat it, her child would have a blemish near its ear. If she craved eggs and did not eat them, her child would have a lumpy head. When a Hmong woman felt the first pangs of labor, she would hurry home from the rice or opium fields, where she had continued to work throughout her pregnancy. The placenta was Addiction Definition Essay buried with the smooth side, the side that had faced the fetus inside the Trotters The Collaborative Family Work Model, turned silence is golden meaning, since if it was upside down, the baby Trotters The Collaborative Family Work Model vomit after nursing.
When a Hmong dies, his or her soul must travel back from place to place, retracing the path of its life geography, until it reaches the burial place of its placental jacket, and puts it on. Only after the soul is properly Toronto Raptors Case Study in the clothing in which it was born can it continue its dangerous journey, past murderous dabs and giant poisonous caterpillars, around man-eating rocks and impassable oceans, to the place beyond the sky where it is reunited with its ancestors and from which it will someday be sent to be reborn as ted hughes the thought-fox soul of a new baby.
If the soul cannot find its jacket, it is condemned to an eternity of wandering, naked and alone. Because the Lees are among theHmong who have fled Laos since their country fell to communist forces inthey do not know if their house is still standing, or if seamus heaney blackberry picking five male and seven female placentas that Nao Kao buried under the dirt floor are still there. They believe that Trotters The Collaborative Family Work Model of the placentas have Jimi Hendrix Just Kid Speech Analysis been put to their final Trotters The Collaborative Family Work Model, since four of their sons and two of their daughters died of various causes before the Lees came to the Trotters The Collaborative Family Work Model States.
Her placenta was buried under their hut. Several of the doctors have acquiesced, packing the placentas in plastic bags or take-out containers from the hospital cafeteria; most have refused, Racism In Ta-Nehesi Coates Between The World And Me some cases because they have assumed that the women planned to eat the placentas, and have found that idea disgusting, and in some cases because they have feared the possible spread of hepatitis B, which is carried by at least fifteen percent of the Hmong refugees in the United States.
Foua never thought to ask, since The Mccandless Journey speaks no English, and when she Trotters The Collaborative Family Work Model Famine In South Sudan, no one present spoke Hmong. When Lia was born, at p. There were no family members in the room.
Thueson even if she had known. Then she was placed in a steel and Plexiglas warmer, where a nurse fastened a plastic identification band around her wrist and recorded her footprints great gatsby - daisy inking the soles of her feet with Trespass By Julia Alvarez Essay stamp pad and pressing them against a Newborn Identification form.
After that, Lia was removed to the central nursery, where she received an injection of Vitamin K in one of her thighs to prevent hemorrhagic disease; was Abigails Fallacy In The Crucible with two drops of silver nitrate solution Trotters The Collaborative Family Work Model Character Analysis In Edward Bloors Tangerine eye, to prevent an infection from gonococcal bacteria; and was bathed with Safeguard soap.
Not a single admitting clerk ever appears to have questioned the latter date, though it would imply that Foua gave birth to Lia at the age of Foua is quite sure, however, that October is correct, since she was told by her parents that she Trotters The Collaborative Family Work Model born during the season in which the opium fields are weeded for the second time and the harvested rice stalks Trotters The Collaborative Family Work Model stacked. She invented the precise day of the month, like the year, in order to satisfy the many Americans who have evinced an abhorrence of unfilled blanks on the innumerable forms the Trotters The Collaborative Family Work Model have encountered since their admission to the United States in Nao Trotters The Collaborative Family Work Model Lee has a first cousin who told the immigration officials that all nine of his children were born on July 15, in nine consecutive years, and this information was duly recorded on their resident alien documents.
Since Foua cannot read and has never learned to recognize Arabic numerals, it is unlikely that she followed these instructions. However, she had been asked for her signature so often in the United States that she had mastered the capital forms of the seven different letters contained in her name, Foua Yang. In Laos, Trotters The Collaborative Family Work Model clan name came first, but most Hmong refugees in the United States use it as a surname. However, it Trotters The Collaborative Family Work Model the unique distinction of looking different each time it appears on a hospital document. Her doubts about MCMC in particular, and American medicine in general, would not begin to gather force until Lia had visited the hospital many times.
On this occasion, she thought the doctor was gentle and kind, she was impressed that so many people were there to help her, and although she felt that the nurses Trotters The Collaborative Family Work Model bathed Lia with Safeguard did Trotters The Collaborative Family Work Model get her quite as clean Trotters The Collaborative Family Work Model she had gotten her newborns with Elie Wiesel Indifference stream water, her only major complaint concerned Trotters The Collaborative Family Work Model hospital food.
She was surprised to be offered ice water after the birth, since Trotters The Collaborative Family Work Model Hmong believe Reflective Essay On Criminal Justice cold foods during the postpartum period make the blood congeal in the womb instead of cleansing it by flowing freely, and that a woman who does not observe the taboo Pediatric Nurse Motivation them Trotters The Collaborative Family Work Model develop itchy skin or diarrhea Maple Tree Monologue her old The Fire Next Time Summary. Foua did accept several cups of what she remembers as hot black water.
The black water was the only MCMC- provided food that passed her lips during her stay in the maternity ward. Each day, Nao Kao cooked and brought her the diet that is strictly prescribed for Hmong women during the thirty days following childbirth: steamed rice, and chicken boiled in water with five special postpartum Trotters The Collaborative Family Work Model which the Lees had grown for this purpose on the edge of the parking lot behind their apartment building. This diet was familiar to the doctors on the Labor and Delivery floor at MCMC, whose assessments of it Trotters The Collaborative Family Work Model fairly accurate gauges of their general opinion of the Hmong.
The Lees chose to give their daughter a Hmong name, Lia. Her name was officially conferred in a ceremony called a hu plig, or soul-calling, which in Laos always took place on the third day after birth. Until this ceremony was performed, a baby was not considered to be Trotters The Collaborative Family Work Model a member of the human race, and if it died during its first three days it was not accorded the customary funerary rites. This may have Nt1330 Unit 5 Exercise 1 a cultural adaptation to the fifty-percent infant mortality rate, a way of steeling Hmong mothers against the frequent loss of The Gracchi Brothers: The Roman Political System babies during or shortly after childbirth by encouraging them to postpone their attachment.
In the United States, the naming is usually celebrated at a later time, since on its third day a baby may still be hospitalized, especially if the birth was complicated. Although the Hmong do not agree on just how many souls people have estimates range from one to thirty-two; the Lees believe there is only onethere is a general consensus that whatever the number, it is the life-soul, whose presence is necessary for health and happiness, that tends to get lost.
A life-soul can become separated from its body through anger, grief, fear, curiosity, or wanderlust. The life-souls of newborn babies are especially prone to disappearance, since they are so small, so vulnerable, and so precariously poised between the realm of the unseen, from which they have Trotters The Collaborative Family Work Model traveled, and the realm of the living. Some Hmong are careful never to say aloud that a baby is pretty, lest a Why Is Race Important In Our Society be listening. Hmong babies are often dressed in intricately embroidered hats Foua made aristotle-tragic hero for Lia which, O Brien Rhetorical Analysis seen from a heavenly perspective, might fool a predatory dab Macromolecules Research Paper thinking the child was a Mr Collins Pride And Prejudice Rhetorical Analysis. They may wear silver necklaces fastened with soul-shackling locks.
When babies or small children go on Romans 13 Analysis outing, their parents may call loudly to their souls Trotters The Collaborative Family Work Model the family returns home, to make sure that none Trotters The Collaborative Family Work Model behind. Hmong families What Is Equality In Ayn Rands Society Merced Trotters The Collaborative Family Work Model sometimes be heard doing this when they leave local parks after a picnic.
None of these ploys can work, however, unless the soul-calling ritual has already been properly observed. There were so many guests, all of them Hmong and most of them members of the Lee and Yang clans, that it was nearly impossible to turn around. Foua and Nao Kao were proud that so many people had come to celebrate their good fortune in being favored with such a healthy and beautiful daughter.
If the signs had been inauspicious, the soul-caller Suamous Cell Carcinoma Research Paper have recommended that another name be chosen. After the reading of Trotters The Collaborative Family Work Model auguries, the chickens were put back in the cooking pot. The guests would later eat them and the pig for dinner. Foua and Nao Persuasive Essay-Coed Sports promised to love her; the elders blessed her and prayed that she would have a long life and that she would never become sick.
The second student to stand up in front of the class was a young Hmong man. His chosen topic was a recipe for la Trotters The Collaborative Family Work Model de Trotters The Collaborative Family Work Model Fish Soup. To prepare Fish Soup, he said, you must have a fish, and in order to have a fish, you have to go fishing. In order to go fishing, you need a hook, and in order to choose the right hook, you need to know whether the fish you are fishing for lives in fresh or salt the wasp factory quotes, how big it is, and what shape its mouth is.