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The Spirit Catches You and You Fall Down
The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures | Anne Fadiman
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, 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 and fiercely independent 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.
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Mccall0113
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Reading this in small chicks for my grad school assignment

Sapphire This is such a favorite of mine. I read it in the 90s or early 2000s and it has stuck with me 3y
Sapphire Although I remember it more of a success of the foster mom to connect rather than a failure. Failure of the medical system maybe. 3y
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DrexEdit
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All good books read in June! I think the tagged book was my favorite. It's themes are timeless & this will be a good re-read one day.

#BookReport @Cinfhen
I'm still working on Amber & Lacey's Stories about Racism because I switched to the audiobook on the suggestion of @Cinfhen. Now I can only read when my husband is around too. 😄 It is pretty awesome on audio, but I'm glad to have the print book also for the photos.

Cinfhen I‘ve already stacked the tagged book but now I‘m looking to move it up the TBR after your review….have you read the tagged book @Megabooks it sounds really good 3y
Cinfhen Glad you‘re enjoying Lacey and Amber on audio ☺️ 3y
Megabooks The tagged book sounds heartbreaking @Cinfhen ! Is it Diane? I‘m interested in learning more about the Hmong community, so I‘m stacking it! 3y
DrexEdit @Megabooks I think overall the story is more hopeful, or at least enlightening for those involved. People learn some things. My sense is that the Hmong people are incredibly resilient. 3y
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DrexEdit
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Pickpick

⭐⭐⭐⭐⭐Still timely & relevant, one of the best summaries/explainers I've read about the Hmong tribes working with the CIA in Laos during the Vietnam war, necessitating the migration of tens of thousands of Hmong refugees to the US when the communist government took over. Besides throwing some light on the broken spots in US healthcare, the book asks important questions about immigrant assimilation. ⬇

DrexEdit Should immigrants be expected to assimilate? If so, how much? What happens when you have two cultures living close together that totally misunderstand each other? Fascinating book. Regret that it took me so long to pick it up and read! 4y
43 likes1 comment
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BarbaraTheBibliophage
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Pickpick

Excellent book about the Hmong (pronounced MUNG), their history and emigration to the US after the Vietnam War. Also about one Hmong family‘s experience with the US medical system. And why medically related cultural sensitivity and accommodation makes a huge difference for everyone involved. Maddening but inspiring.

Full review http://www.TheBibliophage.com #readingasia #laos #nonfictionchallenge2022 #abouthelpingothers #thebibliophage2021

Librarybelle I read this for one of my college classes years ago - absolutely fascinating 4y
BarbaraTheBibliophage @Librarybelle Yes, it is. I appreciated the updates in her 25th anniversary epilogue as well. Medical schools and major hospitals are doing better, but we still have so far to go! 4y
DivineDiana This sounds fascinating. Stacked. 4y
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BarbaraTheBibliophage @DivineDiana It is. I also learned that there are quite a lot of Hmong living in Lancaster County near me. The semi-rural nature of our area drew them from bigger nearby cities. 4y
DivineDiana @BarbaraTheBibliophage Now, I am even more interested! 4y
BarbaraTheBibliophage @DivineDiana Hope you appreciate it as much as I did! 4y
Riveted_Reader_Melissa Sounds very interesting! Stacking! 4y
BarbaraTheBibliophage @Riveted_Reader_Melissa I think you‘ll like it! 4y
MallenNC Read this years ago and heard a lecture by Anne Fadiman. I still think about the book! 4y
BarbaraTheBibliophage @MallenNC I‘m sure I‘ll still think about this one for years to come! 4y
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DrexEdit
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If Lia Lee had been born in the highlands of northwest Laos, where her parents and twelve of her brothers and sisters were born, her mother would have squatted on the floor of the house that her father had built from ax-hewn planks thatched with bamboo and grass.

#FirstLineFridays
@ShyBookOwl

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sarahlandis
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Pickpick

This book was outstanding. A heartbreaking and riveting true story of a family of Hmong refugees from Laos in America in the 1980s. When their young daughter develops a seizure disorder that baffles doctors, a clash between their traditional culture and a healthcare system when culture had absolutely zero relevance to providers creates catastrophe. ⤵️

sarahlandis This book detailed life in Laos, the Vietnam war, the American bombing of Laos, refugee conditions in Thailand, a terribly flawed healthcare, refugee, and welfare program in America, and details upon details of an incredibly unique and beautiful culture. Recommend ten times over 4y
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Come-read-with-me
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Pickpick

I just finished rereading this 1997 academic ethnography that focuses on the class between cultures, science, and faith. Aside from the medical issues raised in the story, I am always taken with the ideas of how cultural perspective can change how we interpret events. Such an important read - the topic is timeless. ⭐️⭐️⭐️⭐️

KathyWheeler I‘ve never been able to read this book. I have epilepsy, and just thinking about this story makes me grateful that I wasn‘t born in a time and culture where this is so misunderstood. I‘m afraid the book might upset me. I love her books in general though. 4y
Come-read-with-me @KathyWheeler I agree - it would probably be upsetting to you. She is such an amazing author; which of her‘s are your favourites? 4y
KathyWheeler @Come-read-with-me I love essays and hers are really good. My favorite collections are Ex-Libris and “At Large and At Small.” 4y
Come-read-with-me @KathyWheeler I will check out both of these! Thanks for sharing! 🌸 4y
69 likes4 comments
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Centique
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Pickpick

Read most of this book at the beach while the boys swam and buried each other in the sand (thought those of you feeling cold might like a beach image!)
What a book! I picked this up after hearing @ReadingEnvy mention it on her podcast a while ago. If you liked Henrietta Lacks this 1990s non fiction may appeal to you. Like that book, this looks at a medical case and through that a much wider social issue.⬇️

Centique In this book it‘s the disorder and inequity that results when culture clash occurs in a hospital, with terrible misunderstandings between new immigrants and the medical community. Compared to HL, this has less medical science and much more of a sociological/historical perspective about the Hmong, their history and culture and their exodus as refugees from Laos.⬇️ 4y
Centique Truly fascinating and eye opening. 🌟🌟🌟🌟🌟 The updated afterword is worth a read as well. 4y
MallenNC This was the summer reading book at the college where I work several years ago. It was very memorable and I enjoyed hearing the author speak about it. 4y
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Trashcanman 💕❤💕 4y
Liz_M Such an excellent book! 4y
quanners It‘s on my to reread list. I read it while I was on medical school. 16 years later I can say that it taught me the importance of empathy, communication, cultural sensitivity and humility. 4y
Centique @Trashcanman love to you, Arohanui 💕 4y
ReadingEnvy I still think about this book a lot. 4y
Centique @MallenNC how wonderful to hear her talk about it! 4y
Centique @quanners that‘s amazing! I‘m so glad that this (and other books and programmes I‘m sure) have helped the medical community move forward. It made me think that even though I see myself as empathetic, I‘m sure I would‘ve made the same mistakes. 4y
LeahBergen Aww, look at them on the beach! ❤️ 4y
Reggie I remember her talking about this book. Sounds good. Aww the sun. Lol I‘m ok with us being cooler for a few months. 4y
Cathythoughts Great picture ❤️ 4y
TrishB Blue sky and beach ❤️😁 4y
Centique @LeahBergen @TrishB and then yesterday they were in the sea for 2 hours - good and tired out. 😊 4y
Centique @Reggie yeah I‘ll be ready for the heat to be over before long myself! This is our long holiday period though so I don‘t mind the heat too much while we‘ve all got a couple of weeks off. Kids don‘t go back to school until Feb! 4y
batsy Such a fun photo 💖 4y
Rissreads It's sun, sun, sun here too! 😊 4y
Centique @Rissreads fingers crossed for sun for Christmas! I‘m hosting and I‘m hoping we can eat out on the deck 🤞🤞 4y
BarbaraTheBibliophage I‘ve been thinking of choosing this for #readingasia since it deals so much with the Hmong culture. Glad to have your review! 4y
Centique @BarbaraTheBibliophage I‘ll be so interested in what you think if you do read it. The Hmong culture was fascinating 4y
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breadnroses
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i had to read this book for my class on culturally responsive teaching. although it‘s about multiculturalism in the medical system there are definitely lessons to be learned and applied to the education system. it was cool to learn about hmong culture, spirituality & epistemologies! although i‘m not particularly interested in anthropology, the author is careful not to fall into typical pitfalls of the field such as orientalism which i appreciate.

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Chrissyreadit
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I need to read a text book and write a paper by Sunday. Have not looked at the other class assignment yet. So of course I‘m on Litsy! This list of non fiction is full of books that are on my mount TBR and wishlist. Would love to hear what you all think of these books too. https://slate.com/human-interest/2019/11/50-best-nonfiction-books.html?utm_sourc...

alisiakae That is a really interesting list. I‘ve only read 8 on it, and a few more I own but haven‘t read yet. I‘m a bit surprised to see Far From the Tree, I thought that was a bit of an obscure book, guess not! And I thought Jared Diamond would have been on there. 5y
Graywacke Love the list. I‘ve read 9 and tried one other. Lots of favorites (like The Warmth of Other Suns) and the others that weren‘t favorites were well worth reading (like The Unwinding, which wore me out on audio, but is excellent). (edited) 5y
Emilymdxn Im obsessed with this list though I‘ve read so few of them - around 6 I think? I didn‘t keep count properly. So many books on here I‘ve been meaning to read for years 5y
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Tamra I‘ve only read 4 and bailed on 1, H is for Hawk. But there are several on my TBR! I definitely have a pronounced penchant for fiction. 5y
Chrissyreadit @Tamra @Emilymdxn @Graywacke @4thhouseontheleft I‘m so impressed! I love non fiction but my reading of it has been down due to school- I have 14 on my TBR and have only read 1- lab girl. I would love to know which of the ones you have read that you absolutely recommend? 5y
alisiakae The book you tagged and The New Jim Crow are must reads! The book about the Rwandan genocide is also very good, it would be a good companion book to read alongside 5y
alisiakae I also really like Karen Armstrong, but like this one more than the one on the list 5y
alisiakae @Tamra I bailed on H is for Hawk too when I tried the audiobook a few years ago. It‘s on my list to go back to and try again someday. 5y
Emilymdxn My favourites on the list so far are the warmth of other suns and fun home I think! Robert Macfarlane is fantastic, tho my fave by him is Underland not the old ways which is the one on the list. My fave non fiction book of all time is No Logo by Naomi Klein which I‘m really surprised isn‘t on here, if I was recommending one important non fiction book it would be this one! 5y
Chrissyreadit @Emilymdxn my daughter loved Funhome, but I have not read it yet. I just added No Logo to my TBR- it sounds like a book I would love. 5y
Chrissyreadit @4thhouseontheleft I am very interested in The History if God. I read the tagged book about thirty years ago and it had a profound impact on how I view religion. 5y
Graywacke @Chrissyreadit I had to wait till I could put some time into this. Some thoughts: 1. The Warmth of Other Suns (meaningful and fantastic)
2. The New Jim Crow (eye opener)
3. Into the Wild (personal and kinda a classic. Ymmv)
4. Lab Girl (see above, but not a classic)
5. H Is for Hawk (see above)
6. The Unwinding (difficult/important)
7. The Sixth Extinction (see above)
8. Can‘t Stop Won‘t Stop (meh)
5y
Graywacke 9. Behind the Beautiful Forevers (good, important, but I still didn‘t like it)
10. Far From the Tree (couldn‘t finish. Gets a little obscure, I think)
5y
Graywacke Also, there are several I‘ve wanted to read a long time and read really positive reviews on. I listed the four I‘m most interested in below. (These do not include ones I discovered on this list). 1. The Age of Wonder
2. Mr. Wilson‘s Cabinet of Wonder
3. Random Family
4. Columbine
5y
Chrissyreadit @Graywacke wow! I love the thoughtfulness that went into your response- and you have read many of these! Columbine is on my TBR- I need to look up the other three. 5y
71 likes15 comments
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kgriffith
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Pickpick

This afterword is the most goddamned wholesome thing.

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kgriffith
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Don‘t mind me, just sitting here crying in the dining hall 🥺😭💔

LauraBeth 😿😿 5y
40 likes1 comment
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kgriffith
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After a whirlwind month during which I made a lot of decisions very quickly out of what felt like necessity, I finally slowed down enough to think about what is POSSIBLE, not just what‘s most efficient. As some of you know from SOTT, my position at LT was one of two eliminated in August. I adjusted my courseload, so I‘m full-time, but only taking three classes so I can really dive into the work. My planner felt like a lie, so I fixed it. 😋

JennyM I didn‘t know you‘d left LT - glad you are ok and have taken the opportunity to reflect and adjust. Here‘s to being moderately busy 😊 5y
kgriffith Thanks, @JennyM 😊 5y
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kgriffith
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I cackled.

DrexEdit 😄😄 5y
34 likes1 comment
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kgriffith
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“Because how do you know for certain he‘s going to die unless you‘re going to kill him?”
Hard to argue with that logic 🤷🏻‍♀️

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kgriffith
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Starting the 3 chapters for tomorrow morning.
“Violence, starvation, destitution, exile, and death were, however horrific, within the sphere of known, or at least conceivable, tragedies. What had happened to Lia was outside that sphere.”

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kgriffith
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“When you are on the other side, You will not be like what you were before you get through the Mekong. On the other side you cannot say to your wife, I love you more than my life. She saw! You cannot say that anymore! And when you try to restick this thing together it is like putting glue on a broken glass.”

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kgriffith
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“When it became apparent that there would be no more planes, a collective wail rose from the crowd and echoed against the mountains. The shelling of Long Tieng began that afternoon. A long line of Hmong, carrying their children and old people, started to move across the plateau, heading toward Thailand.”

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kgriffith
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I don‘t know how this is the first time a college class I‘ve taken has prioritized vocabulary building: not memorization of terms, though I imagine some of that is inevitable, but being asked to bring a word we didn‘t know from the reading in to class. I can‘t tell you how many words I understand well enough from context that I don‘t bother looking up, but then I‘m not likely to remember or use them either, without looking up and writing down.

LogiKitty I saw that word recently too! 5y
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kgriffith
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“‘And how long have you had these headaches?” asked one bored doctor. His Hmong patient replied matter-of-factly, ‘Ever since I got shot in the head.‘”
I cackled. ¯\_(ツ)_/¯

brandybear22 This is a very good book. I didn‘t realize it was on your reading list for school. 5y
kgriffith @brandybear22 yes, for medical anthropology. I was waitlisted, but she was able to add me after the first meeting. 5y
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kgriffith
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This is just charming, I love it.

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kgriffith
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Got home late but still need to get some reading done for class. Xander is helping, per usual. #catsofLitsy

CoffeeK8 This book was amazing! 5y
kgriffith @CoffeeK8 I‘m really enjoying it so far! 5y
cariashley 😻 so cute! 5y
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Come-read-with-me @kgriffith This book took my breath away. A wonderful exploration of culture and perception of disability. 5y
kgriffith @Come-read-with-me I‘m really focusing in on the differences between how Fadiman addresses cultural difference and how other anthropologists I‘ve read do so. Also her prose is just 😮😍💜 5y
Come-read-with-me @Kgriffith I agree! She is astounding. 5y
theredshoes That book is AMAZING. 5y
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alisiakae
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1. The Spirit Catches You and You Fall Down by Anne Fadiman
2. Ability to time travel
3. ♓️
4. 📚 ☕️ 🚲 🚶🏻‍♀️
5. 🤙🏼🤙🏼

#friyayintro

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saguarosally
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2. Probably one of the Minions movies?
3. This summer, Polar Seltzer and hot dogs.
4. No clue. Maybe 25-ish, but then there are their children, their grandchildren, their great grandchildren...
5. 👌 #friyayintro @howjessreads

Beatlefan129 Great book recommendation. I read it while I was in nursing school and it really stayed with me (edited) 5y
saguarosally @Beatlefan129 I was also thrilled to meet the author at a book festival a few months ago! 5y
40 likes2 comments
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ReadingEnvy
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Pickpick

What an incredible read! A clash of Western medicine with Hmong culture, exasperated by a lack of translators, cultural understanding, and education on both sides. ⤵️

ReadingEnvy Anne Fadiman shows how the situation involving one very sick child went wrong and makes suggestions as to more effective ways to communicate and provide care. I really enjoyed learning about the Hmong family in particular, and their own methods of parenting and treating the sick. ⤵️ 6y
ReadingEnvy The author suggests that millenia of Hmong people refusing to be assimilated effects the challenges facing Hmong refugees in their new environments, so she covers quite a bit of Hmong history, particularly in Laos, and how that intersects with American history thanks to "The Secret War." This is going to be a great book club discussion! 6y
Theaelizabet Good review. I‘ve had this one on my shelves for such a long time. It‘s been highly recommended by so many. I must get to it. 6y
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ReadingEnvy @Theaelizabet I‘m really glad I finally did. 6y
MaureenMc I just finished this book a couple of weeks ago. Found it absolutely fascinating! 6y
ReadingEnvy @MaureenMc so fascinating! I liked in particular how sometimes the Hmong medicine was more effective. 6y
Christine LOVE this book - the most meaningful/memorable thing I read for my graduate work in the sociology of medicine. 6y
ReadingEnvy @Christine are you a medical sociologist? The book mentioned medical anthropologists and we all.agreed that sounded like an interesting job! 6y
Christine My doctoral work was in the sociology of science/sociology of medicine, though motherhood and life circumstances have turned me into more of a generalist now. 😉 But I‘m still very interested in both areas, and agreed re: medical anthropology being a fascinating field! So much going on beneath the surface in these areas. 6y
65 likes4 stack adds9 comments
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saguarosally
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2. No way, I could spend my time reading.
3. 41F. I‘m convinced this place has like eight months of winter.
4. Right now, I could go for tzatziki toast.
5. 👋👋👋

@howjessreads #friyayintro

Hoopiefoot What‘s tzatziki toast?? Sounds great! 6y
saguarosally @Hoopiefoot I have no clue, I guess it would just be like putting tzatziki on toast. 6y
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saguarosally
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I‘m joining in anyway whether y‘all like it or not. 😂

1. Northeastern Massachusetts, but it‘s not where I live. I‘m just there right now.
2. Oh come now, that‘s like trying to pick a favorite child. 😂 I‘m just going to go with the general nonfiction genre.
3. Again, lol. I‘m on a J. A. Jance kick today.
4. See tagged. If you have not read it, go read it. It‘s vital.

#socialsunday @EchoLogical

Carolyn11215 One of my all-time non-fiction fave books!! 6y
saguarosally @Carolyn11215 And so very important. 6y
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EchoLogical I can answer fav book, author, and kid but I'll admit the answer totally depends on when you ask me.😆 6y
zsuzsanna_reads Thanks for the recommendation, I must read this book! I used to use cases from the Hmong as examples for a university course I used to teach on multiculturalism AND I like Fadiman's writing. 6y
saguarosally @EchoLogical Of course! Now favorite kid, it would always have been not me. 6y
43 likes7 comments
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StephBengtson
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andioop
Pickpick

Medicare for all + give your money to refugees

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jessinikkip
Pickpick

I wont say much because this is a book for my #LMPBC group, but this was such a GOOD book. I laughed, I cried and enjoyed everything I learned from it

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jessinikkip
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Trying to get back into reading after my snowstorm slump. We spent several days at the in-laws and I just have zero motivation to read over there. Is it just me or does everyone have that place you find you just CAN NOT read in?

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jessinikkip

@Book_Lust I got the book today for #LMPBC Round 004! I cant wait to start reading!!!!

Book_Lust Yayyy! I loved it, enjoy 😊 6y
13 likes1 comment
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Book_Lust
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2 hour delay, thanks to the first snow fall of the year! ❄️ 7:37 am, Green Tea Matcha, and my #lmpbc #round4 read.

Bklover Cozy! 6y
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charl08
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Jaw dropping cultural misunderstandings.

ReadZenRites Ouch! 😱 6y
the_hibernator I read this one long ago. Don't remember much, but it was interesting. 6y
charl08 @ReadZenRites @the_hibernator had a great afterword about what had happened after the book was published. 6y
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mpensees
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Pickpick

I didn‘t expect to like this book so much. Definitely an eye opener to our ignorance. #mustread

31 likes1 stack add
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peacegypsy
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I‘ve been intrigued by this book for years, and I finally bought a copy. Summer TBR stack! 😊

arubabookwoman You are in for a real treat, as well as an eye opener with this. 7y
peacegypsy @arubabookwoman Thanks for the heads up! 😊 7y
37 likes2 comments
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Lindsy
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Some 🍵 and morning reading for my mental health book club. This one feels especially relevant for my work right now.

Johanna414 I loved this book! It‘s still one I think about almost a decade after reading it 7y
Lindsy @Johanna414 I‘m really liking it so far! I work on a pediatric psychiatry unit, and it is soooo relevant. 7y
9 likes2 comments
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DanStank1
Pickpick

Good book. Left a lasting impression.

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FairyHighRoad
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This is a wonderful nonfiction book about a Hmong family of #refugees who have a sick child. The author does a great job explaining the difficulties refugees face, not only with the US medical system, but also when the two cultures clash. #junebookbugs

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Wannabe_Quijote
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Pickpick

Not a light read, but an important one. I think it might work its way onto my syllabus. #LitsyAtoZ #LetterW #TeachersOfLitsy #ReadTheWorld

BookMusings Syllabus of which course? 8y
Wannabe_Quijote @BookMusings Cultural Psychology 8y
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Wannabe_Quijote
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#Sancho would much prefer I come to bed than read. #DogsOfLitsy #ReadTheWorld

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Wannabe_Quijote
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The best reading buddy anywhere! #Sancho #DogsOfLitsy

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Wannabe_Quijote
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Nowhere near the coldest night of the year but I'm freezing and huddled under the comforter. That lump you see is #Sancho warming up my feet ;)

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Wannabe_Quijote
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Two visiting munchkins and #Sancho share the air mattress tonight. I guess I get the couch. #dogsoflitsy #springbreak #teachersoflitsy

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Wannabe_Quijote
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Family comes to visit, so I get the air mattress on the floor. And with an 8 and 7 year old plus 15-month-old twins here for the week, I'm pretty sure my snowpacalypse isn't going to be a quiet one!

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Wannabe_Quijote
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Sneakily watching me eat Girl Scout cookies while I read. #Sancho #dogsoflitsy

12 likes1 stack add
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Wannabe_Quijote
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Seven hours of sleep is enough before a Monday morning, right? Six?

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Wannabe_Quijote
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I'm doing an independent study course with a student about culture and health. This is our next read! #teachersoflitsy #readdiversity

haileybean This sounds really interesting! I'm curious to see how you like it! 8y
Wife Has been on my TBR. It does sound good. 8y
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saguarosally
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I thought I couldn't hit fifty. I think I'll try for 100 books in 2017. The book referenced above was my favorite read of 2016 by far. It's a fascinating look at cultural factors in healthcare. #culturalcompetency #hmong #bestof2016

RiotMom 🙌🏻🙌🏻🙌🏻 8y
BookNerdBritt Nice! I read 92 this year and am going for 100 next year too. 8y
Megabooks Awesome!! 👍🏻👍🏻 8y
saguarosally @BookNerdBritt This was my first year trying to track my reading. I suspect it's time to sign up for a readathon. 😂 8y
35 likes2 stack adds5 comments