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“A Hmong shaman blesses a young pregnant woman in rural Merced.”

“One dish was prepared only for the mother-to-be: a freshly killed chicken. The chicken, cut in half, represents the separation of the mother and baby’s spirits and is part of the ceremony. The Hmong believe that mother and daughter are joined in one life, and soon before birth you must split them into two lives.”

“The final, and most complicated dish was the trout, which was mostly prepared in the yard while the shaman performed the ceremony in the living room.”

“The women of the family -- who did the vast majority of the cooking -- proudly pose with the pregnant lady-of-honor in front of the feast they prepared.”

“Then the men sit down to eat, while most of the women eat in the kitchen or the backyard.”

“After the feast, the mother-in-law warmly thanks the shaman and her husband. As they head to the front door, the shaman is gifted a bag filled with dozens of steamed pork and cabbage rolls to take home to her own family.”

SHAMANISM IN THE U.S.

Chang Teng Thao, a Hmong man with diabetes, had a catheter on one wrist and a string on the other. The string is from a ceremony performed by a shaman, Va Meng Lee, as part of Mercy Medical Center's effort to introduce shamans to the principles of Western medicine.

“At Mercy Medical Center in Merced, where roughly four patients a day are Hmong from northern Laos, healing includes more than IV drips, syringes and blood glucose monitors. Because many Hmong rely on their spiritual beliefs to get them through illnesses, the hospital’s new Hmong shaman policy, the country’s first, formally recognizes the cultural role of traditional healers like Mr. Lee, inviting them to perform nine approved ceremonies in the hospital, including “soul calling” and chanting in a soft voice.”

“Mercy hospital shaman program was designed to strengthen the trust between doctors and the Hmong community — a form of healing in the broadest sense. It tries to redress years of misunderstanding between the medical establishment and the Hmong, whose lives in the mountains of Laos were irreparably altered by the Vietnam War.”

“One of the goals of the new policy, Ms. Mochel said, is to speed up medical intervention by having a healing ceremony coincide with a hospital stay, rather than waiting days for a patient to confer with family and clan leaders after a ceremony at home.”

“Many Hmong, particularly those in the older generation and recent arrivals, have little confidence in Western doctors and avoid going to them. As a result, Hmong with preventable complications from a host of illnesses have been showing up at the emergency rooms of the local hospitals.”

“To turn the tide, Mochel and Hmong community leaders, including shaman and health-care professionals, reasoned that teaching the culture's healers about Western medicine could reduce fear within the community and help the shaman and doctors better understand how they can work together to heal people. Although hard to quantify, their efforts have paid off. To date, 89 shamans have graduated from a shaman-training program that requires 40 hours of Western medicine classes. After graduation, shamans are given hospital badges that allow them unrestricted access to the local hospital to visit patients. It's now more likely, program leaders say, that doctors and shamans in Merced view each other with respect rather than bewilderment.”

“And although nobody would welcome the news from a doctor that they need an organ or part of the body removed, for Hmong, it also has religious significance. It means that in their next life they'll be born without that organ or body part. Hmong are also wary of surgery because one's soul could wander away while they're under anesthesia.”

“But both sides agree that the training has led to more contact between shaman and doctor in-patient care.”

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