In hospitals, safety begins with communicatio

Monday, February 13, 2012

Lia Lee, the child of Hmong-speaking parents, died as much from miscommunication as from illness. When Lia was a few months old, she started experiencing seizures. Twice, she was misdiagnosed with pneumonia because her parents couldn't describe her symptoms to her doctors. When she was finally diagnosed, she was prescribed a complex regime of medications that her parents couldn't understand how to administer. With doctors and parents unable to communicate, Lia experienced a grand mal seizure.

Unfortunately, the Lees' experience is not uncommon. According to the 2000 Census, over 21 million Americans speak English less than "very well," and 22.5 percent of Asian and Pacific Islander speakers either don't speak English well or can't speak it at all.

Some people have family members to help them, but that can lead to other problems. If a husband acts as an interpreter for his wife, the doctor will have difficulty asking her about spousal abuse. Even when family members mean well, they are not medical experts and may mistranslate or fail to report every symptom that the patient describes.

In a 2003 study, researchers analyzed 13 patient-doctor encounters that involved an ad hoc translator, such as a nurse, social worker or siblings. On average, these translators made 31 mistakes per encounter. Seventy-seven percent of these errors could have had clinical consequences.

Hospitals can help avoid mistakes by using medical interpreters, or trained professionals who facilitate communication between patients and doctors. Hospitals are required to offer interpreters, but it's an unfunded mandate: only 13 states offer Medicaid reimbursement for interpreters.

"In addition to improving quality of care and patient safety, language services reimbursement would alleviate the financial burden faced by hospitals with a large population of Limited English Proficient patients." said Mursal Khaliif, senior director of multilingual services at Cambridge Health Alliance, a Harvard University Medical School Teaching Hospital in Cambridge, Mass.

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Preserving Hmong Rituals

reserving Hmong Rituals

Bride and groom in traditional Hmong ceremony

Bride and groom Crystal Vang and Tom Yang, married in a traditional Hmong
ceremony May, 2011 in Vadnais Heights. Photo: Yeng Lor Photography.
For thousands of years, Hmong marriage and funeral traditions and songs have been passed down from generation to generation.

Txong Pao Lee, who came to St. Paul 26 years ago from a refugee camp in Thailand, wants to make sure those traditions never get lost.

“Hmong kids born in this country can’t always understand Hmong,” said Lee, the executive director of the Hmong Cultural Center in St. Paul. “We want to make these traditions accessible for everyone.”

$6,500 from the Minnesota Historical and Cultural Heritage Grant Program is making it possible for the Hmong Cultural Center to produce new editions of two books about Hmong marriage and funeral traditions and to translate those books into English. The books will be available in print and for free on the Cultural Center’s website.

“By making these important cultural traditions available to everyone, we are preserving them for many years to come.”
~ Txong Pao Lee, executive director of the Hmong Cultural Center

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Ceremony to honor Hmong hero set for Friday Read more: http://lacrossetribune.com/news/ceremony-to-honor-hmong-hero-set-for-friday/article_3747cd8e-3693-11e1-a155-001871e3ce6c.html#ixzz1mJpkRs1X

The Wisconsin Lao Veterans of America Chapter 8 will hold a white flower and candle lighting event Friday at the Hmong Culture Community Center, 1815 Ward Ave., in honor of General Vang Pao, who died in January 2011.

Pao, a U.S. ally who commanded CIA-funded guerrillas in the jungles of Laos during the Vietnam War, is revered as a leader and father figure by the Hmong and Lao people he helped to resettle across the globe after Saigon fell. He died at age 81 near Fresno, Calif., after battling pneumonia.

The candle lighting event marks the first anniversary of the general’s death and the new year

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US Hmong salute French colonel after suicide

Thursday, December 15, 2011

Hmong exiles in the United States on Tuesday saluted a retired French colonel as a hero after he killed himself in a protest over treatment of the Southeast Asian ethnic group.

Robert Jambon, 86, shot himself on the steps of the Monument Indochine in the Breton town of Dinan, leaving behind a letter in which he explained how he fought along the Hmong during France's colonial rule of Indochina.

A suicide letter, published by the newspaper Ouest France, expressed shame at the "cowardly indifference of our officials in the face of the terrible misfortune that is hitting our friends in Laos."

"This is not a suicide but an act of war aimed at rescuing our brothers-in-arms facing death," wrote Jambon, a commander in the French Legion of Honor.

Wangyee Vang, national president of the Lao Veterans of America Institute, called Jambon "a hero."

"The Lao and Hmong veterans salute the supreme sacrifice of Colonel Robert Jambon," Wangyee Vang said in a statement.

Jambon offered his life "to help bring international attention to the ongoing military attacks and human rights violations in Laos and Vietnam directed against the freedom-loving people, including the Hmong," he said.

Bounthanh Rathigna, president of another group, United League for Democracy in Laos, said that Laotians and Hmong "will never forget Colonel Robert Jambon."

The Hmong live mainly in mountainous areas in China, Vietnam and Laos. Many Hmong joined French forces during the war in Indochina and later fought alongside US forces in the Vietnam War during the 1960s and 1970s.

The Hmong say that they have faced widespread persecution since the communist takeover of Laos in 1975. Some 250,000 Hmong have taken refuge in the United States, with smaller numbers in France and Australia.

The latest annual US State Department human rights report said that Laotian authorities remain suspicious of the Hmong but that violence has abated.

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Robert Jambon: A Bold Life & Death For Laos and Hmong

Wednesday, 14 December 2011, 1:20 pm
Press Release: Centre for Public Policy Analysis

December 13, 2011, Washington, D.C., Paris, France, Bangkok, Thailand and Vientiane, Laos

The Center for Public Policy Analysis, and a coalition of Lao and Hmong non-governmental organizations (NGOs), have issued a statement today honoring the life and legacy of retired French Colonel Robert Jambon and his valiant fight for human rights and freedom for the Laotian, Hmong and Vietnamese people. The NGOs also expressed their condolences to the Jambon family. According to his final statements as reported recently by an investigation concluded by French police, Colonel Jambon sacrificed himself in Dinan, France, as a veteran of the Indochina war, where he took his own life in seeking to bring international attention to the ongoing persecution and killing of the Lao Hmong people in Laos, Vietnam and Thailand.

“The Lao and Hmong veterans salute the supreme sacrifice of Colonel Robert Jambon in seeking to offer up his life to help bring international attention to the ongoing military attacks, and human rights violations in Laos and Vietnam, directed against freedom-loving people, including the Hmong,” said Colonel Wangyee Vang, National President of the Lao Veterans of America Institute (LVAI), the largest Laotian and Hmong non-profit veterans organization in the United States ,with chapters and members in France and internationally.

“Colonel Jambon wanted to help to save our Lao and Hmong people and the refugees, and ordinary people, who are being persecuted now in Laos by the military and communist regime,” Colonel Wangyee Vang stated.

“Colonel Jambon is a hero to our Laotian and Hmong people; He recently killed himself in France as an dramatic and important international statement of protest to try to help our people and to try to save those in the jungles and refugee camps in Laos and Thailand who have fled terrible religious and political persecution, genocide and bloody military attacks,” Wangyee Vang said.

“The Laotian and Hmong people will never forget Colonel Robert Jambon for his sacrifices in defense of the Royal Kingdom of Laos during the Indochina war and his efforts to bring awareness about the plight of Laotians and Hmong people who are the victims of human rights violations,” said Bounthanh Rathigna, President of the United League for Democracy in Laos, Inc. (ULDL).

“Colonel Robert Jambon’s life, and recent suicide in France, is an important and symbolic act of selfless love, and of calculated moral war, against systemic injustice and oppression that continues to be directed against thousands of innocent people in Laos, including the Hmong minority,” said Philip Smith, Executive Director of the Center for Public Policy Analysis (CPPA) in Washington, D.C.

“Robert Jambon’s final tragic act of love, and war, for the forgotten nation of Laos, and the persecuted Lao Hmong minority people there, has been heard in Washington, D.C. and has resonated with many in the Laotian community around the world,” Smith observed.

The CPPA continues to document human rights violations in Laos and Southeast Asia regard the Hmong and other peoples. Thousands of Hmong from Vietnam were arrested, or killed, earlier this year by the Vietnam Peoples' Army (VPA) in Dien Bien province after staging peaceful gatherings and protests. Hmong Christians in Laos have suffered increased persecution, atrocities and attacks by the Lao military and VPA forces. http://www.centerforpublicpolicyanalysis.org

“Despite the indifference of the international community, the war in Laos is, unfortunately, not over for the Lao Hmong people,” Smith continued. “The Lao People’s Army, and the secret police of the Stalinist regime in Laos, backed by military leaders in Hanoi, continue to kill and persecute the Laotian and Hmong people in the most brutal and egregious manner resulting in many refugees fleeing to neighboring Thailand and the ongoing deaths and casualties of thousands of innocent civilians as well as political and religious dissidents.”

“Colonel Jambon’s bold death, like the self-immolation of Tibetan and Vietnamese monks, is a fiery monument to heroism and self-sacrifice on behalf of the Hmong people of Laos and Vietnam whom he loved and knew, and served with in combat on behalf of France during the first Indochina war,” Smith commented.

“The violent forced repatriation of tens of thousands of Lao Hmong refugees from Ban Huay Nam Khao in Thailand, back to the communist regime in Laos, where they fled mass starvation and genocide in recent years, remains as a stain upon the international community as well as the hearts and minds of those concerned about human rights in Southeast Asia,” Smith stated.

“Colonel Robert Jambon rightly understood the horrific crimes, and incomprehensible abuses, that are still being violently inflicted upon thousands of innocent Hmong and Laotian civilians and religious and political dissident groups in Laos,” Smith continued.

“Colonel Jambon’s passionate and Gauguin-like suicide at the Indochina monument in Dinan, France, is a powerful symbol of devotion and understanding regarding the suffering plight of the Lao and Hmong people,” Smith concluded. “Robert Jambon’s courage in speaking truth to power to a world that has largely forgotten thousands of Lao Hmong people who have been abandoned by France and the United States in the mountains and jungles of Laos, and the refugee camps in Thailand, speaks volumes; The themes of love, war, betrayal, and the need to address the ongoing social injustice in Laos and Vietnam, resonate in the final gunshot that ended Robert Jambon’s amazing and important life”

Joining the CPPA, LVAI and ULDL in issuing a statement on behalf of Colonel Robert Jambon’s life and legacy include the United Lao for Human Rights and Democracy (ULHRD), Laos Institute for Democracy, Hmong Advance, Inc., Hmong Advancement, Inc., Lao Students for Democracy, Hmong Students Association and others.

Amnesty International, Doctors Without Borders (MSF - Medecins Sans Frontieres), the CPPA and independent NGO and journalists have reported about the forced repatriation, persectution and human rights violations directed against the Lao Hmong people in Thailand and Laos.

http://www.msf.org/msf/articles/2007/07/hmong-refugees-in-thailand-are-a-population-in-danger.cfm

http://www.msf.org/msf/articles/2008/06/thailand-forcibly-returns-hundreds-of-hmong-refugees-to-laos.cfm
a26/003/2007/en

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