Category Archives: Craft & Skills

The Art of Writing Medicine – Writing Doctors

Irony of ironies, my series on the art of writing medicine has been unavoidably delayed these past couple of months by having to write my own board exams. I’ve passed, which makes me a fully qualified neurologist. It’s a tremendous thing to be able to say that, after four years of medical school and five years of residency; it also gives me some weight on what a credible physician character can be.

I have talked in past entries about how easy prey physicians are for cliché in fiction. To some extent, that isn’t surprising, as doctors and physicians are stock characters that show up regularly in genre work, often as a simple background fountain of exposition, sometimes as a noble, compassionate hero who starts her day reciting the Hippocratic Oath over her morning coffee. Sometimes the reverse happens, and the doctor is secretly an evil character who conducts unethical experiments or is involved in a vast conspiracy (often with a pharmaceutical company) for no other reason than the money. Take a look at any science fiction story or television show; odds are high that there will be an episode or a segment where the doctor struggles with healing the enemy, or where an unscrupulous physician is called out by a morally sound one on a violation of ethics. Money or research prestige is usually at stake, with justifications about it being for the good of science. It’s usually a surgeon, too, which makes my physician’s heart calcify with jealousy.

That isn’t to say that these tropes are always bad, but they can descend quickly into cliché. They’re easy to fall into as well, and it happens when the medicine takes over from the character.

So how to avoid the slide into cliché? The easiest answer is to write true characters who happen to be doctors, and many other posts have talked about how to write good characters in your story. Here are a few other pointers, though, which may help the next time you have a doctor among your cast.

1. Not every doctor is a bloody surgeon or emergency room specialist. Sorry, that may be my own pet peeve. But pity the poor internist, or family doctor, or geriatrician. It’s been a fond hope of mine to see a physician-hero who happens to be a radiologist someday. But in all seriousness, the practice of medicine is wide and varied, and not every doctor goes to the operating room or runs a trauma code.

2. Do some research into the training. For the most part, it takes at least six years of schooling after an undergraduate degree to become a doctor, yet it’s not uncommon to see preternaturally gifted doctors in fiction that went to medical training straight out of high school. That doesn’t happen, and it strains credulity to have your doctor too young.

3. Not every doctor does everything. The moment House lost its magic for me was when Alison Cameron, nominally an infectious diseases specialist, was the lead on a brain biopsy, which requires years of neurosurgical training. Some doctors are able to do many things in many different fields; these are generalists, like family doctors and general internists. Having your trauma surgeon show a sudden expertise in managing a heart attack or a stroke – that doesn’t happen. If you need your doctor to be able to do a specific thing, then plan that as you create your character – or have them acknowledge that they’re out of their depth if the situation calls for it.

4. There is life outside of the hospital. We do more than see patients; we teach and research, we shop for groceries and mow the lawn, we get flat tires and go to the bathroom. Keep in mind that doctors are human beings and that having sworn the Hippocratic Oath doesn’t take away from all of our other needs and secrets. Write your doctors as human beings, and make them more than just their profession.

5. The same tricks apply even if your physician is just a means for exposition. Having some hint of a back-story can help make the difference between a piece of furniture delivering dialogue and a good minor character that helps to flesh out the world that you’ve built.

6. As with any aspect of medicine that you write, read up on the medical science. If the doctor you write doesn’t know what he’s talking about, it’s going to show.

There actually aren’t many other tricks to writing physicians that don’t apply to writing people from other professions or occupations. The bottom line is that medicine is an occupation, not a character description, so you’re going to need more than that to flesh them out. Done poorly, doctors in fiction can stand out as tired clichés, but done well? Many of the greatest works of fiction have had physicians as strong characters. Maybe yours will be next.

Critiques ““ Part 1 ““ Understanding the Process

Recently I gave a presentation to a local writers’ group on the art of giving critique. To fully understand and engage in the critique process we need to first understand why we write, what a critique is, how an author can help the process and how to give a critique. In this blog, we’ll talk about why we write and why receiving a critique can be so difficult.

Why do we write?

When we understand why and what makes us so sensitive to feedback, it actually becomes easier to absorb the information we receive in an impartial way.

I, like many of you, write because I’m miserable when I don’t. As others need to breathe, so I need to write. We all write because we are story tellers – we have something to say, we see worlds and creatures and characters the average person does not, we give commentary about the human condition, our politics, our society, our values, our relationships – we are observers with a unique way of expressing ourselves – BUT most important, for us, writing is fun and it is who we are.

We have an idea – that is personal. We think. We sweat, we write and rewrite hoping that the story we tell is understood by others. The crux is that we, the writers become so intimate with the process and the material that it feels personal – and it is because every fabric of our being has been poured into the story.

So when someone doesn’t like what we’ve done and how we’ve done it, it feels personal even when it isn’t. But, when we focus on the need to express the characters and world we see, it becomes much easier to accept feedback.

This is not dissimilar to mining for gems. We find the diamond. It is rough. It is uncut. We cut. We polish. We wanting to reveal the heart of the stone – the heart we know is there. We work with experts who can help us get the angle just right on every facet. Then we polish until it sparkles.

Writing is no different. We have a gem stone of an idea. We hone our tools. We dig. We scrape. Sometimes we cut and reshape, making every facet as stellar as it can be. And then we must ask if others see what we do.

The critique process should help us polish our gems, to make the story stronger, to make its heart shine brighter. And, if you have a good critique group, they’ll help you do just that.

When we understand that our goal is to express an idea, to create a story which is both entertaining and enlightening, the feedback feels less personal, more constructive because we know that everything we do makes our gem shine brighter.

There are two other things to remember:

1) learning that the gem we polished isn’t as bright as it can be, hurts. And it can hurt a lot. That’s part of being human. Part of being a writer is understanding that and gracefully going forward by thoughtfully considering the comments.

2) the person giving the critique can get it wrong. As the writer you must also figure that out. But generally, most don’t get it wrong if there are problems with grammar, structure, story arc and character development. And let’s face it, if we don’t solve these problems before submitting, no editor will read the story, let alone help you polish your gem.

The next time we meet, we’ll talk about what a critique is and how to give a good critique.

Writing Stillness

On a quest to recharge my writing energies, I sit on a sandy beach of a lake in northern Saskatchewan. After two days of billowing clouds, flash lightening and rain storms, the blistering sun bakes away all cares. But not all cares disappear.

Guilt.

Guilt for not writing every day niggles me – taunting, chastising. The niggling stops when a loud splash in the lake is followed by a wild cheer! A young boy is no longer the monkey in the middle  – he caught his dad’s poorly thrown ball. And I watch the young lad struggle to throw the ball over his dad’s flailing arms so his brother can catch it.

A cooing mom adjusts the umbrella over her toddler so she can comfortably play in the sand. A beer can snaps open. A sunbather sprays tanning oil across her almost naked body. Knee boarders leap in the air behind speeding boats while kayaks bob in their wake.

Guilt suddenly disappears when I realize that I’m honing my writing skills amidst summer’s languid frenzy.

Pacing.

It’s all about pacing not only my stories but myself.

We call our characters to action, ramp up the tension, put them into mortal danger and write them into such tough spots that only the ingenuity of imagination can save them. We twist their lives, beat them and those closest to them by raising the stakes in ways no mortal can survive.

And we do the same for ourselves. Yes, we writers set the stakes high thinking that if we do not remain faithful to those lofty goals, and if we do not meet our self imposed expectations that we as masters of our fate, will fail miserably.

Yet, like our characters, we need to pause to recharge, to reflect, to consider our options, to find help where we can get it – take the detour, the side road which may reveal its own treasures.

So I sit in the shade, nursing tender pink skin, watching children and adults play in the lake, dogs taking people for a walk, and I sip my wine, absorbing the stillness.

And I am thankful, that the writer of my life found the pause button, set the pace a little slower for a moment so that I may reflect and recharge. And maybe, just maybe, I’ll be a little kinder to my characters too.

Have a happy summer!

Writing Guerilla Warfare Style

This last weekend I spent four days in a large house in the middle of the woods with seven other women.  It was understood from the get-go that this was a writing retreat, so excessive visiting would not be tolerated.  While there, we had a morning snack, lunch, an afternoon snack and dinner (we ate really good), and each of us was responsible for preparing one snack and one meal.  We had to clean up after as well, but that was the only time we really had to take out of our writing time.  We would stand around chatting for a few minutes during snacks and we would all eat together and check on our progress during meals.  This was fun and bonding for all of us.  But mostly, we were writing from when we woke up till we went to sleep.

Our commander-in-chief (and retreat organizer) aka the “Write or Die Nazi” said she would keep us on task. And she did.  We used Dr. Wicked’s Write or Die program ($10) and competed against each (I even did this virtually with a friend who didn’t come).  If you’re not familiar with this program, you set a word goal and a time limit – I use 1000 words in 60 minutes most of the time – and then hit the WRITE button.  It opens a new screen and this is where you start typing.  It shows you how many words you’ve typed and how much time you have left to go.  If you pause for too long, the screen starts turning pink and will go to red while simultaneously a heinous sound of your choosing starts blaring at you, but as soon as you start typing again, it will go away.  Trust me when I say this keeps you motivated.  When done, you can then copy/cut and paste your text into your main document.

Not all of us would participate all the time, but several times a day, our Nazi would call out, “Write or Die” and whoever wanted to join in would get ready and when called, we would all start at the same time.  An hour later, we’d check in and see how we each did.  After the brief cheers, we’d go back to writing.  Some would turn the sound off so as not to bother others (the red screen still keeps you hopping) and do it by themselves in between the group competitions.  We were writing almost all day of every day there.

The energy was supercharged and we all kept each other going longer and more productively than we would have if home alone.  This was exceptionally good for me because I’ve had a hard time writing lately.  I sit there thinking, fingers hovering over the keyboard, waiting for ideas to come.  At the retreat, I did this the afternoon of Day 1 and the first half of Day 2 and I had 800 words to show for it.  I was frustrated.  I had the Write or Die program on my computer but hadn’t used it in a really long time.  So, the next challenge that was called, I participated.  I did more words in that hour than I had in the eighteen hours prior combined.  I used the program and the challenges the rest of the  retreat and ended up getting almost 18,000 words done by the time I went home.  Our highest gal did 24,000 total.  We are romance writers who write in our free time when jobs, husbands, kids and everything else in our lives allows.  Some are better at making that time and being productive, others less so, but no one left from this retreat left with less 15,000 new words.

There are many of you out there that can produce like this or better without breaking a sweat, but for me it was huge.  Having the pressure of the red screen/screeching violins looming kept my brain from sabotaging me.  My inner editor couldn’t keep rereading and fixing the same material or searching for the perfect word.  My doubt couldn’t sneak in and plague me with whether I was going the right direction.  I couldn’t stall by doing research ad nauseam. I had to just write.  And I did.  Sure, I have to go back and edit it and add a lot of details that do take some thought, but it’s easier to do that when you have something to work with.  Surprisingly, it was even good material.  It’d been in my mind, I’d been thinking on it for a long time, but I’d been sabotaging my efforts to get it on the page.  Write or Die was like guerilla warfare blitzing my inner adversary.

If you are one of those who can produce consistently, I applaud you and hope to join your ranks sooner than later.  For those who may need some assistance, Write or Die may help.  I know that even since I’ve been home, if I use the program, I get more done.  I turn to it as a tool when I find my fingers hovering instead of typing.

Have you used it?  Do you use other types of warfare?  The more tools I have, the better.  Let’s hear it, troops.