Category Archives: Craft & Skills

The Art of Writing Medicine – Pitfalls

So you want to write a scene with a medical element to it. The bad guys have knocked the love interest unconscious, or someone needs to die of an awful disease, or you need to establish that your physician character knows (or doesn’t know) what she’s talking about. But you want to make sure you do it right – not too much detail but enough so that you don’t look foolish. How do you walk that line?

It’s probably easier than you think it is. First of all, big breath – unless you’re actually writing an article in The New England Journal of Medicine you’re probably not going to have to be exact. Readers don’t want verbatim quotes from a medical textbook, but rather details that enhance or propel the story, or help to define who the characters are. That said; you do get points for accuracy, or at least some form of plausibility.

In no particular order, here are some suggestions to avoid common pitfalls when it comes to writing medicine in science-fiction and fantasy

  1. Nothing is absolute, within reason.  There’s no hard and fast rule to state that your medicine has to be accurate, and for many, engaged in world building of alien species or seeing the needs of the plot, being shackled to the rules can limit the creative work. That said, there are always certain things that people will pick up, especially if they have some medical knowledge of their own. The bottom line is that you don’t have to show yourself off to be an expert, but you should  be able to use common sense as to when you can fudge it and when you need to do research, or better yet, ask for help.
  2. Avoid the common errors. That is, there are certain mistakes that are so common that you should just be able to avoid them as a matter of course. Just because people on TV or in movies can get up and keep going after being given CPR, that doesn’t mean you should write it that way. In real life, getting a pulse back after CPR is a rare thing, and if you do, it’s still more likely to lead to a screaming ambulance ride, a breathing tube and an advanced cooling protocol, and a stay in intensive care. Likewise, being hit on the head such that a character loses consciousness is a serious neurological emergency; at best it’s a concussion when they wake up, and at worst there could be serious bleeding inside the head.
  3. The more crucial the point, the more specific you’ll have to be.  This stands to reason; if the medical plot point is minor then it won’t require as much detail in the story as something major. As an establishing fact of your alien’s biology, to say that there are three biological sexes can be a great way to establish difference. If your story depends on that fact for a plot point, you’re going to have to put some thought into how to describe that. It seems simple enough, but it means that if you’re going to trip up anywhere, this will likely be it. Do the research, think about what will or won’t work, and then go for it.
  4. Alien/fantasy medicine can work best as a variation of what we know. If part of your story hinges on a fact of alien biology, one way to make it plausible is to use the human known version as a template and diverge from that. In “Star Trek”, Vulcans have green blood that is based on copper instead of iron. The writers didn’t just make that up, however; in our own bodies, iron is a key component of hemoglobin, which carries oxygen in our red blood cells by binding its ionic form to oxygen. Copper ions are also used in our body – not for the same purpose, but it’s not a complete leap to suggest that evolution couldn’t use it for an analogy to hemogloblin. Likewise for organ structure or diseases or other biological facts; one way to get started is to vary from a known theme.
  5. Alternatively, vastly different biology/medicine is better left to the imagination. If you are planning to detail the biology of a species or a race that is vastly different from ours, and you want to make it something completely unrelated to what we know – well, there’s no reason you can’t, but this might be a situation where it’s best to go for less detail instead of more. Getting bogged down into what makes everything so different and alien may end up overwhelming the reader. Better to stick with a few tantalizing details and leave the rest to the imagination without worrying too much about explaining.
  6. The medicine serves the story, not vice versa. Finally, keep in mind that none of these suggestions trump the basic need for good storytelling, believable characters, and compelling plot. It won’t do you any good to explain your thesis about your alien species sixty-four chromosomes or your brilliant doctor’s ability to transplant anything into anybody if it swamps the fundamentals of good writing. Using medicine or medical characters in a story needs to move the story forward, not get it mired in exposition and detail.

Next – writing a good doctor.

Thoughts From The Slush Pile ““ Success

I’ve recently become a slush pile reader for Flash Fiction Online. In my opinion, good Flash Fiction (a complete story of 500 to 1,000 words) is harder to write than a complete novel. In one of the slush rounds – reiewing stories their writers hope to have FFO publish – I moved two of the stories to the next phase of consideration. Why?

One was science fiction, and one was fantasy/slipstream. Even though the two stories were nothing alike, they had some common traits that helped them move to the next round. So what did they do right?

(1) The prose was clean – no typos, no major grammar problems.

(2) The main characters were well-defined and interesting.

(3) Each character had an interesting problem to solve. One wanted to go home, and the other had a major decision to make. The second story violated my withholding “rule”. It didn’t tell me something the main character would know – what the decision was. I didn’t mind the withholding this time because the point of the story wasn’t the decision, but how the character makes it.

(4) The writers had strong “voices”. A writer’s voice is different than technical proficiencies. It’s a little hard to define. Voice is the personality of the writer coming through his or her words. It makes the story unique. Five people can write a story about a werewolf’s first transformation. While the plotline will be the same for each, the stories will be told very differently because of “voice”. For these submissions to FFO, the fantasy’s voice was a bit irreverent and humorous. The science fiction voice was curious and intelligent.

(5) They were complete stories with beginning, middles and ends. Rust Hills said “a short story tells of something happening to someone” in his Writing in General and the Short Story in Particular. Submissions that aren’t complete are character sketches or scenes. While they may be fabulous, they aren’t what FFO is looking for.

(6) Setting. It’s difficult to convey a full setting in 1000 words or less, but both of these stories gave me enough of one that I could see where the characters were. One in deep space, and one in a somewhat run down kitchen.

Note the order I put the above-list in?

I did for a reason.

Your story might have all the other elements, but if it is riddled with grammatical errors, I won’t read on and find that out. If the story is readable, I look for a character to care about. And so on. My list isn’t absolute. I might pass on a story with grammatical errors if the voice or characters are stunningly fabulous. Don’t put the bar to publication any higher by making technical errors.

What am I looking for as a slush pile reader?

The same thing I’m looking for when I buy a novel. A great story told well.

Keep writing, and keep submitting. I hope to see you all over at Flash Fiction Online.

Revision Show and Tell: What Tricks Do You Live By?

I confess. I don’t like first drafts. Working out the story, initially, is always the hardest part, for me. When it works out, it’s great, but most the time, it’s a slog that requires hard work and persistence that’s sometimes really hard to stomach.

To me, the best part is the rewriting–taking what was meandering and barely readable and turning it into something entertaining that other people might actually want to read.

Of course, when that’s done, the story is down, all the plot and character issues are worked out, and the book is revised, and re-revised, it’s time for some polish. As Kylie mentioned in her post on Editing, just re-reading the manuscript isn’t enough. To really polish our works of art, we often need help. Everyone’s got their little tricks for everything from pacing problems and varying sentence structure to catching typos. Clancy told us about using “The Writing Code,” and that got me to thinking. What other tricks are helpful for catching those little things that keep our stories from really shining?

I’ve collected some over the years. Here are a few of my favorites.

  • Reading the story aloud
  • Probably the best way to catch problems with rhythm and flow. If you stumble over anything, it probably needs to be revised.
  • Using Word’s Find/Replace feature
    • This is helpful to locate those words I use too often, fixing spacing problems, finding to-be verbs so I can change them to active voice, or any other problem I know normally crops into my stories without my noticing.
  • Reading the manuscript in different mediums
    • It’s amazing the things you find when you turn a Word document into a PDF or print it out.
  • Reading the manuscript backwards
    • This is a handy trick to find typos because you can’t get lost in the story.
  • Creating a scene cheat sheet
    • You can use a simple note card, an Excel list, the keyword feature in Scrivener, or whatever works for you. This is basically just a list of what plots are being serviced in each scene, so you can tell which scenes are pulling their weight are which aren’t.

    So, it’s Show and Tell time. What tricks work best for you?

    Superstars Week, Day 5: Q&A with the Superstars, Part 2

    Welcome to Day 2 of Q&A with David Farland and Kevin J. Anderson. You can access the authors’ websites at http://www.wordfire.com/ and http://www.davidfarland.net/ respectively. Kevin J. Anderson has a post on his  blogsite devoted to the seminar and those presenting in 2012, http://kjablog.com/On to the interviews:

     *              *              *

    Q: What do you have to go through to prepare for the seminar?

    David Farland: I simply meditate on the topic that I’m going to teach, normally. Much of this is information that I’ve gleaned over the past thirty years, and so I might need to write down notes, codify what I know. Normally, we’re talking about topics that you can’t get much information about in books.

    Kevin J. Anderson: The talks and panels themselves are not so difficult, because we have all lived this material and we know it very well. For me and Rebecca, it’s all the complicated logistics of setting everything up with the venue, and then doing the publicity, waiting for signups, hoping that we get enough attendees to pay our expenses, and then managing all the little details.

    Q: What is your favorite panel and why?

    Kevin: I enjoy giving the “Popcorn Theory” talk, because it’s fun to show people how all these projects don’t happen in a vacuum-if you do good work, one thing leads to another and another.

    Dave: I think that I’m most interested in the panels on self-marketing, particularly ones that involve social media, quite simply because we have people like Brandon and Kevin who are the best writers I know on the topic. I actually learn things in these panels that I can take home and implement myself!

    Q: What part of the Authors Dinner do you like best?

    Kevin: Hmm, the potatoes, maybe. Or the dessert. But probably having a chance to sit down and talk with some of the students, face to face in a relaxed setting for a few hours. We end up asking them as many questions as they know us. Many of the attendees of past Superstars will realize that we really do consider you to be friends and colleagues, and we hope to watch your careers skyrocket.

    Dave: For me, it’s just getting to know the authors, try to find out where they are in their careers, what they need, and in a short time see if I can offer some advice that might be of help.

    Q: The publishing industry is changing fast. Now going on your third year, has the content of the Superstars seminar had to change to reflect the ever-evolving industry? If so, in what ways?

    Dave: Yes, we are going through some dramatic changes, with the rise of the whole self-publishing movement. It really has become a viable way for an author to get into business, but it has its own pratfalls and its own huge potential. To me, it suggests that we need to expand our curriculum a bit, to cover the new media. It’s a very exciting time that we live in!

    Kevin: A lot of the lectures are still relevant–the professionalism, productivity, networking, etc. We are going to have a lot more focus on eBooks, indy publishing, hardcopy as well as electronic — maybe even half a day to the topic. Dean Wesley Smith is giving a full hour on copyright law and Kris is doing a talk (which I can’t wait to hear myself) on tough negotiating, getting better deals and how to change contract terms that aren’t in your favor. I think we might also do a lecture on income streams (instant money, long-term trickles, etc.) We have always had more material than we could possibly cover. We do want to change it up so it’s not just a rerun every year. We’re still developing the curriculum, but it should have all the good stuff from before and some new and relevant stuff too.

    *              *              *

    Kevin and Dave are enthusiastic about sharing knowledge, always glad to help serious writers improve their abilities and prepare for the difficult process of getting published. All of us fictorians want to thank them for their encouragement, eager participation in our blog, and for bringing us together through the Superstars Seminar.

    I’m confident I’ll enjoy another information-packed seminar in April, and I’m looking forward to making more writing friends. If you’ll be going for the first time in 2012, or if you have questions for us attendees, please drop us a note in the comment box below.

    Starting Monday, we’ll be back to our regular MWF blog schedule with a guest post by Mignon Fogarty: the Grammar Girl (one of our more famous Superstars alumni).