Keeping it Real...A Conversation with Pediatric ER Doctor C.J. Lyons
Welcome to Brenda Novak's Expert Friday! Today, the divas are thrilled to welcome author and pediatric ER doctor CJ Lyons!
About CJ...
As a pediatric ER doc, CJ Lyons has lived the life she writes about. CJ loves sharing the secret life of an urban trauma center with readers. She also loves breaking the rules: Her debut medical suspense novel LIFELINES is a cross-genre to the extreme combining women's fiction with medical with thriller pacing with romantic elements and is told from the point of view of the women of Angels of Mercy Medical Center. Publishers Weekly proclaimed LIFELINES (Berkley, March 2008) "a spot-on debut...a breathtakingly fast paced medical thriller" and Romantic Times made it a top pick. Contact her at http://www.CJLyons.net.
Brenda asked me to discuss medicine in real life versus medicine in fiction and entertainment, asking me, as a pediatric ER doctor who also writes: what drives me crazy about stories with medicine in them?
Well, to start with, don't use TV as your model if you're looking for reality! Otherwise all those sexy, world-famous surgeons on Grey's Anatomy would be in their mid to late fifties, if not older, by the time they finish their training. And they're seducing 25 year old interns--yech!
But, I can overlook inaccuracies if the rest of the story holds together--even such outrageous ones as in the TV show House. Why? Because just as in all professions, there are different ways of doing thing and no one is always right.
My biggest turnoffs when it comes to medicine in fiction are stereotyped characters. For seventeen years I practiced medicine in major urban trauma centers, small rural clinics, and everything in between.
I've flown in helicopters to tiny hospitals where you had to ring a doorbell to be let in after 10 p.m. I've made house calls, treated millionaires as well as the homeless--don't ask me which make better patients, LOL. I've met thousands of medical professionals and, believe it or not, we're just like everyone else.
For instance, someone once asked me to check a section of manuscript for medical inaccuracies. in it she had her pediatrician hero, a man in solo practice in the snow belt of Pennsylvania, driving a Porsche convertible. I told her that made me laugh out loud and she was quite offended as she thought the car characterized him and that readers wouldn't expect anything less than a doctor driving a Porsche or other expensive car.
Guess what? Fiction is meant to be a lie--you can use anything you want. But, if you want to capture the true character of a pediatrician in solo practice living in the snow belt, you'd better think about giving him an all wheel drive car that can get him to the hospital for emergencies at three in the morning during a blizzard. And it'd better be inexpensive to buy and maintain, because pediatricians are among the lowest paid physicians around.
Stereotypes--all physicians are rich, driving Porsches. Be aware of them. twist and turn them to get to the heart of your character. That's how you'll breathe life into them.
TV and movies do have some great techniques to add life to any medical drama.
In HOUSE, the doctors make the wrong diagnosis, often harming their patient in the process, three
times before they finally get it right.
It's set up that way on purpose--using a screenwriter's tool called Impressive Failure. And it works because each failure ups the stakes, reveals something new (either about the patient or the medical characters), and adds the sense of time running out. This sense of impending doom builds and builds until...you got it....Doctor House himself finally steps in and saves the day.
In real life, if we doctors screwed up three times for every one we got things right, none of us would still be practicing medicine.
The early years of ER got a lot of the technical details right (close enough) but more importantly it really captured the emotional roller coaster of working in an ER. Check out the pilot episode sometime--ignore the medicine and concentrate on the character arc, from emotional high when things work to emotional low when a patient is lost and immediately back up again.
It also revealed the different personality types at work in any medical setting:
Like George Clooney's pediatrician character may have a screwed up personal life and many times is a not so nice person outside the hospital, but he'll put his career and even his life on the line to protect the kids he treats.
Or the surgeon who truly believes a chance to cut is a chance to cure and has walled off his emotions so that he can be absolutely focused every time he opens up a patient. Of course, that same intense focus doesn't always make for great dinner conversation when you take him out of the OR.
The internist who is rattling off lists of symptoms and differential diagnoses and tests--searching for the zebra among the horses that makes medicine interesting to him.
And finally the ER doctors--we're a hybrid breed--and pediatric ER docs more than most. Adrenalin junkies, unable to sit still, managing a dozen patients simultaneously and thriving on it, smiling when the code alert goes off--that's us.
We live for the challenge of bringing order to chaos, not just one patient at a time like a surgeon has, but in mass quantities.
Yeah, we're sick puppies. And you know what? It's just as addictive as writing!
And one thing TV and the movies have that doesn't happen in real life (at least not to me!) is the sex going on in every nook and cranny of the hospital.
Doesn't mean it wouldn't have been fun if it had happened--as long as you don't mind being paged twenty times or the smell of sweaty scrubs and if you can find a private corner--nothing in a hospital is private.
Hmmm...maybe if I had worked alongside with someone like George Clooney or Patrick Dempsey...I might just have to fantasize--er--think about that and try to come up with a realistic way to make it happen in my next book!
Thanks for reading!
CJ




















I am very pleased to welcome Celeste Bradley to our blog today. Celeste is the author of over a dozen best-selling Regency-set historical romances, including the wonderful Liar's Club series. She has a brand new back-to-back trilogy, the Heiress Brides series, available now. The first two books in the series, DESPERATELY SEEKING A DUKE and THE DUKE NEXT DOOR, came out in March and April, and the third book, DUKE MOST WANTED, hits the bookstores today! I've read the first two and can't wait to get my hands on the third book. You can read excerpts for each book on her
Celeste: In DESPERATELY SEEKING A DUKE, Phoebe is a repressed vicar's daughter who made a youthful romantic mistake. Ever since she's been terrified to step over the line. At a ball she meets a charming fellow and accepts a proposal from him the next morning. Unfortunately, it turns out that her fiancé is not the handsome, laughing rake from the ball, but his stern, more socially advantageous brother. Phoebe has to chose between being the good girl her family wants her to be or being the woman who follows her heart.



















