User:Cladelli/Medical fiction

Medical fiction is a subgenre which centers upon a medical environment or medical professionals. It is highly prevalent in television, especially as medical dramas, as well as in novels.

Alternatively, the term may refer to Narrative Medicine—stories written by medical professionals to help foster empathy and humanize the practice of medicine.

History
Given the importance of healing and bodily transformations in general literature itself, the history of medical fiction arguably extends to the Greek civilization in the form of Asclepius, the ancient Greek god of medicine. In myth, and in the general understanding of the Greek people, the god was said to heal individuals through his temple priests.

One of the most well-known examples of medical fiction in dramaturgy is The Imaginary Invalid, written by Molière. The satire-comedy focuses on the medical profession and has a hypochondriac for its main character. The play lampoons the society of late 17th-century Paris, specifically the bourgeoisie, and is generally considered a piece of incisive social commentary.

One of, if not the earliest examples of science fiction can be found in Mary Shelley's Frankenstein. The novel itself concerns the abominable creation of Dr. Victor Frankenstein as the character attempts to circumvent death through the creation of life. As a medical fiction text, it explores several ethical themes, such as the role of a doctor as the preserver of life, the ethics of attempting to create life in unnatural ways, and the logical extremes of playing God.

An 1889 entry from the British medical Journal seems to mark a societal shift in England by where doctors began to gain a higher status in society, and reflects on the historical practice of satirizing medical practitioners through the work of authors like Laurence Sterne, Henry Fielding, and Tobias Smollett. Four years later, the same journal would participate in the tradition of questioning medical accuracy in fiction, beginning by citing a request from Mark Twain to lecture on chemistry before the Royal Society, followed by a cursory dissection of various medical inaccuracies in, at the time, contemporary works of fiction.

The 1900s by and large saw the rise of the "doctor novel" as a literary subgenre, which itself is a subset of, or otherwise synonymous with, medical fiction.

A 2009 book, Doctors in Fiction: Lessons from Literature, discusses medical practitioners ranging from the late 12th century to the early 21st, including small analyzes of their particular time periods.

Criticism
Concerns have been raised by medical professionals regarding inaccuracies present in medical dramas, citing unrealistic expectations that they may impose on viewers in relation to rapid response times and unconventional treatment at emergency rooms. These issues have been compounded by depictions of unprofessional behavior in shows like House (TV series), which, coupled with depictions of incorrect medical procedures, are said to have the possibility of imprinting negatively on medical students; nevertheless, critics and instructors argue these episodes might be used in academic settings to foster discussions on ethics, malpractice, and proper doctor-patient relationships.

Regarding medical novels, similar criticisms of artistic liberties and inaccuracies have been levied, but nevertheless grant that the literature might increase interest in the medical field and its history. In addition, attention has been directed towards the use of fiction as an useful tool for bioethicists to understand atypical and criminal behavior, such as the numerous murders by serial killer Harold Shipman.

Subgenres

 * Medical romance
 * Medical crime or conspiracy
 * Medical horror
 * Medical thriller
 * Medical comedy
 * Medical science fiction
 * Medical poetry

Medical Romance
ABC's Grey's Anatomy is a medical drama that employs the use of medical romance heavily throughout its narrative. The series follows the life and medical practice of the titular Meredith Grey as she balances her own personal life with the demanding stress of hospital bureaucracy and practice. Beginning in 2015 and currently still in production in 2021, the series became the longest running medical drama in 2019.

Medical Thriller
Netflix's Ratched (TV series) follows Nurse Ratched, the same character from One Flew Over the Cuckoo's Nest (film). The series explores her dark past and less-than-scrupulous behavior as a nurse, often employing murder and deceit to manipulate those around her in order to achieve her aims. The series appears to also humanize a typically unfavorably-viewed fictional character through the use of Ratched as a protagonist. As a medical piece, it explores themes of medical malpractice for personal gain and the perversion of conventional roles of healing.

Medical Comedy
One of the most prominent examples of medical comedy is the American sitcom, Scrubs. The sitcom follows three medical interns on their journey through internship, residency, and ultimately become fully-fledged doctors. Often praised for its authenticity, the series occasionally tackled serious issues like infected organ donations, acceptance of death, and moral dilemmas. The series was nominated for over 17 Emmys, of which it won two.

Medical Science Fiction
Kazuo Ishiguro's Never Let Me Go (novel) has been hailed as a dark, dystopian vision of a world where clones are used as organ harvesting farms. The book raises important medical themes about the personhood and agency of clones, layered with coming-of-age experiences that illustrate said personhood. The piece has also been used to analyze issues of quality of life and how vocational work can help contextualize and process grief.

An example of medical science fiction can be found in the science-fiction television episode "Ethics" in Star Trek: The Next Generation, in which one of the characters has his spinal cord replaced on a space station with a new one. In another case, the television episode "Babel" in Star Trek: Deep Space Nine mentions aphasia—a real life disorder—brought on by a virus. Aphasia concerns the "inability to understand or use written or spoken words," and is caused by a brain injury such as from a stroke, tumor, or infection.

Medical Poetry
Anthony Hecht's poem, The Transparent Man, focuses on the patient experience of undergoing chemotherapy and the rationalization of death that may accompany the contraction of cancer.

Admission, Children's Unit is a poem written by Theodore Deppe that chronicles the treating of a child with cigarette burns on his body, inflicted by his mother's boyfriend. The poem deals with themes of religion and domestic abuse, and the nurse's reconciliation of the experience with his own recollection of St. Lawrence which he heard in high school.