“Just stop blaming her for getting that tropical fever and dying”

During the last entry on this very weblog we decided to learn more about the Harlequin Medical™ subgenre, and having found the Mills & Boon website's description predictably unhelpful, we chose as a random example the 2010 effort Neurosurgeon... and Mum!. Throughout her typically prolific career, author Kate Hardy has switched between Medical™ and Modern Heat, allowing herself to indulge in sizzling romances with and without doctors in them. However, the reader can tell no such raunchy antics will take place within the pages of Neurosurgeon.... and Mum! because her hero and heroine are damaged people going through the various stages of grief, there is a child involved and the story takes place in Norfolk, England, where the only sexy things to happen are most likely illegal everywhere else. Sorry, Norfolk.

Amy Rivers has had a tough few years, although the details have yet to be fully revealed because the writer will need something to flesh out those nagging central one hundred pages. Firstly, her distant, academic parents moved to the United States, and secondly she fell in love with a single dad and became surrogate mother to his kid, only for he to reconcile with his ex-wife and take Amy's new family with him. Furthermore, while doing some neurosurgery she made a catalogue of errors on her best friend's husband of a patient, destroying at least two relationships in the process. As a result, and at the behest of her clearly Irish supervisor, Fergus Keating, she has decided to take a sabbatical away from London and go where, only to her beloved Aunt and Uncle's house in Norfolk, where she spent many a happy childhood experience. Naturally for Amy things go awry, as Cassie and Joe are off to Australia to see their real daughter, who is pregnant and therefore more successful than Amy. Despite this minor setback Amy heads north regardless, to stay at the house with a visiting village doctor, who has also taken time away from the big city to deal with tragedy.

For the charming, decent Tom Ashby the last few years have been tough. Now his distant, academic wife has perished from the obvious dangers of being a doctor without any life-saving borders, Tom has taken his infant daughter Perdita (Perdy to her father. Hi, Perdy!) to a small village in Norfolk, for mawkish befuddlement and bonding. While Perdy remains withdrawn and in a constant state of mild terror, Tom enjoys the rural pace of the countryside, and he and Perdy seem to get along with the Rivers' potentially important dog, Buster. While Joe had warned Tom about his new house-guest Doc Tom had not expected to find her so instantly beguiling, even though that is the sort of thing that happens in romance novels. Equally, Amy's attraction is only tempered by the assumption that Perdy is Tom's wife, not his daughter. Once they are introduced, however, she reacts poorly and serves to under-mine the child's already shattered self-confidence. Still, after what happened with her previous relationship she is reluctant to become involved with a single dad, even though this one is at least a widow and therefore without external plot devices.

Neurosurgeon...and Mum! has all the hallmarks of Cherish, the imprint perhaps known better as Tender, Special Moments or Romance. Unlike the straight-forward Modern, or Modern Heat, here Hardy can avoid the foreseeable narrative techniques employed by her colleagues in other subgenres. Tom Ashby is no standard alpha male. He is sensitive, he has a troubled daughter, he wears thick-rimmed glasses, he spends his days tending to the disgusting ailments of the elderly and he may have murdered his previous wife. Meanwhile, Amy Rivers is no catch either. She is under-skilled at her work, has not been eating properly and has a boyish haircut, which only serves to emphasise her fine bone structure. Neither character has any problems marriage could not fix, and their emotional turmoil does not seem to have stemmed from their own failings. It is not Tom's fault his wife died, we can only presume, and Perdy is merely going through a phase all children go through when they are uprooted unexpectedly to Norfolk shortly after their mother passed away. On the other hand, Amy cannot be held accountable for her mistakes during Ben's operation, because neuroscience is complicated and she is only a woman with love to give but no one to give it to. Saying any different would be misogynistic.

While Amy and Tom seem to enjoy brief conversations of vague biographical insights and silent disapproval of leapt-to conclusions their shared, uncomfortable silences and mistreatment of Perdy must come to an end. At first Amy disappears upstairs to busy herself with her great-grandfather's medical casebooks, but eventually she joins Tom and his daughter for a series of dinners and before she can realise she is becoming sentimentally-involved with a temporary surrogate family she has offered to babysit Perdy while Tom conducts his business of being a doctor. After a flippantly undertaken background check father is convinced to allow this apparently psychologically-fragile stranger to take his child to an isolated field to pick strawberries. There the third chapter ends and Hardy has either set her protagonists up for a gratifying romance or a sinister race-against-time thriller, perhaps starring a young Rebecca De Mornay. Canny readers will have already guessed the former, however, based on the novel's title and the fact it has been published by Mills & Boon. Well done to you, canny readers.

For Medical fans surprised at the lack of frenetically-paced action and emotional intensity promised by the Harlequin promotional material, Hardy has at least managed to offer a scene where the kind doctor calmly breaks the news that Max Barton's tiredness, plaster-wearing and ongoing night urination can be explained by type two diabetes, which can be controlled through diet and exercise. Max is relieved that it is nothing more serious and medicine followers will delight in reading a superficial description of the inability to utilise glucose in the modern, middle-aged male. In an earlier chapter Doctor Ashby saw an old lady with an ulcer above her ankle, a sequence to make you cry out for the gripping dilemmas and high-octane excitement of Grey's Anatomy. As a resident of coastal Norfolk, Hardy's choice of East England village may have spoken to her own interests, but so far there is little sign of emergency and a controversial use of a stethoscope. In fact, we have nothing more to look forward to than The Dad Next Door with a series of narratively distracting health scenes.

At this early stage the appeal of Medical™ remains a mystery. When Mills & Boon began this enterprise their stories focused on the entirely out-dated set-up of male doctor and female nurse. Nowadays such a sexist scenario would not be consistently tolerated, even by romance readers, but the chance of a powerful female doctor meeting an enamoured male nurse would seem at odds with the publisher's mantra. Unless Hardy is able to weave in a satisfying medical subplot her novel will be marred by clumsy cutaways of Tom being nice to old people, for the benefit of the reader and the infirm, but not helpful in furthering the central concept concerning Amy, Perdy and a happy ending.

Possibly because of the subgenre's strategic attempt to exist in a politically-correct age both Amy and Tom are doctors, but the heroine's career has stalled to allow a plot to accelerate. As female fantasy goes, Neurosurgeon... and Mom! lacks the fairytale aspect of an arrogant, yet brilliant, doctor hero who is skilled with his hands, but not with his heart. Hardy instead settles for heart-warming simplicity using Tom's profession as a diversion. It is difficult to believe fans merely want their regular romances with some unnecessary pages of technical jargon involving bladder infections. Nevertheless, while Tom worries about his daughter, finds his new house-mate attractive while knowing he cannot enter into a relationship with her and mourns his late wife he still finds the time to fret over Mrs Poole not drinking enough tea. How many billionaire tycoons masquerading as bell-hops at a supposedly haunted Colonial hotel would do that? All of them? Still, this is an entirely different genre from the ones where billionaires masquerade as bell-hops at supposedly haunted Colonial hotels. For those, try The Secret Billionaire's Chambermaid Bride, published under any of the other Harlequin imprints, unless either the billionaire or the chambermaid is also somehow a doctor.