{"id":22210,"date":"2012-11-12T12:56:15","date_gmt":"2012-11-12T11:56:15","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=22210"},"modified":"2012-11-12T12:56:15","modified_gmt":"2012-11-12T11:56:15","slug":"david-payne-doctors-in-mugglemarch","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2012\/11\/12\/david-payne-doctors-in-mugglemarch\/","title":{"rendered":"David Payne: Doctors in Mugglemarch"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.bmj.com\/site\/blog\/icons\/davidpayne.jpg\" alt=\"David Payne\" width=\"160\" height=\"110\" align=\"left\" \/> My last encounter with a <a title=\"J K Rowling\" href=\"http:\/\/en.wikipedia.org\/wiki\/J._K._Rowling\" target=\"_blank\">JK Rowling novel<\/a> was an abortive attempt to get through a Harry Potter boxed set given to me as a present ten years ago (why did nobody have the guts to tell the world\u2019s most successful author to make the <a title=\"Goblet of Fire\" href=\"http:\/\/en.wikipedia.org\/wiki\/Harry_Potter_and_the_Goblet_of_Fire\" target=\"_blank\">Goblet of Fire<\/a> and subsequent volumes shorter?).\u00a0<!--more--><\/p>\n<p>But I was attracted by her first novel for grown-ups, despite its mixed reviews. I particularly liked the post on the <em><a title=\"Guardian\" href=\"http:\/\/www.guardian.co.uk\/\" target=\"_blank\">Guardian<\/a><\/em> newspaper website which describes <a title=\"A Casual Vacancy\" href=\"http:\/\/en.wikipedia.org\/wiki\/The_Casual_Vacancy\" target=\"_blank\"><em>A Casual Vacancy<\/em> <\/a>as \u201cMugglemarch,\u201d a reference to George Eliot\u2019s \u201c<a title=\"Middlemarch\" href=\"http:\/\/en.wikipedia.org\/wiki\/Middlemarch\" target=\"_blank\">study of provincial life<\/a>\u201d and the term used in the Harry Potter series to describe non-wizards.<\/p>\n<p>This was probably a throwaway line, but there are similarities between the two books. They both describe communities facing change. Middlemarch had Tertius Lydgate, a reforming but proud young doctor whose hopes of establishing a medical school to rival London\u2019s and Edinburgh\u2019s come to nothing after a disastrous marriage. He narrowly escapes bankruptcy but dies early, professionally unfulfilled.<\/p>\n<p>In <em>A Casual Vacancy<\/em>, Rowling, who dedicates the book to her husband, an anaesthetist, gives us Parminder Jawanda. Parminder is\u00a0a Sikh GP and parish councillor in the picturesque south west town of Pagford. She\u00a0is embroiled in a bitter fight to keep a local drug rehabilitation centre open and ensure the boundaries aren\u2019t redrawn so a deprived council estate, The Fields comes under the neighbouring city of Yarvil.<\/p>\n<p>In the absence of fellow councillor Barry Farebrother, whose death triggers the casual vacancy alluded to in the novel\u2019s title, Parminder\u2019s campaign is made more difficult and pits her against reactionary forces on the council.<\/p>\n<p>The friendless doctors\u2019 nemesis is fellow councillor Howard Mollison, an obese deli owner who nicknames her &#8220;Bends Your Ear Bhutto.&#8221;<\/p>\n<p>Rowling\u2019s depiction reminded me\u00a0of a recent conversation I had with a former colleague and his wife, both of them now GPs. They both felt that doctors no longer command the respect they once did. Certainly this is Parminder\u2019s experience. Like Lydgate in <em>Middlemarch<\/em>, she is treated with suspicion by the locals.<\/p>\n<p>But whereas Lydgate\u2019s professional reputation rises after successfully treating his future wife\u2019s brother Fred, Parminder is blamed for the death of a local heroin addict\u2019s grandmother, and called a &#8220;Paki bitch&#8221; in her own surgery.<\/p>\n<p>Rowling tells us that Pagford\u2019s old guard resent her for her arranged marriage to Vikram, a dashing cardiologist with little patience for local politics and \u201cthe most gorgeous man in Pagford&#8230;tall and well made, with an aquiline nose, eyes fringed with thick black lashes, and a lazy, knowing smile.\u201d<\/p>\n<p>Pagford forgave Vikram the crimes of \u201cbrownness, cleverness, and affluence,\u201d but not Parminder, with a reputation for being niggardly with antibiotics and repeat prescriptions, a Birmingham accent, still strong after 16 years in the south west town, and her \u201c hard and high pitched\u201d voice.\u00a0 Worse still, they live in the Old Vicarage, one of the town\u2019s most beautiful buildings.<\/p>\n<p>Like Lydgate, Pagford\u2019s two doctors are flawed characters. Vikram hardly gets mentioned, but they both come across as emotionally detached parents, intolerant of their bullied daughter Suchvinder&#8217;s adolescent struggles. She\u00a0lacks their academic prowess and seeks release through self-harming.<\/p>\n<p>Kay, the book\u2019s social worker, escapes unpunished after breaching client confidentiality in a scene reminiscent of Mike Leigh\u2019s <a title=\"Abigail's Party\" href=\"http:\/\/en.wikipedia.org\/wiki\/Abigail's_Party\" target=\"_blank\">Abigail\u2019s Party<\/a>. Parminder takes confidentiality seriously. She reprimands two surgery staff for discussing a patient, but is ultimately suspended from the medical register after a public row with Mollison.\u00a0 Mollison may disagree with the GP&#8217;s politics, but would he really be so unpleasant to the wife of a cardiologist who saved his life?<\/p>\n<p><em>A Casual Vacancy<\/em> has fewer laughs than ten episodes of EastEnders. I admire those reviewers who waded through it in time for its publication last month, although it gave <em>Daily Mail<\/em> columnist Jan Moir a chance to claim Rowling, a Labour Party donor, is \u201c<a title=\"Dail Mail\" href=\"http:\/\/www.dailymail.co.uk\/news\/article-2209165\/J-K-Rowlings-The-Casual-Vacancy-review-Wheres-magic-tale-middle-class-monsters.html\" target=\"_blank\">on a mission to portray the poor underclasses as plucky but blighted, and the British middle classes as a lumpen mass of the mad and the bad<\/a>.&#8221;<\/p>\n<p>Not to be outdone, her colleague Amanda Platell rounds on Rowling for being vindictive about the middle classes, even though she was raised, shock horror, in &#8220;a <a title=\"Daily Mail\" href=\"http:\/\/www.dailymail.co.uk\/debate\/article-2210228\/Rowling-s-wrong-sneer-readers.html\" target=\"_blank\">Grade II listed cottage in Gloucestershire<\/a>.&#8221; Class hatred oozes from its pages, she adds.<\/p>\n<p>I think they\u2019re wrong. Rowling\u2019s underclass characters (racist patients, a child rapist, a wife-beater) are far less lovable than its middle class ones. She seems more preoccupied with racism, sexism, and child abuse than class warfare.<\/p>\n<p>I once saw Rowling\u00a0contribute to a programme about Caroline Aherne\u2019s TV comedy <a title=\"The Royle Family\" href=\"http:\/\/en.wikipedia.org\/wiki\/The_Royle_Family\" target=\"_blank\">The Royle Family<\/a>, which she clearly loves for its portrayal of a close-knit working class family who gather round the TV every night. But there is no equivalent of loveable Jim and Barbara Royle in <em>A Casual Vacancy<\/em>.<\/p>\n<p>Forget Middlemarch. The novel is\u00a0more like Winifred Holtby\u2019s <em>South Riding<\/em>. Holtby\u2019s novel, like Rowling\u2019s, is about local government and public health, with lots of illness and death and poignant portayals of children and adolescents.<\/p>\n<p>The novel reminds me of my first job as a local newspaper reporter I spent many evenings at local parish council meetings. This tier of local government is virtually powerless, so getting a decent 300 word\u00a0news story was often a real challenge.<\/p>\n<p>Hats off to Rowling for\u00a0squeezing a\u00a0512 page novel out of a parish council byelection. Or thumbs down to her editor for not editing it more ruthlessly.<\/p>\n<p><strong>David Payne<\/strong> is editor, bmj.com<\/p>\n","protected":false},"excerpt":{"rendered":"<p>My last encounter with a JK Rowling novel was an abortive attempt to get through a Harry Potter boxed set given to me as a present ten years ago (why [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2012\/11\/12\/david-payne-doctors-in-mugglemarch\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1752],"tags":[],"class_list":["post-22210","post","type-post","status-publish","format-standard","hentry","category-david-payne"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>David Payne: Doctors in Mugglemarch - 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