“Four-Sided Triangle” by William F. Temple (1949)

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“The idea was too big for the mind to grasp in all its implications at the first attempt.”

Throughout history there have been numerous discoveries and inventions that have shaped and altered the path of human development in unimaginable ways. Penicillin, mechanical clocks, the wheel, x-rays, telescopes … the list is long and remarkable. There remain a good deal of things still out of the grasp of reality that belong firmly in the world of science fiction still. Interstellar space travel, time machines, universal translators, perpetual motion machines – we aren’t likely to get a grip on any of these for some time yet. Authors, however, aren’t limited by real technology, so if they want to invent a duplication machine, they can. And William F. Temple has.

Narrated by Doctor Harvey, medic to the English village of Howdean, this is the story of how the doctor’s young charge Bill and his wealthy, conservative friend Rob manage to create a Reproducer. This amazing device will revolutionise the world, giving them the ability to duplicate works of art, rare medical cures, food and anything else they choose. Every museum can have a copy of the Mona Lisa hanging in its galleries, and every hospital can now have huge amounts of cancer drugs at its disposal. Things become complicated, however, by the arrival of Lena.

Harvey has saved her from her suicide attempt and now, upon meeting Bill and Rob and learning of their amazing invention, she has found a reason to live. That reason, it becomes rapidly clear, is Rob and she wishes to marry him. And while Rob is indeed smitten with this girl, unfortunately so is Bill. After the wedding, Bill finds himself caught up in the madness of jealousy and begins tinkering with the Reproducer. Surely it wouldn’t take much more to make it clone living things. And then Bill and Rob could both have a Lena of their own, if she consented to be cloned. It’s only when she does that the problems really begin…

You may already be noting from the plot that aspects of the book have dated, not least the notion of Bill and Rob being able to share the same woman by cloning her. Fortunately, creepy though this is, it could be worse, and Lena (and, indeed, her duplicate Dot) is an early example of the manic pixie dream girl. She does, however, have to consent to being duplicated, but even here, it is her husband that has the final say. The science is also patchy, and Temple gets away with it by having Harvey explain that he doesn’t want to give away all the science, partly because he doesn’t understand it, and partly so that no one else can build a Reproducer. The book discusses the ethics of this and how in the wrong hands, someone could produce a whole army of workers or soldiers who all think and act the same way.

Much as this is a science fiction novel, most of the time the more fantastical elements are incidental. At its core, this is a story of a love triangle and how unrequited love is so painful. It’s also about memory, identity and individuality, and what right we have to reproduce not just unique items, but entire people. Temple is free to play around with the theoretical here, as it’s highly unlikely this sort of technology will ever be possible, but that’s often the joy in these kinds of stories – give people the impossible and see what they do with it. Or, rather, as is the way of humanity, see how they manage to cock it all up.

It’s a clever and interesting book, in places predictable, but also occasionally stepping away from the safety net and surprising you. It does, however, have one of the most accidentally hilarious final paragraphs I’ve ever encountered simply because it caught me off-guard, (it smacks a little of the loathed and hurried ending of Lord of the Flies) which does take the edge off somewhat. Nonetheless, it belongs in the canon and is well worth checking out if you’re a hardcore science fiction fan.

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“This Is Going To Hurt” by Adam Kay (2017)

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“The decision to work in medicine is basically a version of the email you get in early October asking you to choose your menu options for the work Christmas party.”

Touch wood, I’ve never had much to do with hospitals personally. My family, on the other hand, have all had more than enough experience on my behalf. My dad had two hernias before he was thirty, my mother has apparently had every possible organ removed at this point (sometimes twice), my grandparents are all held together by metal, and when she was twelve, my sister’s leg fell off. (Ask me about that last one sometime; I’m not really even exaggerating.)

Adam Kay is a comedy writer and singer now, but for several years he was a doctor. His parents appear not to have forgiven him for changing. A couple of years ago, while the UK was undergoing massive trauma relating to the treatment of junior doctors under the Health Secretary Jeremy Hunt (possibly the only man who is also the rhyming slang for what he is), Kay dug out all the diaries he kept during the six years he spent on the wards, mostly in his role in obstetrics and gynecology.

The entries are sporadic, so I can only assume he has picked the most interesting ones, but my god do they deliver. Firstly, the book is absolutely hilarious. I worked with the public long enough to know that they can say the most ridiculous things, but apparently putting them in hospital turns their lack of sense off completely. From the man who complained he’d never found a condom big enough to fit him (because it turned out he was trying to fit his testicles into them as well as his penis), to the woman who claimed her breast pump was bugged and someone was spying on her, there rarely seems to be a week that goes by without something hilarious happening. Many stories straddle the border between hilarious and horrifying, such as the young man who managed to deglove his penis (degloving is exactly what it sounds like) to the woman who returned from a Caribbean holiday, having had so much sex and catching such a virulent strain of gonorrhea that she was “producing purulent monsoons from both her Trinidad and her Tobago”. The humour is undoubtedly black, there’s no question, but Kay has such a mesmerising way with language that even the most disgusting aspects of the job are somehow still a delight to read.

More importantly, however, Kay doesn’t shy away from the absolute horrors of the job. He is speaking out on behalf of all junior doctors who simply don’t have the time to do so. He makes no bones about the fact that, as a doctor, you will never leave your shift on time, you will have to cancel dates, weddings and holidays with a moment’s notice, and you’ll hardly ever be thanked, and certainly not paid a decent and fair wage. He talks to giving medicines to anorexics who have eaten more than him in the last twenty-four hours, or trying to reduce the blood pressure of people he has higher blood pressure than. He emphasies the strain the role puts on his relationships, both romantic and platonic, and how tiresome it is to be asked by friends and family at every social occasion, “Can you just have a look at this rash?” And yet, even these appalling circumstances are still discussed with humour.

But, naturally, this is sometimes life and death we’re talking about, and Kay knows full well when to roll back the laughter and be serious. He deals with some situations that many of us would find utterly unthinkable, and the final entry in his diaries is one of the most heartbreaking, harrowing things I have ever read, hammering home how much we should respect and praise our medical men and women. Indeed, it is the events of the final entry that cause him to quit.

Don’t let that put you off, though. It is a very important book, an expose on what it’s really like at the medical front line. It’s not all tweed elbow patches and rounds of golf in the afternoon. It’s being splattered with blood and other fluids on a daily basis, performing complicated surgeries when you haven’t slept in thirty hours, removing Kinder Eggs from vaginas, trying not to confuse the Punjabi words for “hemophiliac” and “hermaphrodite”, and being eternally short-staffed. I’ve even more respect for the NHS staff now than I did before and it’s vital we protect them. They are superheroes.

Everyone should read this book.

I’m currently crowdfunding to get my second novel, The Third Wheel, published. In it, we meet Dexter who is struggling with the fact that he’s the last single friend of his group. When aliens invade, however, it puts a lot of things into perspective. The project is over a third of the way funded, and if you’d like to know more or pledge your support to the project, please click here.