
Prognosis: Guarded
The Breakthrough Novel of 1977 That Tried to Break Me
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In this 2-Part book, Part One is a non-fiction account about the author's first novel -- PROGNOSIS: GUARDED -- written in 1977, to much acclaim. The highly respected novel-writing instructor at the University of Oklahoma said this about the first draft: "I've never read a first novel half this good." From there, the author had his choice of literary agents, and then talk of movie potential plus dropping out of medical training (he was a 29 y/o surgery resident at the time) to write full time. But while waiting for a response from Random House, an identical book was published -- COMA, by Robin ...
In this 2-Part book, Part One is a non-fiction account about the author's first novel -- PROGNOSIS: GUARDED -- written in 1977, to much acclaim. The highly respected novel-writing instructor at the University of Oklahoma said this about the first draft: "I've never read a first novel half this good." From there, the author had his choice of literary agents, and then talk of movie potential plus dropping out of medical training (he was a 29 y/o surgery resident at the time) to write full time. But while waiting for a response from Random House, an identical book was published -- COMA, by Robin Cook -- which introduced a new genre, the medical thriller. The author assumed he might still be able to capitalize on the success of COMA, but all doors closed, and after 17 years, the author finally gave up and moved on to coming-of-age fiction. Importantly, the author describes how the inability to have his first novel published was responsible for switching genres to "coming of age" rather than continue in what eventually would be a market glut of medical thrillers. PART TWO is the novel itself -- PROGNOSIS: GUARDED where a surgeon and a pathologist conspire to commit medically untraceable murders of the rich and famous of Hollywood.