Medical details encounter the most serious negative reviews. How can domestic medical dramas break the curse of "losing every shot"?

Original title: How can domestic medical dramas break the curse of "losing every shot"?

Medical scripts should be the pearl in the crown of TV dramas: metaphysically, they include the commonality of man and god, the contradiction between life and death, a thought of heaven and a thought of hell; metaphysically, they focus on the most realistic and sensitive social and livelihood issues. However, in China, medical dramas are rare in number, marginal in location, and poor audience satisfaction. One is that the problem lies in the speculative psychology of the creator. He hastily filmed the medical drama as an "idol drama wearing a white coat." The white coat became a cool dress for stars, changing the place where the protagonist talked about love to the operating room ward. In addition, unreliable plots such as the "Mahjong Awakening Method" and "Pulse-Sensing the Fetal Heart" were used as condiments. Such a so-called medical drama that "sells dog meat with a sheep's head" was naturally rejected by the general audience and the doctor community; The other kind, although it is based on a serious and awe-inspiring creative mentality, carries idealistic feelings, and has strong strength, and the craftsmanship of its past works is also excellent, but it is still a medical drama that "is covered with diseases" and has become a "Waterloo" on the resume-such as Liuliu's "Heart Technique" at the height of the sun, and "Young Doctor" at the time of Zhao Baogang's "Youth Series" was going smoothly. and "Surgical Fengyun" produced by Noon Sunshine, the "Chinese Opera Conscience" team, which is currently being broadcast on Beijing Satellite TV.

"Three Big Mountains": The script is difficult to shoot, the script is difficult to review.

There are few medical dramas in China, mainly due to the "three big mountains": the script is difficult, the filming is difficult, and the review is difficult. Before 2010, one of the few domestically produced medical dramas should actually be regarded as life dramas or dramas involving cases. The filming methods were also very simple. In the operating room, the operating table and shadowless lights were all over the sweat; outside the operating room, doctors entangled with patients and fell in love with their families. There was once a TV series involving a case based on a hospital and was stopped after being broadcast once in non-prime time because the medical community strongly disliked it.

"Doctor Benevolence", which was broadcast on CCTV 1 in 2010, is claimed to be the first medical drama in China that reflects the professional life of doctors in a panoramic manner. It is also the first work invested and filmed by China's TV drama production center after its transformation and listing. Its lead writer, Xu Meng, is a professional screenwriter. She went to the People's Hospital to experience life for the script. She put on the white coat of an intern doctor and worked, ate, and studied with the doctors for three months. "Medical dramas cannot be compiled based on life. First of all, medical care is the main body of its behavior. We must write about this industry thoroughly and let doctors feel that this is something we usually want to say but will not tell outsiders. In the so-called 'doctor's mood', the screenwriter needs to understand the medical history and department distribution. If you don't understand the big background and the history of medical technology, what you write will not be right." Liuliu later wrote "Xinshu", but also because of the "zero foundation" of medicine, she hid in a tertiary A hospital for two years before completing the script.

Such a script incubation model is destined to have high energy consumption and low output. Even if it is two years of "incubation", it will inevitably become stale and stale for medicine with strong professional barriers. In subsequent medical dramas, the screenwriter's medical background became the "standard". Zhu Zhu, the screenwriter of "Surgery", graduated from Peking University School of Medicine and studied clinical epidemiology in the United States. He has clinical experience, is familiar with medical professional knowledge, and has created two medical-themed dramas. Zhang Zuomin, the screenwriter of "Obstetrician", was influenced by his family in his early years. After graduating from high school, he was assigned to work as the bottom-level nurse in the operating room of a local tertiary A hospital. His job was to work night shifts every day, guard outside the emergency operating room, and transport patients after surgery to the ward or the morgue..."That job was very difficult, but in the two years while waiting for the surgery to end, I watched all the surgeries in this hospital through the skylight of the hospital's operating observation room." This special experience has also made "Obstetrician" the most praised domestic drama in terms of medical professionalism to date.

Zhang Zuomin believes that the biggest problem with domestic medical dramas is actually the lack of professional teams to produce medical dramas-not only screenwriters, but also directors, props, art and other aspects must have professional literacy, which is possible in the current domestic market environment. Almost zero. Zhang Zuomin revealed that when filming "Obstetrician", he proposed to the crew that no character should smoke, that doctors should not eat in the ward, and that they should not wear false eyelash jewelry. The crew did everything. However, there are still many flaws that cannot be avoided: for example, some viewers noticed that the films on the reading box were not from obstetrics and gynecology patients. If this kind of detail was a real film in a US TV series, the crew would just find a random film to hang it;"Obstetrician" deleted many scenes from the life monitor in the later stage, because when the patient's blood pressure was abnormal, the numbers on the monitor showed normal. This is actually because the props are not in place... These details are no longer easy for the audience to "fool" after watching American dramas for many years.

What is unavoidable is that the special feature of medical dramas as industry dramas is that there are two "mother-in-law" in the review. They not only have to be recognized by the TV drama authorities, but also withstand the professional scrutiny of the industry authorities. The creators of several popular medical dramas have talked about how difficult it is to adapt in this regard. The audience may not be able to understand the "unspeakable hidden secrets", but they do see some results that are blurred, beautified and softened. For example,"Doctors 'Benevolence" once involved the contradiction between doctors and patients to a certain extent, tearing off the veil of warmth in medical dramas, but the protagonists in the play are all "gods" with superb medical skills, amiable to patients, and even actively helping patients solve financial problems. Instead, it is the patient's family members who are constantly causing trouble.

"Wave of Bad Reviews": The production team that used the hospital to shoot the entire operating room of the drama in 10 days to complete

"Surgery" is a "Virgo" team with a good reputation in the industry, but it encountered the most serious "wave of bad reviews" in history in terms of medical details. Director Li Xue did not excuse her when interviewed by the media, but only truthfully expressed her helplessness that the shooting conditions could not keep up. For example, there is no studio built according to the real scene like American TV series. The hospital is used to shoot and the entire process is "captured". The entire operating room of the drama takes 10 days to complete. Because the hospital strictly controls the opening of the operating room door, all scenes related to the operating room door are filmed in one day; The hospital does not lend out the expensive extracorporeal circulation machine, so the crew can only use a tube and pour artificial blood into it. In order to make the blood appear to be flowing, the prop boy can only suck it with his mouth. On the day of shooting, he drank a whole bucket of blood; The hospital requires that the chest opener borrowed from the operating room should not be stained with blood, so the pictures with blood can only be created later with special effects.

Just as Zhuang Shu, the male protagonist of "Surgery", outlined the line: "In life sciences, there is only one effort without perfection," the same is true for medical dramas. Although domestic medical dramas are often full of shortcomings, after several major dramas and major dramas have continuously tested the water, they have made small steps forward in depth and breadth.

"Scale": It has the cleverness to avoid "red lines" and the courage to face conflicts

. Take the latest "Surgery" as an example. Although the beginning was deeply accused of loopholes in professional details, the reputation of the "gold medal team" seemed to be destroyed, but as the plot progressed, its reputation began to reverse again. This is because more and more people are rationally realizing that as a medical drama, what is more important than accurate details is whether it can demonstrate the professional spirit of doctors and return to in-depth thinking of medical care and humanity.

If "Xinshu" tried to face up to the most sensitive social topic of doctor-patient conflict, but was eventually trimmed to nondescript; the later "Obstetrician" used the lessons of "Xinshu" as experience to effectively avoid "minefields", committed to touching the root causes of conflicts, exploring the way patients and doctors get along, and taking the warm pulse of the tense doctor-patient relationship. This kind of "cleverness" to avoid "red lines", the courage to face the ills of the medical industry, and the efforts to explore solutions allow the audience to feel the same and see possible ways to solve the problem.

Similarly, you can also see many of the paths "traveled" by "Obstetricians" in "Surgery". For example, hospital personnel struggles and high-level power and selfishness can also affect the handling of diseases. Doctors are not all tall and complete."God", and there is even a complete "negative" image. The existence of these "gray" areas preserves the authenticity of a realistic theme, but at the same time does not affect the positive energy of the whole play. This balance is the "yardstick" of current medical dramas.

Whether "Nirvana in Fire" or "No War in Peking", one of the main characteristics of the play in the noon sunshine is its slow heating and strong stamina."Surgical Storm" is also in this style. As a medical expert in the direction of the esophagus, the heroine faces two cases at the same time. One is a premature child who has a great possibility of surgical cure but whose parents give up treatment. The other is an elderly patient with no treatment significance and only increases pain but whose daughter insists on having surgery for the sake of filial piety. In the former, the doctor has a strong desire to cure the disease and save people but is powerless, and the latter also has a deep sense of powerlessness due to his rational understanding of the boundaries of medicine... The plot enters the middle and later stages, in this way, Cross-cutting cases abound, making the play's thinking on the philosophical propositions of medical treatment and human nature even more powerful. Every self-torture by a doctor and every choice question that is not right or wrong thrown to the audience leads medical dramas with China characteristics to their due value.

Editor: Nancy