Category Archives: doctors

#atozchallenge K is for Kids


by Lillian Csernica on April 12, 2019
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by Lillian Csernica on April 12, 2019

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People told me that when I had kids, my life would never be the same.

Those people had no idea how right they were.

My son Michael was born at 23 weeks, weighing 770 grams. That’s one pound, eleven ounces. He was the size of a kitten lying across my palms. This was back in 1996. At that time the age of viability was 24 weeks, because only then would the lungs function. During every single day of the following three and a half months Michael spent in the hospital, we watched and waited to see if our baby would live or die.

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Two and a half years later, John arrived. He went full term, a hefty eight pounds, ten ounces. During delivery, John refused to breathe. By then the hospital staff knew our family rather well, so the head of neonatology was on hand to jump start John and make sure he started life in good form. John had to spend the first week of his life in the NICU, which drove me crazy because I wanted my baby. Then, as John missed verbal milestones and showed other unusual behavior, we learned he has Autistic Spectrum Disorder.

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Now people tell me I should write about my experiences with both of my sons. I should write about battles with insurance, battles with the school district, battles with the boys themselves. I should write about all the doctors and nurses and teachers and aides I’ve worked with through two decades. I should write about what I’ve learned and what I wish I’d known.

It’s not easy to write about difficult events when you’re still in the process of living through them. Now that my boys are legal adults, they face a sharp decline in services, lack of day programs, and the ongoing insurance battles. Michael is still in just as much danger from every medical crisis. John is still learning how to handle some of his symptoms. I am their mother, their legal guardian, and their primary advocate.

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The time is coming when I will write more nonfiction. Right now, I write escapist literature because that’s what I need to write. I don’t travel as much as I’d like to because I simply can’t. In order to hang on to my dented sanity, I run away from home inside my head.

 

 

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#atozblogchallenge F is for Finish It!


by Lillian Csernica on April 6, 2019

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I can sum up the secrets of writing success in two words: Finish it!

Everybody loves the beginning. Even when it’s difficult and you don’t know where it start. That first flush of creativity, the excitement over a new idea, can be addictive. So addictive, in fact, that when the shine of a new idea wears off and the doldrums of rewriting set in, people often abandon a project for something new.

That way lies disaster.

Most writers have several ideas sitting around in various stages of development. It’s what we do. Successful writers figure out which ideas have the most potential and invest time and effort in developing those projects. Agents won’t look at unfinished manuscripts. Editors don’t buy unfinished stories. Readers don’t read either of these because unfinished projects never get published.

Finish it.

When I wrote my first fantasy novel, I hit a rough patch about 3/4 of the way through. For three solid weeks I thought every word I wrote was worthless. Every single day I had to bully myself through my word quota. Eventually I got through it and completed the manuscript. When I got to that “worthless” section later during the editing process, it wasn’t really all that bad.

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When I wrote Ship of Dreams, my boys were both quite young. I wasn’t getting much sleep. There were lots of doctor appointments. When John was around 4 or 5 years old, we discovered he’s autistic. That was heartbreaking on top of all of Michael’s difficulties. Once again I hit that stage at the 3/4 mark where I couldn’t stand the story and wanted to give up. I also had a disk crash that cost me a chunk of work. Even with all this going on, and with the help of my agent, I completed the manuscript. That book sold.

Whatever you’re writing, finish it. Only when you get all the way to what you think is the ending, will you have a better idea of where the story should start. This is why they’re called roughdrafts. Just do it. Get it written. Throw everything at the page until you reach the end. Take a break. Step back. Let it cool. Then begin the edit and the rewrite.

Checkered, Chequered, FINISH

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#atozblogchallege A is for Angle


by Lillian Csernica on April 1, 2019

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Welcome to my sixth year of participation in the A to Z Blog Challenge!

How I Learned To Be A Writer

This year I’m going to share with you 26 separate moments from my writing life, moments that taught me something worth remembering. Moments that helped shape my writing style. Moments that taught me how to endure the bad days and celebrate the triumphs.

A is for Angle

 

“Angle” is a term used by journalists when referring to the focus of the article they’re writing. It means which aspect of the subject matter they intend to emphasize as a means of making the article more relevant and interesting to the readers.

The concept of angle is quite useful to fiction writers. As the indie publishing market has exploded and competition for readership continues to increase, it’s becoming more and more essential to find a fresh approach, some new aspect of the stories we want to tell.

In my Kyoto Steampunk series, I chose to leave Victorian England behind and take my protagonist Dr. William Harrington to Kyoto, Japan. Once the Shogunate fell and the Meiji Emperor opened Japan to the West, Japan experienced its own Industrial Revolution, making it an excellent setting for steampunk stories.

Dr. Harrington’s adventures are a mixture of historical science fiction and Japanese fantasy. When I go to conventions to promote the anthologies where my Kyoto Steampunk stories appear, people are often surprised to hear I’ve chosen Japan for my setting. This fresh angle has resulted in a total of seven short stories so far, along with the novel that is my current work in progress.

Find that fresh angle! It will help you on your road to success.

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Clockwork Alchemy 2019


by Lillian Csernica on March 13, 2019

 

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Yes, it’s time once again for top hats and goggles, airships and submarines, international intrigue and more! Join me and the rest of my multi-talented colleagues as we celebrate all things steampunk!

Here’s where you can find me on each day of the con. I do hope you will stop by and say hello. It’s always a pleasure to hear what people think of Dr. Harrington’s adventures in Kyoto.

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Friday, March 22

1 p.m. in the  Harbour Room

DIALOGUE IN HISTORICAL FICTION: Nuts and bolts technique for layering characterization into dialogue.

Saturday, March 23

11 a.m. in the Sandpebble Room

MAGIC IN STEAMPUNK: Practical tips for working magic into a storyline where period technology is the hallmark of the genre.
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Sunday, March 24

1 p.m. in Authors’ Alley

Stop by my table and pick up your copy of Next Stop On The #13, which includes The Badger Epidemic. Dr. Harrington is forced to take a train to Osaka, where a cholera epidemic is killing the railway workers. Something is waiting for him en route that could prove even more dangerous than cholera itself!

See you there!

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Can You Spot the Monster?


by Lillian Csernica on March 9, 2019

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France, 1300s. A chateau in the Alps. A Russian noblewoman sheltering there and earning her keep as governess to the daughter of the family. Katarina is the keeper of a terrible secret, one she must keep at all costs or face the loss of Yvette, the daughter Katarina herself will never have. Living under the watchful eye of Yvette’s father Sieur Etienne is difficult enough. Then a German scholar arrives, asking too many questions about matters that should be none of his concern.

Who is the real monster in this story? Who is most deserving of the ultimate punishment? Read it and make up your own mind!

 

I am overjoyed to see my story Saving Grace appear alongside some of the greatest masters of horror and dark fantasy:

Alexandra Elizabeth Honigsberg

F. Marion Crawford

E.F. Benson

Mary E. Braddon

Joseph Sheridan Le Fanu

Sir Arthur Conan Doyle

Darrell Schweitzer

Melanie and Steve Rasnic Tem

If you enjoy weird fiction, fantasy with an edge to it, and stories that will keep you up at night, you will love all the treasures brought together in this collection.

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An All-New Kyoto Steampunk Story!


by Lillian Csernica on January 25, 2019

I am delighted to announce the release of Next Stop on the #13, the fourth steampunk anthology featuring stories by the authors of Clockwork Alchemy.

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In The Badger Epidemic, Dr. Harrington is forced to ride a train bound for Osaka through a region afflicted by a cholera epidemic. The Japanese workers needed for building the railways and telegraph lines believe the cholera is spread by the new technology from the West. The British officials insist Dr. Harrington ride the train and prove the superstition is nonsense.

What awaits Dr. Harrington out in the darkness on those lonely train tracks is a danger even greater than the threat of cholera itself.

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Join us for Clockwork Alchemy 2019. Get your copy of Next Stop on the #13 and have it autographed by the authors of each story, including the master of alternate history, Harry Turtledove!

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How To Edit My NaNoWriMo Roughdraft?


by Lillian Csernica on January 16, 2019

2069836It’s time to clean up the NaNoWriMo novel. I have several intense scenes, some good action, and two or three potential plotlines. How do I clean this up? Where do I start?

First, I have to finish typing in all the handwritten material created during my coffeehouse marathons. That allows me a certain amount of editing, but mostly I just want to get all of the manuscript on disk. It’s comforting, really. I hadn’t realized just how much I did write and from so many different characters’ points of view.

Second, I need to figure out who the hero of my story is. Since this is meant to be a Kyoto Steampunk novel, the obvious choice would be Dr. William Harrington, main character of all but two of the seven short stories in the series. Who changes the most over the course of the story? Is it Dr. Harrington, or is it his daughter Madelaine?

(Yes, I did say seven. The latest Kyoto Steampunk short story, The Badger Epidemic, will appear in Next Stop on the #13, available at Clockwork Alchemy 2019!)

page_1_thumb_largeAt the Night of Writing Dangerously, we all received tote bags which included a copy of Save The Cat! Writes A Novel by Jessica Brody. This book is God’s gift to the novel writer, thanks to Ms. Brody’s skill at breaking down and explaining in detail the fifteen story beats that are essential to a strong, successful story. Given what Ms. Brody demonstrates, I know I face crucial questions in sifting through my roughdraft to find the moments that match some or all of those fifteen story beats.

Having done a bit of flailing around while I did my best to achieve my daily word quota, I’ve written a lot of material that could take the story in at least half a dozen directions. Lining up the scenes I’ve written in something approximating chronological order should point the way toward further complications and rising action. While I often work from plot outlines, this time I’ve been extrapolating from the events occurring in the Kyoto steampunk short stories. The consequences of some of those events are now catching up with Dr. Harrington, Madelaine, Constance, and Nurse Danforth.

The novel length has allowed me to introduce new characters, three human and three non-human. The humans are members of the British expatriate society in Kyoto, all of whom have some degree of power to affect the course of Dr. Harrington’s stay. Of the three non-human characters, two are earthly gods while the third is a monster of uncertain provenance. There are few things I enjoy more than squeezing poor Dr. Harrington between the pressures of Victorian social etiquette and the unfamiliar rules that govern the gods and monsters of Japan.

Third? I don’t know what will happen next. I’m just as excited to find out as I hope my readers will be!

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New Year, New Releases!


by Lillian Csernica on January 2 2019

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Happy New Year!

 

Two of my stories have found new homes which are now available.

In The Power Behind The Throne, Ti Song, Celestial Lady, First Daughter of the Emperor, longs for more than tea, embroidery, and a secluded life. When she discovers the secret of her brother’s success in battle, she knows it’s the key to her freedom.

 

 

 

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The Wheel of Misfortune has suddenly appeared on the streets of Kyoto, chasing Dr. William Harrington with lethal intent. With the help of the Abbot of Kiyomizudera, Dr. Harrington must go back to the early days of his career as a physician and right a wrong that has haunted him for ten long years.

 

Best wishes for 2019. May it bring us all much happiness and success!

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Nevertheless, I Persisted


by Lillian Csernica on December 3, 2018

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Hi there. I’ve tried at least twice to write blog posts since last we met. Got interrupted, fell asleep, had family crises. Never a dull moment.

People who aren’t all that familiar with writing think it’s a great job you can do at home whenever you feel like it. For those of us who are regular, habitual writers, it’s often like that one nightmare where no matter how hard you run, you can never quite reach the thing you’re after. We struggle to find or make the time to write. Then we struggle to produce our desired word count. We sit there second-guessing ourselves, and that’s before the actual editing process starts. Then we rinse and repeat, pretty much every single day.

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NaNoWriMo — Yes, I participated this year. What’s more, I am now the Municipal Liaison for the Santa Cruz County Region, along with a nice woman who handles the UCSC campus which is a city unto itself. This meant I hosted the Kick Off Party, I was there for the Tuesday night write-ins at the library, and I organized the final celebration. Details below. Did I win? Yes I did. 50, 141 words written mostly by hand in my notebook at my favorite Peet’s. So now there is indeed a novel in the Kyoto Steampunk universe.

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Training two new aides for Michael — We have been fortunate enough to hire a second RN and two new aides for Michael. Now that he’s out of school, he needs people to help him fill his day. There are no day programs available to accommodate someone as medically fragile as he is. Michael is a grown man now, and my joints aren’t getting any younger. I am deeply grateful for all the assistance we receive.

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Mom in the hospital, then heart surgery — My mother has been in the hospital for weeks now. She has Stage 4 kidney failure. Home dialysis never did go right. The MDs switched her to hemodialysis after the whole ER panic in August. Unfortunately, MRSA is a tenacious affliction. In the course of treating that, the cardiologist discovered Mom had a weak mitral valve in her heart. This led to a twelve hour surgery to replace the valve. Mom is about to turn 82 come January. I have no words to describe how frightened and stressed out I’ve been during all this. Mom is improving, but it’s at an incremental pace.

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The Night Of Writing Dangerously — The big NaNoWriMo fundraiser. Thanks to the generous donations of my writer friends, I raised the required amount to attend NOWD. What a blast. I drove to San Francisco, found my $12 parking space (thank you, SpotHero!), and made it to the Julia Morgan Ballroom on time. The next eight hours were full of writing and food and jokes and prizes and meeting other writers. I needed a great night out and this was definitely it.

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Thanksgiving — With Mom in the hospital, this was a bittersweet event. She wasn’t at her usual seat at the table. She didn’t make us all wait while she took photos of the food sitting there on the table getting cold. She didn’t make us pose and then sit there until our smiles wilted, resulting in the usual expressions of mild sedation. Those habits might annoy me, but they’re still part of our family tradition, dysfunctional though it may be. We did have a great dinner, cooked by my husband. And I am very thankful Mom is still with us.

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John’s cake looked better.

John’s birthday — Given that we were running back and forth to the hospital and taking care of Michael (fewer caregivers on the weekend, especially major holidays), we stretched John’s birthday out from Friday through Sunday. Chris took him to Dave & Buster’s on Friday. I took him to see Fantastic Beasts: The Crimes of Grindelwald on Saturday along with various other fun stops. On Sunday we had his party with his custom made birthday cake and a pile of presents. My baby is now 20 years old. Next year, Chris plans to take John to Las Vegas.

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The Thank God It’s Over party (NaNoWriMo) — Once again I dressed up and headed out with my bag of NaNoWriMo swag and the prizes for the Bingo sheets we all filled out and various other little mementoes of the month’s adventures. Woodstock Pizza in Santa Cruz is great. The heaters out on the patio kept us cozy while we ate and drank and read from our novels and made the people sitting nearby wonder who all these crazy people were. NaNoWriMo is my happy place in the midst of all the stress I live with daily.

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Mercury might be in retrograde right now, but we did it. Every single one of us who did our best during NaNoWriMo is a winner. I’m exhausted, and I’m still worried, of course, but life is good.

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Coming up next: It’s time to answer this year’s letters to Santa Claus! I already have eight waiting for me!
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How to Get Everything Done At Once


by Lillian Csernica on July 26, 2018

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People ask me how I manage to keep writing and selling fiction given everything I have going on at home with my two special needs sons. Some days I don’t get any writing done. That’s not a happy feeling. I have to make sure I get it done. That means on some days I shove everything else to the side, grab the laptop or the notebook, and just WRITE. God help anybody who interrupts me.

What is the secret of my success?

I make To Do lists. I mean one for each separate areas of my life. Here are the categories I work with every day:

Son #1 — He’s the medically fragile one who takes more or less eleven different medications each day, along with nebulizer treatments and other health-related activities.

Son #2 — School’s out for him, so he’s in need of something fun to do each day. Given that he has ASD, he’d spend every waking moment playing with something electronic. It’s important to get him out of the house. He often rides along with me when I go to appointments or run errands.

Writing — This gets done in my favorite coffeehouse, during downtime in waiting rooms, and here at home late at night. You will learn to write when you can, wherever you can. It’s the only way to get it done.

Phone calls — Doctors, medical equipment suppliers, the pharmacy, and anybody else with whom I do not communicate by email.

Appointments — We have lots of these. I have two weekly appointments. Regular check-ups for the boys come around every six to twelve months, which doesn’t seem like a lot until they show up right in the middle of a packed week. My writer’s group meets once a month. I have conventions coming up. I must also keep in mind when my husband plans trips and when other people in the household will be away. Big impact on the caregiver schedule.

Errands — The usual. Groceries, picking up meds, whatever prep I have to do for conventions in terms of PR materials, taking Son #2 on his outings, etc.

prioritization

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Once the To Do lists are made, I begin to prioritize.

What absolutely has to get done today?

Let’s take tomorrow as an example. I have to be up at 6 a.m. with Son #1 for his morning routine. The RN is coming to relieve me in time for me to rush off to my first appointment of the day. When that’s done I’ll have about thirty minutes before I need to drive to the second appointment of the day. Then I have to rush back home and fill in as caregiver until the regularly scheduled person comes on duty. That will give me five hours of time with Son #1 during which he gets two separate doses of medication and one breathing treatment.

During those five hours I might be able to write, depending on how my son is doing. He’s been having more frequent seizures this week, so my attention span has to be focused mainly on him. I might be able to get some reading in, since I can glance up as him at I turn pages, which I do at a pretty quick pace.

Once the aide comes on duty, I have more freedom, but this is the nonmedical aide so I have to draw all the doses of medication Son #1 gets between 5:30 p.m. and 10:30 p.m. I will probably sit on the couch in the living room with my laptop and catch up on email, or I’ll do the writing that still needs to be done. Lately I’m writing by hand in spiral notebooks because I seem to write more quickly and in a better creative trance.

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And, last but not least, I have to spend some quality time with my cats. Around 10 p.m. two of them get the rips and demand a game of chase-the-ribbon or catch-the-mousie. Then one of them claims my lap while the other sits on the back of the couch right behind my head.

Figure out your categories. Pick the one most important item in each. Those items go on a new list. Can you make them work out together on the same day? If not, keep going up and down the lists until you can get at least one thing on each list done in the course of one day.

It’s all progress. It all counts. The tasks do not have to be the same size or of the same importance. What matters is getting them done. If this method gets to be too much, scale back your efforts. Consider only the three most important categories. Delegate more tasks. Say no more often. Protect your time.

Most of all, make sure you WRITE. Ten minutes, thirty minutes, two hours, whatever you can manage. Just do it, and do it every single day.

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