One of the keys to filming medical drama is whether the script is rigorous and sophisticated, just like a patient coming to the hospital for the first time. If the first diagnosis is correct, it will not delay the illness (shooting is smooth) and it can also be treated quickly (in the right direction).

Writing a script sometimes takes hours to polish a sentence.

"medical drama's script creation has extremely high requirements for screenwriters. They need to know all the operation procedures of a department and write down the details of each operation. "

"Difficult script" is the first mountain that producers face. This is why many directors want to shoot medical drama, but few people really dare to take it.

After a lapse of three years, Zheng Xiaolong starred in medical drama's Emergency Doctor again, largely because the author of the original Emergency Doctor was the author of his first medical drama Never Give Up. "After graduating from the medical department of Shanghai Second Military Medical University, I entered the hospital for many years of clinical and administrative work, and I know the medical system very well, so first of all, I think the professionalism must be particularly strong." Zheng Xiaolong told reporters.

To write a good medical script, the screenwriter must have excellent medical knowledge first. Zhu Zhu of medical drama, who has written many books such as The Distance to Love, Growing Up and The Pursuit of Justice, graduated from peking university health science center and went to the United States to study clinical epidemiology. Zhang, a screenwriter of Obstetrician, is a non-medical major. He has worked in the operating room for two years in a local 3A hospital and has seen numerous operations.

Zhang said that medical drama's screenplay creation has extremely high requirements for scriptwriters, and it is necessary to know all the operation processes of a department and explain the details of each operation in detail. When writing the novel "Obstetrician", Zhang bought almost all obstetrical books displayed in Xidan Book Building, including surgery, patient rounds, analysis of difficult cases and so on. And he also printed more than one million words of online information. Zhang has been concentrating on reading these materials for a year, but when he is writing, he will polish up for hours to write a diagnosis or surgery.

"At that time, I met many obstetricians. Every time I write a chapter, I will send it to my friends in obstetrics, and they have made many changes. " More than 30 cases in the novel "Obstetrician" are all real cases from medical monographs, "including what medicine to use, what dosage to use, and the jargon used by Dr. China, such as" removing the uterus "called" taking the uterus "and" painless delivery "called" painless delivery ".I want to know.

The second point of writing a good script is to keep abreast of the latest medical progress.

Zhang has been writing the novel and the play Obstetrician for five years. "Said you worked in a hospital, or studied medicine, you can write medical drama, this is completely wrong. For example, in the past, washing hands in the operating room was to brush nails and fingers with a brush, but last month I went to the operating room of a 3A hospital, and their way of washing hands has become disinfectant gel. Therefore, it is still necessary to check in the hospital and understand the real medical cases in order to keep pace with the times and not make ridiculous professional mistakes. " Zhang said frankly.

2? (of doctors) hold a (collective) consultation.

Whether it is the choice of shooting location or the configuration of props and actors, the medical industry drama has a set of special rules, and the difficulty coefficient is extremely high. It's like consulting intractable diseases in different departments. All departments must work together and go all out to come up with the best "diagnosis plan".

There are special regulations on shooting location, prop use and actor configuration.

If an actor can perform a scene well with excellent acting skills, this rule may not apply to medical drama's shooting.

Answer? Shoot a scene

There are many restrictions on hospital filming.

At present, there are two kinds of shooting scenes in medical drama, one is shooting in a real hospital, the other is shooting in a hospital, and most of the other scenes are completed in a built studio.

Justice seekers chose Peking University International Hospital on the outskirts of Beijing to shoot. The hospital is far from the city center, and the surrounding residents are not dense. Recently, when the reporter came to the hospital in the morning 10, he found that, unlike in the play, not many people came to the hospital for medical treatment. The story involves thoracic surgery, and only three or four patients line up in the waiting area; The emergency room is quiet because there are few people. Such an environment is undoubtedly more suitable for TV drama shooting.

According to Han Zhiyi, the medical consultant of the drama and the deputy chief physician of the Department of Thoracic Surgery of Peking University International Hospital, The Messenger of Justice was filmed in Peking University International Hospital for nearly three months. "In order not to disturb the patient's rest, the hospital arranged for the crew to shoot in the operating room." Li, the director of Seeking Justice, said that in order not to disturb the normal order of the hospital, the door of the operating room could not be opened for nine of the ten days when the crew filmed in the operating room. "I must clearly remember all the shots related to the doors and corridors of the operating room and complete the shooting in less than eight hours. The number of people entering the operating room is strictly limited to 18, and no one can be more. So you see that the nurses in the operating room, except one who is a troupe actor, are all little girls in the makeup group of our clothing group. Those surgical assistants and anesthesiologists are also my executive director and deputy director. "

It is precisely because of the difficulty of filming in the hospital that in the filming of Emergency Doctor, director Zheng Xiaolong chose a small amount of content to shoot in the hospital and set up a one-to-one emergency room. But some scenes, such as emergency rooms and operating rooms, can't be built, "because we can't get surgical equipment at all, such as shadowless lights." But fortunately, the hospital still supports us. When the operating room is empty, we'll go in and shoot. After we shoot people, we have to disinfect them again. "

b？ Stage attribute

Even shadowless lamps need special adjustment.

Besides shooting scenes, medical drama also has very high requirements for props. Zheng Xiaolong said that all the props of the "emergency doctor" are real professional instruments. Some hospitals are idle, and some are purchased by the crew. "Operating table and tweezers are real instruments. If these devices are not used in the future, they may be given to other hospitals. "

JusticeSeeker's instrument is provided by the hospital, and the nurse will help the crew debug the instrument according to the script. However, Han Zhiyi said that it is very difficult to debug the instruments in medical drama, because the medical instruments display waves according to the actual patient indicators, and it is impossible for the hospital to allow the crew to shoot when the patient is in emergency. "Therefore, it is difficult to shout out atrial fibrillation and double connection rate without patients. We have done our best and made special effects later, trying to truly restore the condition. "

In addition to debugging difficulties, medical props sometimes conflict with shooting props. For example, the specific placement angle of the shadowless lamp in the operating room will produce a reflective effect with the lighting of the shooting lens. Han Zhiyi revealed that "Justice Explorer" chose to pursue artistic effects when shooting, so it changed the angle of shadowless lights to ensure lighting, so there was a certain gap between the play and the real operating room. The "emergency doctor" chose to place a photographic lamp on the shadowless lamp in the operating room. "We still hope that the shadowless light is a professional angle, but Shoot's feeling is still what it looks like after the operating room is lit." Zheng Xiaolong said.

c？ executant

I fainted the first time I touched the placenta.

If an actor can perform a scene well with excellent acting skills, this rule may not apply to medical drama's shooting. Medical drama not only needs the actors' own specialties, but also needs them to experience life in the hospital before filming, and needs them to memorize obscure medical vocabulary.

It is reported that before the filming of "Obstetrician", the leading men all went to the obstetrics department of a big hospital for 2-3 days of life experience. Zhang said that you can't learn medical knowledge by experiencing life, so actors mainly go to the hospital to feel the atmosphere. "There is a scene in the play to check the placenta. When they went to the hospital, they first came into contact with the placenta. I was scared to death. I heard that an actor fainted because there was blood on his body. " Zheng Xiaolong also revealed that before the filming of "Emergency Doctor", he would not ask the actors to recite their lines immediately. More importantly, he would have a profound experience after he felt the doctor's working condition in the hospital.

3? treat cordially

In addition to filming in the hospital, equipped with professional medical equipment and inviting professional doctors as medical consultants, it is also a necessary procedure to ensure professionalism. They play a role in filming, just like doctors treat patients, pointing out the "key points" and "treating" them.

"The director is directing the play, but the consultant is directing it."

"In the filming of Obstetrician, I also asked the medical consultant,' How much did the crew give you?' He said he had no money, and it was all from the hospital. They have to work the night shift at night and can only watch it during the day. "

"Two months before the filming of Justice Seeker, the midday sun first found me." Han Zhiyi told reporters that this time he was the medical consultant of Justice Seeker, mainly responsible for Justice Seeker's surgical drama. "I'll read the script first. For example, what equipment is needed on site, we will coordinate; Where is the sterile area in the operating room, we divide it in advance; How to place the lights, the placement of surgical instruments, and even the trash can need us to demonstrate. " Han Zhiyi said that in order to ensure the authenticity of every close-up, he also undertook the work of "changing hands" in this drama. "Actors can't learn some knots, knives and traction in close-ups, so we will do the hand close-ups."

Coincidentally, before the filming of "Emergency Doctor", Zheng Xiaolong also invited emergency doctors and medical doctors from Union Medical College Hospital as medical consultants. "At that time, the Union Medical College Hospital specially sent a professional team of doctors and nurses to stay in the group all the time, and even some places directly participated in the filming." Zheng Xiaolong said with a smile, filming medical drama, "Our director is directing the play, and the consultant is directing us."

However, Zhang, the screenwriter of Obstetricians, also revealed that many "medical consultants" mentioned by medical drama also have moisture. Real doctors are so busy that it is almost impossible to stay in the group for three months. "In the filming of Obstetrician, I also asked the medical consultant,' How much did the crew give you?' He said that he had no money, and it was all from the hospital. He had to work the night shift at night and could only watch it during the day. "So instead of inviting medical consultants, obstetricians choose to invite nurses to be extras to participate in the filming. In the operating room of obstetricians, almost every instrument nurse is a real nurse. When shooting, they worked on the operating table as usual, not only performing as a group, but also supervising and ensuring the professionalism of shooting.

4? Postoperative observation

After the operation, patients need postoperative observation, and the feedback and problems from medical drama also need to be summarized.

If you are not professional, no one will believe your story.

"If you are not professional, the audience won't believe your major, so they won't believe your character story. The play itself has problems."

According to incomplete statistics, there are at least 15 medical drama films in China at present, and at least 3 medical drama films will be broadcast in 20 17 years. Medical subjects always seem to stand in the limelight of industry dramas. Even so, when a professional drama like Grey's Anatomy can be produced seems to be an unsolved mystery. Weibo Lilac Garden has investigated 20 12 doctors. Although 94% of doctors have seen medical drama, 85.8% of doctors found mistakes when they saw medical drama. From this perspective, even if medical drama controls every link, it seems difficult to be professional, which also makes many creators pale when they hear about medical drama.

1? Unclear positioning

Zhang said that many people can't shoot medical drama well, or it has something to do with their unclear positioning of the drama. In his view, the current industry can be divided into medical drama and doctor drama. The doctor's play is the hero's occupation as a doctor, and the shooting scene is a hospital, which reflects the doctor's personal fate. Medical drama is a TV series with medical events as the main line. Zhang believes that at present, the biggest criticism of medical drama in China is over-expression of personal grievances, rather than showing humanistic care through real cases, and there is something wrong with the scriptwriter structure. "That's why the truth of these plays was found out. After revenge, the story ended, but Grey's Anatomy was played for many years."

2? Can't keep up with the demand

Sydney once revealed in an interview that he thinks that the aesthetic level of domestic audience has improved rapidly at present, but the industrialization of the whole domestic TV drama industry is not enough, and medical drama can't meet the standards in technology and production capacity. "Just like the scene set in Black Alert, our screenwriter Zhu Zhu said that this is really what a real hospital in the United States looks like. But I can't afford it, so I can only use real scenes. That is the reality. All film and television peers know that this is not something you want to shoot. "

3? Props are not in place

Zhang said that if you want to make a medical drama without professional criticism, you have very high requirements for every link of the production team. For example, when "Obstetrician" was filmed, the lines that should have been said by the anesthesiologist became the lines of the surgeon, which was temporarily changed by the director or actor; Zhang also asked to delete many lenses of the life monitor, because when the patient's blood pressure is abnormal, the numbers on the monitor display normally. "According to statistics, American TV shows spend $5 million per episode, but our most expensive one now is RMB 200-300 million."

There are also some creators who are optimistic about the future of medical drama. Zheng Xiaolong said that he was not worried about being corrected by the audience when filming medical drama. "The same disease is treated differently by different doctors. As long as it is within the scope of professional correctness, we don't care much about this kind of error correction. Medical drama, professionalism must be strictly enforced. If you are not professional, the audience will not believe your major, let alone your character story. There will be problems with such a drama. "