So... I've read a lot of House fanfic. Not as much as some of my friends list, but a pretty solid amount. I've certainly at least read through all the most praised fics, all the stuff that has people warbling in the streets about how the show has such amazingly wonderful fanfic, and I've found myself coming to one overwhelming conclusion.
I am so inexpressibly sick, tired, and
disgusted by the way House fandom seems to think it gets to pick and choose what consequences of House's leg they want to deal with, and just utterly ignore the rest.
You want to write in a fandom where the main character has a disability, rather than flittering off to the easier fields of full mobility? Good on you. Unfortunately, that means you have to write in a fandom where the main character has a disability. Not a 'leg problem,' not a 'pain condition,' not a 'he limps and has a cane and it's cool but he's still totally up for missionary-style sex with him on top, because it's an issue but not that big of an issue.'
A
disability. In the
technical sense, not the sense that SSD/SSI will use, and if you understood this sentence you are automatically excused from reading the rest of this rant, because you don't have to.
You want to write an angsty fic about how House has a problem with the Vicodin and Wilson and/or Cuddy and/or Cameron and/or everybody else in the whole world is torn up inside about it? Fine. You also have to acknowledge the fact the Vicodin is being taken for a real and genuine problem, namely pain so bad he'll break his hand to distract from it and consider that the better bargain. You have to acknowledge the fact that if you take him off the Vicodin, you have to provide a substitute that will do what it was doing--dealing with the pain. You have to acknowledge the fact that finding proper pain coverage is frequently one of the ever-loving
hardest tasks in a chronic pain sufferer's life--and not just because of the difficulty of
getting the prescriptions, but because what works wonderfully for one person will barely work at all for another and will make a third violently ill. You can't just say, "Well, if he goes to regular massage/acupuncture/physical therapy, everything will be fine!" or even worse, "It's all in his head anyway, and if he just learned to
forgive himself/Stacy/the world/God he'd get all better!"
You can't just go, "If I just do this it'll fix him, it'll be so easy!" because you know what?
If it were easy, he'd have
done it already.
If you want to put him through exotic chemical cocktails to get him away from his omgaddiction, then you'd better understand that some of those drug combinations are going to leave him exhausted, some are going to make him ill, some are going to have him helplessly sobbing in the shower, some may make him even
more of a bastard, and some may do nothing at all. Whatever wonderdrug you want to put him on, whatever wondertreatment you want to put him through, look up the side effects first, and then figure out how many of them you want to give him--not
if you want to give him them at all, but how many you want to give him. Because whatever the doctors say, not getting side effects is a lot rarer than getting them, and the best
most of us learn to hope for is side effects we can
live with.
And while we're on the subject, you do not get to just write about the side effects you think would be fun to play with for kink or angst value. As someone who lives with this, your fetishization of it is getting a bit fucking wearing.
You want to have him limping around, in pain, occasionally having his leg giving out? Then you can't then doing other things that require the use of that same leg in good working order. Best guess of the biologist I've talked to about this stuff is that he's lost at least a third of his right quad--which means ever so much more than just pain, than just discomfort. As an example of what it means, while you're sitting, raise your right foot completely up off the floor. You know what?
House can't do that.
Other things he cannot do include kneeling in bed for sex--oh, all right, you
can do missionary position if you want to write in the pillows necessary for positioning--easily carrying a suitcase, climbing a ladder, using a punching bag, and playing sports with someone--and when you're in this kind of shape, even ping-pong and bowling count as sport. Which isn't to say he might not try these things anyway, but there would be
consequences, and you have to ask how realistic it would be he's insist on doing things he knows are going to end in pain. Grimly carrying his suitcase along because he refuses to ask for help and then suffering for it later might make a certain amount of character sense--but it seems much more likely he just has a really great set of luggage on wheels.
Furthermore, muscles don't just move a leg around, people--they also help stabilize a person and allow them to keep their balance. Which means he's also not a fan of things like subways and other transportation that requires you to stay upright while it moves, and probably has a difficult time getting out of his pants while standing upright. And none of you have advanced enough knowledge to have him go to an amusement park. Hell, for that matter, neither do I.
Do I expect you to know everything he's capable of? No, but I expect you to either write with the awareness of the fact there is a big problem there, and you have to take that problem into account when doing anything at all that would require the use of his right leg, or else find a beta or consult who
would know and have them check your thoughts--and for the purposes of mobility, unless they have the exact same problem, another chronic pain sufferer does not count; even I had to go to someone else for my info, and will be happy to answer or ask her any questions you'd like. Alternately, if all that seems like too much work, there's a kind of exercise in free weights called a squat that happens to work the same muscle group he has issues with. You go, you do more of those than is really a good idea, and for the next couple of days, just note every time you do something that uses that muscle group--and believe me, in that case, it'll be obvious. Extrapolate based on that, because every time
House does something that uses those muscles, A) he's going to experience some pain, where 'some' is a variable value falling between, 'damn, that's a bad headache,' and, '*wordless shriek of agony*," and B) the activity in question is not going to go well. Exactly what 'not go well' means depends on what he's trying to do; it could just not happen, or he could end up on his ass, or any number of things.
You want to write the aforementioned incident of House ending up on his ass? Grand--falls do happen, and they are the suck. But that's just it--they suck. If you take the time to write out the precise blocking of the scene, if you have him falling onto a soft surface, if his Vicodin is working to maximum effect and he's not on the tail end of a dose, he could come out with minimal repercussions--not none, but minimal: a certain level of increased pain later, maybe a brief setback in the mood of the moment, and probably some embarrassment unless it wasn't his fault. On the other hand, if you don't bother to set up such conditions, and he just falls on his ass on a hard surface? There are going to be consequences, and immediate ones, involving in the very least a fair amount of pain and a complete killing of the mood. He's going to want to go sit down and stretch out somewhere, probably with another dose of Vicodin and possibly some ice. He is not going to go, "It's just agony, no biggy, come on, do me," or spring up instantly and proclaim his undying love--although this being House, and given that we have canonical instances of it, he
would probably continue on with a diagnosis, but that's an intellectual matter, not an emotional one.
Also, if he does fall and he does get hurt, he is not going to spend the day hobbling around in mute agony, trying to conceal the desperation of his condition from everyone while he grimly works through the pain to do... whatever. This has nothing to do with physical mechanics, oddly enough; this is pure characterization: if there's nothing insanely compelling keeping him there, he is
so using that as an excuse to get out of work early, or at least do nothing but lay on the chair in his office all day, because Cuddy would have to take it, and if there
is something compelling keeping him from inactivity, the man is
vocal. You might not get to have the things you want to do with his characterization or the plot override the realities of his physical condition, but you also don't get to have the things you want to do with his physical condition override the character or plot realism, either. There's such a thing as a happy balance. Find it. Stop milking his disability solely for angst for you to metaphorically get off on, and actually
talk to some disabled people about what life with such a condition is
really like.
Most importantly of all, you do not write fic while working with the assumption he is just fine, unless you feel like specifically writing in a certain aspect of his problems. You write with the assumption that he is
disabled, because he is, and try to figure out the cases where he would be okay. Start from the reality, not what you find more convenient.
And you know what? It's not that this knowledge is that esoteric, you know--it's not like we're dealing with Christian theology, or incredibly complicated neurology, or the ancient Egyptians. If you've ever injured a leg at all in such a way that limits your mobility, you should already have the ability to start extrapolating. If you've ever gone on any antidepressants, had a headache, or had a bad side effect or drug reaction, you can borrow off of that. And if you haven't, or you don't--possibly rightly--think that's good enough, you can find someone to ask--a doctor, a biologist, a really competent trained physical therapist, someone
with chronic pain issues (though again, on some areas we have to go hunting more facts ourselves), someone who
has a problem with the muscles in their right thigh--for god's sake, you can find
someone. Fandom specializes in providing places for you to go looking for people, and in
this fandom, if you cared enough to go hunting up how it really works, all you'd have to do is come to me and I will
find you an answer if I have to go and hold a doctor at gunpoint myself.
So it's not that you don't have the resources to be accurate.
It's that you're just too lazy to care--and you don't think anyone will love your fic one whit less when you get it stupidly wrong.
And the worst bit is?
You're right.
ETA: While I'm at it, I should mention this isn't the first time I've ranted about how
bad House fandom and fic writers are at handling the realism of this stuff--it's just last time it was more about
the rather gratuitous abuse of painkillers. Which has by no means stopped, incidentally, not in the least because I doubt any of the people who do this sort of thing actually
read these rants.
ETA2: Hey,
metafandom. Well that's... unexpected. For the record, I'm not always quite this angry; frequently there's
utterly silly conversations (yes, I am the one to blame for 'Sailor Oncology'),
much calmer meta (...well, sometimes calmer, anyway), and
fic.