Category Archives: The Writing Process

Book Status

Following a rewrite, my manuscript tentatively titled Hitler: Prescription For Defeat, has tentatively been accepted for publication. Yeah!!! But I have not yet broken out the champagne. My book relates Hitler’s physical and mental health to the outcome of World War II. The premise is that his many physical and mental health problems greatly impeded the efforts of the Axis forces to win the war.

The process of publishing a book is lengthy, as any published author certainly knows. Being that my book has been accepted by an academic press, Texas Tech University Press, the process proves even somewhat lengthier.


The next step in the publishing process for my book is review by an outside Hitler expert. I welcome this step, as it should improve the accuracy of my manuscript, as it did for my prior book (Carrying The Black Bag: A Neurologist’s Bedside Tales).

Carrying the Black Bag book

While I have tried to use only accepted World War II history, I welcome review and suggestions by a historian or other knowledgeable expert on Adolf Hitler.

The subsequent steps in the publishing process will include further editing and ultimately a committee decision (I said it was a university press). All of these processes have to be completed during the Age of Covid-19 with its social distancing and other challenges built in. Who knows when the book will appear?

“Wish you would get away from that computer and come outside. Let’s herd some cattle.”

   In the meantime I seek two Forewords. At some point I will also request blurbs (those catchy, brief statements that help sell the book), work up the Appendix, provide acknowledgements, marketing information, back flap author information, approve art work etc. The process is not easy nor is it swift. I suppose if it were, everyone would have written a book by now.

Nevertheless, I am encouraged by the publishing progress. I appreciate those who have advised and acted as beta readers of this manuscript, including Janet Lindemann, Madelaine Douglass, La Nelle Ethridge, and Colonel Tom Norris. Also members of my critique group contributed helpful ideas. And I am most appreciative of my wife, Trudy, who serves as my in-house first reader. While I am aware that a writer should never, ever ask a spouse to serve in this difficult, no-win position, Trudy is simply too good and much too available not to ask. She is a dear and I thank her.

Trudy also helps set up book signings. I tell her such dedicated service was listed in the fine print of our marriage contract. Needless to say, she doesn’t believe me.

I will also ask for volunteers for my “Street Team” this time around to assist in helping get the word out when the book is eventually published. This group will also help to line up speaking opportunities and book signings. Such an informal group provided much benefit for my last book, and I am eternally grateful for their support. Any volunteers? Want to sign on again?

I will also ask for professional help with publicity. I was impressed with and appreciative of my publicist Maryglenn McCombs for my prior book and will likely request her help again.

The publishing adventure continues.

 

 

Suggestions for New Writers- A Twelve Step Program

The Fredericksburg Writers Group recently asked me to speak on publishing my book, Carrying The Black Bag, and to provide thoughts for new writers trying to become authors. I was pleased to do so and thought I might share these same thoughts to my readers.Carrying the Black Bag book

My book took me five years to write (on and off) and confronted many difficulties and rejections. Some suggestions on dealing with this process are as follows:

1. BE passionate about your story. In my case, my stories demanded to be told. I felt my patients  entrusted me with their stories, and I was brimming to share my patients’ humanity and courage.

2. LEARN to write for a popular audience. This may seem simplistic but it is not. I found it challenging to break away from scientific and medical writing. Texas Tech University in Fredericksburg offered popular writing courses that proved  very helpful. I developed the courage to begin using similes, metaphors, alliteration etc., something as rare in medical writings as finding the Lochness monster.

3. REWRITE, Rewrite, and Rewrite some more. I had at least a dozen edits that I thought were wonderful, until I reread them. Your finished product (or at least what you think is your finished product!) must be your best to stand a chance of being published.

This young reader gave me a great morale boost by reading my book between surgical cases

This young reader gave me a great morale boost when I saw this picture of her reading my book between surgical cases

4. JOIN a critique group. Critiquing others and having them critique your work are extremely helpful for improving your writing. It may seem a little threatening, but you’ll get over it. Once trust has been established you will end up sharing what you may never have shared with your spouse or even with your dog.

5. IDENTIFY beta readers for your best version. These are a few folks well versed in literature and grammar and can provide a good editorial review.

6. FIND an agent. The best way to do this, in my opinion, is by going to Literary Conferences. Many conferences have agents and publishers present and interested in the subject material of the conference.  It’s a great way to practice your pitch, gain feedback, and make helpful contacts.
In my case I landed two prospective agents at a medical writer’s conference. I selected Don Fehr at Trident Literary Group in New York City. It is the largest such group in the U.S.A. and has substantial expertise and reach.

7. From my agent I learned that for nonfiction, publishers did not buy books, they bought book proposals! This was news to me.
Many books exist on how to write a book proposal. My agent stressed the proposal be at least 65 pages long and be extremely well written. This was quite a task.

8. The agent then sends the proposal (in the case of a nonfiction work) or the entire fiction manuscript  to a number of potential publishers. Then you wait, wait, and wait some more for the reviewers to respond. Ugh!

9. Once a publisher says it is interested, the publishing house (in my case Texas Tech University Press) will assign an editor. I can only hope you find someone as good as Joanna Conrad at TTUP. She was delightful and made the book better.
Following the review process by your press (mine being an academic institution, the manuscript had to be approved by, of course, various committees!) The next step is copy editing. I had a contract copy editor who proved extremely helpful. It’s humbling to learn that errors still exist in your much pored over manuscript.
Expect your publishing house to change your title. It’s inevitable. Also it will assign an artist to develop the cover, but hopefully it should ask you for your opinion. Also you will be asked to supply the “information about the author” and various blurbs for your book.
The whole process of publishing may take one to three years before your book reaches the bookshelves. This considerable delay is a frequent surprise for most new authors.

10. HIRE a publicist. Unfortunately even the largest publishing houses these days have limited marketing budgets. While this seems strange given that marketing sells books, but it is a truism. Authors are being asked to do more and more to market their books. As an aside, my barber even keeps a supply of my books in her shop. Customers ask about them and she has sold a number of my books. Be Creative!
Actually I have enjoyed marketing my book. It has been a heck of a lot easier than writing it. I began by forming a “street team” of people that liked my writing. These wonderful folks became “Tom’s Wranglers” and were invaluable in spreading the word, writing initial reviews, identifying book events where I might present, and providing much needed encouragement.

Two of my Wranglers- Betty and Cecil Selness

Madeline Douglas and La Nelle Etheridge, two more of my wonderful Wranglers

Now back to publicists– these are invaluable. A cost is involved but you really didn’t think you were going to get rich on your book, did you? The publicist can arrange for reviews of the book and may put your book up for awards.

11. Speaking of awards, nothing builds the confidence of a struggling writer as much as public recognition. In my case I won a third prize early on in a writing contest.  Woo Hoo! This provided a surprising amount of confidence.
I next won The Creative Expression Award from the American Academy of Neurology. Now this award, given by my peers, made me feel like a real author. You likely too have some outlet through your vocation to provide an outlet for your work and an possible award. It is worth a try.

In my case the agent and I went through some thirty publishers before finding one that wished to take on the task of putting my book into print without having to do a major rewrite. Authors best have thick skins as this process can be painful. There is simply no way to sugarcoat this– rejection hurts.

12. Once published my book won an award for best debut author and became a finalist for the Montaigne medal. These awards proved reassuring for me as a writer. How much they contribute to sales is highly questionable, but undeniably recognition provides a stimulus for the author to keep writing. Again, these awards were the result of the knowledge and expertise of my publicist, Maryglenn McCombs.

 

So there you have it. Becoming an author is arduous. It is nine tenths perseverance. One author I heard speak recently said success publishing depended on three things: 1) talent, 2) determination, and 3) luck. I agree that a degree of talent, a lot of perseverance, and finally a little luck are all needed to move from being a writer to becoming a published author. I wish all of you good luck in this process.

More Accolades for Carrying The Black Bag

I have more good news to report regarding my book, Carrying The Black Bag.  My book has been named a Montaigne Medal finalist for 2017 under the auspices of the Eric Hoffer Book Awards.

For those of you who don’t know what this is which is probably most if not all of you, The Montaigne medal is given in honor of the great French philosopher and awarded to the most thought provoking titles each year. Given the many hundreds of titles under consideration, it is highly affirming to be listed among the finalists. Carrying The Black Bag: A Neurologist’s Bedside Tales is also being considered for other awards including category, press, and grand prizes.

For those of us who write, we understand this can be a lonely exercise. The pathway to publication is often littered with rejections and disappointments. Such acknowledgements and awards as this one provides meaningful affirmation and encourages me to continue with my writing efforts.

Thanks to all of you who have encouraged my writing, acted as alpha or beta readers, and especially for those of you who have bought the book.

Best New Debut Author for 2017

Recently received the very good news that my book, Carrying The Black Bag: A Neurologist’s Bedside Tales, won a national book award for 2017 from The Feathered Quill. This is a really big deal!

Will you please share this good news? The marketing/publicity from a regional publisher is limited and your help in networking my book would be much appreciated. Below is the news release for this award.

 

FOR IMMEDIATE RELEASE

Contact:                Maryglenn McCombs (615) 297-9875 maryglenn@maryglenn.com

 

TEXAS DOCTOR WINS NATIONAL AWARD FOR MEMOIR:

Carrying the Black Bag by Tom Hutton, M.D. among honorees in literary awards competition

 

LUBBOCK, Texas – Texas doctor Tom Hutton, M.D.’s memoir, Carrying the Black Bag: A Neurologist’s Bedside Tales has been named among the winners in the Feathered Quill Literary Awards.

 

Sponsored by Feathered Quill, a leading web-based book review, the Feathered Quill Literary Awards is a national awards program that celebrates excellence in publishing. Recognizing books from both large and independent presses, the Feathered Quill Literary Awards honors the best books in numerous categories.

 

Carrying the Black Bag: A Neurologist’s Bedside Tales, a memoir of Hutton’s career in medicine, was awarded the Bronze medal in the “Best Debut Author” category. Published by Texas Tech University Press, Carrying the Black Bag is available in hardcover edition (6 x 9, 257 pages; photographs; ISBN: 978-0-89672-954-4)

 

According to Ellen Feld, Editor at Feathered Quill “We were overwhelmed by both the number and extraordinary quality of entries for this year’s awards program. In particular, The Best Debut Author category was filled with worthy entries: consequently, it was difficult for our judges to pick among the many excellent contenders. Tom Hutton, M.D.’s memoir, Carrying the Black Bag was a real standout: compelling, well-written, and an incredibly beautiful and hopeful testament to the human spirit. It is our great honor to recognize Dr. Hutton among this year’s Best Debut Authors. We can only hope he has more books in the works.”

 

During his thirty-plus years of practicing in West Texas and Minnesota, physician and neurologist Tom Hutton discovered that a doctor’s best teachers are often his patients. From these (extra)ordinary individuals, Hutton gained a whole-hearted respect for the resourcefulness, courage, and resilience of the human spirit. Hutton’s patients—and the valuable lessons they taught—served as the inspiration for Carrying the Black Bag. Part memoir and part tribute to the patients who faced major illness with grace, grit, and dignity, Carrying the Black Bag invites readers to experience what it is like to be a doctor’s hands, eyes, and heart. Imagine the joy of witnessing a critically ill five-year-old who, against all odds, claws her way back from a coma and near certain death. Meet a lonely Texas widower with Parkinson’s disease who hosts elaborate pinochle parties for a pack of imaginary canines. Step into the surgical booties of the author when he attempts to deliver his own child amid heart-stopping obstetrical complications—during a paralyzing Minnesota blizzard. Through real-life patient narratives, Hutton shines light on ordinary people facing extraordinary challenges. Moreover, this captivating tale captures the drama of medicine—its mystery, pathos, heroism, sacrifice, and humor.

 

Tom Hutton, M. D., is an internationally-recognized clinical and research neurologist and educator. The past president of the Texas Neurological Society, Dr. Hutton served as professor and vice chairman of the Department of Medical and Surgical Neurology at the Texas Tech School of Medicine. He now lives on his cattle ranch near Fredericksburg, Texas. Visit Tom Hutton online at: https://jthomashutton.wordpress.com/

 

Members of the news media wishing to request additional information about Tom Hutton, M.D. or Carrying the Black Bag are kindly asked to contact Maryglenn McCombs by phone: (615) 297-9875 or email: maryglenn@maryglenn.com

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Appearance on Alternative Talk Radio

What fun I had as a guest on KKNW 1150 AM, alternative talk radio for the hour long program “Sunny In Seattle“. Sunny Joy McMillan hosts this wonderful program and asked insightful and probing questions about my book, Carrying The Black Bag: A Neurologist’s Bedside Tales.  We also had well-informed callers who  provided thoughtful observations and questions.

Any opportunity to discuss my book and writing method is always welcome, but particularly when it is carried out with the joy and intelligence shown by Sunny. Below is a MP3 link to the interview on “Sunny in Seattle” should you wish to listen to the full program

I wish everyone a marvelous Thanksgiving. It is good to stop and ponder that which we are grateful among which I am grateful for you, the readers of my blog.

The Urge To Blog

Why are some compelled to write blogs? My own desire grew after assuming a new  identity in retirement, that of a newly minted rancher. The novelty of it intrigued me. Being a “city boy,” nearly everything including raising livestock, operating ranch equipment, mending fences, and building barns held a strong fascination.cropped-header-option-1.jpg

The thought occurred if I enjoyed learning about and living a rural and retired lifestyle, then perhaps others would like to read about it too. This interest eventually led me to begin blogging about my writing process and finally to aspects of my book. Admittedly, I also needed to decompress from my busy former career as a clinical and research neurologist and thought others might enjoy reading tidbits resulting from my inevitable backward glance at my life.

While still a young blog, I consider Views From Medicine Spirit Ranch  to have been successful. Its  popularity supports my original premise that others might enjoy reading about this subject matter. I very much appreciate receiving comments from readers and learning from them. The only experience better  is having friends and family visit the ranch, especially those who “get it.”

Two Longhorn cows and calf

Two Longhorn cows and calf

Certainly not everyone who visits our ranch leaves with an appreciation for the land and for the animals in a way like Trudy and I do. That’s okay. Some would rather sit on the back porch and work their smart phones than absorb the tranquility and develop new ranch experiences.

Nevertheless, some who visit throw themselves into ranch life. A recent visit to the ranch by good friends LaNelle Etheridge and Madeline Douglas were two cases in point. Incidentally, both La Nelle and Madeline have been beta readers for many of my writing efforts and have fully supported my efforts to market my book, Carrying The Black Bag.

La Nelle and Madeline herding 'em up

La Nelle and Madeline herding ’em up

La Nelle, Madeline, Trudy, and I recently worked calves. This consisted of vaccinating for blackleg and ear tagging them. Both visiting ladies threw themselves into the effort, helping and enjoying the novel experience.  Both also managed to avoid being stepped on or pooped on. This was an accomplishment. Between swims in the pool they also tended the vegetable garden and hiked the steep green hills of our ranch. Both ladies are extremely intelligent and mindful such that our conversations on the back porch were for me especially pleasing.

Vaccinating and Ear Tagging with La Nelle, Madeline, and Luke

Vaccinating and Ear Tagging with La Nelle, Madeline, and Luke, the neighbor’s grandson

I could see excitement in their eyes as they became engrossed in their experiences that were so different from their usual lives in Lubbock. They sensed the tranquility of a Texas sunset from atop a hill while sipping a glass of chilled wine. These “Sundowners” have become a regular feature of our ranch life.

The dogs and I enjoying a "Sundowner"

The dogs and I enjoying a “Sundowner”

Years ago at my retirement party my brother-in-law presented a large number of T-shirts on which was written “Tom’s Ranch Hand.” Paul Plunket in his humorous way predicted I would put friends and family to work on the ranch and possibly even avoid the need to hire any help. In this he was correct only to a degree.

T-shirt read Tom's Ranch Hands

Madeline on left and La Nelle on right with their T-shirts that read Tom’s Ranch Hands- Hutton Ranch

I had two T-shirts left over from my retirement party. At the conclusion of La Nelle and Madeline’s  visit, I presented a T-shirt to each. Both appreciated the gift, small tokens though they were. This further convinced me of the wonderment that exists at Medicine Spirit Ranch set in these green hills of central Texas. It is a wonderment for at least some. Perhaps that is the way it always is. Different experiences resonate for different folks. I hope for future visitors to our ranch and to describe in writing the experiences for those unable to experience it directly.

A Texas sunset

A Texas sunset

TV/Film Rights to Carrying The Black Bag

15998415Felt emotionally uplifted when I recently received an inquiry from L.A. area for the TV/Film rights for my  book, Carrying The Black Bag: A Neurologist’s Bedside Tales. The inquiry asked who to contact and I responded with the contact information for my agent, Don Fehr, at Trident Media in New York City.

Suspect many inquiries are made and few books are acquired. Nevertheless, it’s wonderful to be sounded out. This would give a boost to the book and extend the stories into a new medium. Here’s hoping!

Continue to give talks on my book and have several scheduled over the next month. Have particularly enjoyed the interaction with various book clubs, but also the various women’s clubs and service clubs have been great fun. These are enjoyable experiences, as I always enjoy telling the stories within the book. Trudy has been a great help in this regard.

Remain open to additional invitations to speak. Am willing to travel. Trudy keeps the calendar of events and can be contacted at trudy_hutton@yahoo.com.

My Writing Process

One frequently asked question readers have asked since publishing Carrying The Black Bag is about my writing process and any efforts utilized to foster creativity. I’ve decided to add some thoughts here on my blog to answer my readers more fully:

Yes, some authors do goofy things to stimulate their creativity. i’ve known some and read about others. The superstitious may choose to sit only in a specific chair or drink only one brand of tea. Others play up-tempo music or stirring classical works. Admittedly, I’ve been known to don a cap (my Greek fisherman’s cap’s my favorite) to prime the creative juices. But the goal for each author, no matter what the idiosyncrasy, is to achieve a creative fervor whereby the characters take command of the story and  fingers simply race to keep pace with surging thoughts.

For me I appreciate sitting before my word processor with a clear mind, a comfortable chair, and an exciting idea. I usually outline the story before beginning it. This isn’t an absolute but generally I find outlining helpful. I try and determine what the chapter requires for plot or subplot and then with trepidation shove off into the unknown.

Nothing inspires fear more in writers than a blank page or screen. Once immersed in the story, my pace inevitably picks up. Usually after the first draft I simply hate it. I often think what I have written is not fit for bathroom walls. It is not until  many more drafts later that I begin to like it even a little bit.  I 22109118then put it “in the can” for awhile. Usually after a week or so, I am able to spot additional flaws and weaknesses. I then adjust the story, much like adjusting a recipe to taste, substituting stronger verbs, adding apt similes/metaphors, and creating further descriptions.

The next stop for me on this literary journey is my writing group. Our group of five writers has met for many years and by now has developed a sense of trust. While we possess vastly different styles and genres, the feedback never fails to benefit my story. Soon thereafter I make the additional changes. After a final read through with minor edits I may write THE END. If the writing project is particularly important I may ask a beta reader for his/her thoughts. These are extremely valuable folks who must like your writing and be anxious to share their precious skills.

The question among writers that repeatedly comes up is whether the spouse should act as an informal editor or serve as an alpha reader. The usual response and one to which I hardily agree is NO, absolutely NOT! Having said that, almost every author I know or have read about uses (abuses) their spouse in this way, so long as he/she is halfway literate. I fully recognize this marital extortion is totally unfair to my spouse. In general the writer’s wife or husband feels torn between being supportive and being honest. To this I say, “tough.” No one ever said marriage would be easy!

So yes, Trudy regularly reads my stories. I ask her to do this when I am simply written out or else in need of a fresh eye. She also is good at word choice and grammar. Sorry Trudy. Such editorial services I’m sure must have been hidden in the fine print of the marriage contract.

My inspiration often springs from my surroundings and experiences. I love to tell stories. I love to watch people and animals and try to figure out what makes them do what they do. I love seeing people in extraordinary circumstances do extraordinary acts (this is the watermark underneath my patient stories  in Carrying The Black Bag). These stories show real people demonstrating courage and perseverance that, in some instances, they never knew they possessed. They tell us something good about the nature of our humanity.

Animal behavior also strikes me as overlooked for the substantial insights it provides for human behavior. I love animals. Maybe that is why in college I majored in Zoology. It wasn’t simply because it was a good Pre-Med major, and Chemistry, the other option, held for me no allure.

Much has been written on the creative process. I’m convinced creativity steals into the picture and cannot be forced. When it hits me, it does so unexpectedly much like a pigeon dropping. A rested mind, a beautiful scene, and a tickling of intellectual stimulation all enhance my potential for creativity.

Since the writing process per se is language-based, it is is strongly left brain. However, sudden insights like solving a problem or flashes of intuition come from the right brain. This  ability to perceive a solution requiring synthesis is right hemispheric and cannot be arrived at verbally. To write well, both sides of the brain need to work together. To paraphrase and alter the old Greek saying, we need a strong left hemisphere and a strong right hemisphere. That is, the brain must process verbal material, but also be able to discern some broader interpretation in order to tell a good story.

I believe this to be true, and try to put this into practice. And now so much for superstition or goofy acts. Now where was it I laid my Greek fisherman’s hat.

Mid-November Book Release Announced

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My publisher has announced my forthcoming book, Carrying The Black Bag: A Neurologist’s Bedside Tales, will be released mid-November. This blog will continue to address interesting aspects of Ranching and Retirement but will also begin to increasingly emphasize Reading and wRiting (The Four R’s).

Soon you will see changes in the appearance of the blog reflecting the added emphasis on writing and my book. I hope you will follow  the excitement of bringing my book to press with its many twists and turns. The most important aspect is sharing these poignant patient stories as they are no longer able to give voice to them.

Coming soon: The Cover Release. Roll the drums!

Tay Hohoff- Editor of “To Kill A Mockingbird”

Yesterday the novel “Go Set A Watchman” by Harper Lee was published. With its  publicity came to light that an invisible hand existed for her previous, Pulitzer prize winning novel, “To Kill A Mockingbird.” This skillful hand was that of her editor, Tay Hohoff, who at the time worked at Lippincott.

As the story goes Hohoff perceived impressive talent in the young Harper Lee but the manuscript she offered was a mess. It consisted of a series of anecdotes that lacked coherence and failed to uplift the reader.

Over the next two and a half years, Harper Lee, who to her credit was dogged enough to persist in her writing effort, wisely followed her editor’s counsel and repeatedly rewrote her manuscript. Her industry ultimately gave rise to her masterpiece, “To Kill A Mockingbird.”

The book this week by Harper Lee was written earlier than Mockingbird and is reported to lack the uplifting moral courage shown by Atticus Finch in Mockingbird, instead depicting the aging Atticus as a typical southern white male bigot of the 1950s. What a shift from the wise and courageous Atticus Finch we loved in Mockingbird and portrayed by Gregory Peck in the movie version.

“Go Set A Watchman” was written prior to “To Kill A Mockingbird” and lacked the skillful editing by Tay Hohoff. Could there be a clearer example of an editor’s impact? For my money I would rather re-read Mockingbird.

I am sure other examples exist of unsung editors who took incompletely developed manuscripts and fashioned them into meaningful and successful pieces of literature.

In my own situation with my book, “Carrying the Black Bag” (Texas Tech University Press due out November 15), I have gained a huge amount of respect for my editor, Joanna Conrad.

For example my “problem child” of a chapter did not fit the mold of the others in that the ill person was not personally known to me. Nevertheless, Adolf Hitler had Parkinson’s disease and, in my opinion, the disease affected his cognitive ability and impacted his conduct of World War II.

My premise is that his concern over his life-shortening Parkinson’s disease and heart disease prompted him prematurely to invade the Soviet Union. Also his cognitive dysfunction due to advanced PD delayed the counterattack by the German forces at the Battle of Normandy, establishing a second front.

Joanna liked the information in the Hitler chapter but not its academic tone. She skillfully guided me to weave the information into the book in a similar fashion to the other patient stories. Like Harper Lee before Mockingbird was published, I too am an unpublished popular author with little choice but comply with my editor but, like Lee, also I also listened carefully to my wise editor’s advice. This I believe is good advice for novice writers.

Here I am sure any comparison between Harper Lee’s masterpiece and my humble effort stops. Nevertheless, I am no less appreciative of Joanna Conrad than Harper Lee was of Tay Hohoff.