With the character of the doctor as her subject, Tabitha Sparks follows the decline of the marriage plot in the Victorian novel. As Victorians came to terms with the scientific revolution in medicine of the mid-to-late nineteenth century, the novel's progressive distance from the conventions of the marriage plot can be indexed through a rising identification of the doctor with scientific empiricism. A narrative's stance towards scientific reason, Sparks argues, is revealed by the fictional doctor's relationship to the marriage plot. Thus, novels that feature romantic doctors almost invariably deny the authority of empiricism, as is the case in George MacDonald's Adela Cathcart. In contrast, works such as Wilkie Collins's Heart and Science, which highlight clinically minded or even sinister doctors, uphold the determining logic of science and, in turn, threaten the novel's romantic plot. By focusing on the figure of the doctor rather than on a scientific theme or medical field, Sparks emulates the Victorian novel's personalization of tropes and belief systems, using the realism associated with the doctor to chart the sustainability of the Victorian novel's central imaginative structure, the marriage plot. As the doctors Sparks examines increasingly stand in for the encroachment of empirical knowledge on a morally formulated artistic genre, their alienation from the marriage plot and its interrelated decline succinctly herald the end of the Victorian era and the beginning of Modernism.

There were two surgeons in the little town of Graybridge-on-the-Wayverne, in pretty pastoral Midlandshire,—Mr. Pawlkatt, who lived in a big, new, brazen-faced house in the middle of the queer old High Street; and John Gilbert, the parish doctor, who lived in his own house on the outskirts of Graybridge, and worked very hard for a smaller income than that which the stylish Mr. Pawlkatt derived from his aristocratic patients. John Gilbert was an elderly man, with a young son. He had married late in life, and his wife had died very soon after the birth of this son. It was for this reason, most likely, that the surgeon loved his child as children are rarely loved by their fathers—with an earnest, over-anxious devotion, which from the very first had been something womanly in its character, and which grew with the child's growth. Mr. Gilbert's mind was narrowed by the circle in which he lived. He had inherited his own patients and the parish patients from his father, who had been a surgeon before him, and who had lived in the same house, with the same red lamp over the little old-fashioned surgery-door, for eight-and-forty years, and had died, leaving the house, the practice, and the red lamp to his son. If John Gilbert's only child had possessed the capacity of a Newton or the aspirations of a Napoleon, the surgeon would nevertheless have shut him up in the surgery to compound aloes and conserve of roses, tincture of rhubarb and essence of peppermint. Luckily for the boy, he was only a common-place lad, with a good-looking, rosy face; clear grey eyes, which stared at you frankly; and a thick stubble of brown hair, parted in the middle and waving from the roots. He was tall, straight, and muscular; a good runner, a first-rate cricketer, tolerably skilful with a pair of boxing-gloves or single-sticks, and a decent shot. He wrote a fair business-like hand, was an excellent arithmetician, remembered a smattering of Latin, a random line here and there from those Roman poets and philosophers whose writings had been his torment at a certain classical and commercial academy at Wareham. He spoke and wrote tolerable English, had read Shakespeare and Sir Walter Scott, and infinitely preferred the latter, though he made a point of skipping the first few chapters of the great novelist's fictions in order to get at once to the action of the story. He was a very good young man, went to church two or three times on a Sunday, and would on no account have broken any one of the Ten Commandments on the painted tablets above the altar by so much as a thought. He was very good; and, above all, he was very good-looking. No one had ever disputed this fact: George Gilbert was eminently good-looking. No one had ever gone so far as to call him handsome; no one had ever presumed to designate him plain. He had those homely, healthy good looks which the novelist or poet in search of a hero would recoil from with actual horror, and which the practical mind involuntarily associates with tenant-farming in a small way, or the sale of butcher's meat.

With the character of the doctor as her subject, Tabitha Sparks follows the decline of the marriage plot in the Victorian novel. As Victorians came to terms with the scientific revolution in medicine of the mid-to-late nineteenth century, the novel's progressive distance from the conventions of the marriage plot can be indexed through a rising identification of the doctor with scientific empiricism. A narrative's stance towards scientific reason, Sparks argues, is revealed by the fictional doctor's relationship to the marriage plot. Thus, novels that feature romantic doctors almost invariably deny the authority of empiricism, as is the case in George MacDonald's Adela Cathcart. In contrast, works such as Wilkie Collins's Heart and Science, which highlight clinically minded or even sinister doctors, uphold the determining logic of science and, in turn, threaten the novel's romantic plot. By focusing on the figure of the doctor rather than on a scientific theme or medical field, Sparks emulates the Victorian novel's personalization of tropes and belief systems, using the realism associated with the doctor to chart the sustainability of the Victorian novel's central imaginative structure, the marriage plot. As the doctors Sparks examines increasingly stand in for the encroachment of empirical knowledge on a morally formulated artistic genre, their alienation from the marriage plot and its interrelated decline succinctly herald the end of the Victorian era and the beginning of Modernism.

Winner, 2018 PEN/E.O. Wilson Prize for Literary Science Writing Short-listed for the 2018 Wellcome Book Prize A Top 10 Science Book of Fall 2017, Publishers Weekly A Best History Book of 2017, The Guardian "Warning: She spares no detail!" —Erik Larson, bestselling author of Dead Wake In The Butchering Art, the historian Lindsey Fitzharris reveals the shocking world of nineteenth-century surgery and shows how it was transformed by advances made in germ theory and antiseptics between 1860 and 1875. She conjures up early operating theaters—no place for the squeamish—and surgeons, who, working before anesthesia, were lauded for their speed and brute strength. These pioneers knew that the aftermath of surgery was often more dangerous than patients’ afflictions, and they were baffled by the persistent infections that kept mortality rates stubbornly high. At a time when surgery couldn’t have been more hazardous, an unlikely figure stepped forward: a young, melancholy Quaker surgeon named Joseph Lister, who would solve the riddle and change the course of history. Fitzharris dramatically reconstructs Lister’s career path to his audacious claim that germs were the source of all infection and could be countered by a sterilizing agent applied to wounds. She introduces us to Lister’s contemporaries—some of them brilliant, some outright criminal—and leads us through the grimy schools and squalid hospitals where they learned their art, the dead houses where they studied, and the cemeteries they ransacked for cadavers. Eerie and illuminating, The Butchering Art celebrates the triumph of a visionary surgeon whose quest to unite science and medicine delivered us into the modern world.

A "gorgeous, thoughtful, heartbreaking" historical novel, The Cape Doctor is the story of one man’s journey from penniless Irish girl to one of most celebrated and accomplished figures of his time (Lauren Fox, New York Times bestselling author of Send for Me). Beginning in Cork, Ireland, the novel recounts Jonathan Mirandus Perry’s journey from daughter to son in order to enter medical school and provide for family, but Perry soon embraced the new-found freedom of living life as a man. From brilliant medical student in Edinburgh and London to eligible bachelor and quick-tempered physician in Cape Town, Dr. Perry thrived. When he befriended the aristocratic Cape Governor, the doctor rose to the pinnacle of society, before the two were publicly accused of a homosexual affair that scandalized the colonies and nearly cost them their lives. E. J. Levy’s enthralling novel, inspired by the life of Dr. James Miranda Barry, brings this captivating character vividly alive.

The chilling true-crime story of the Victorian era’s deadliest doctor “When a doctor does go wrong, he is the first of criminals,” Sherlock Holmes observed during one of his most puzzling murder investigations. Incredibly, at the time the words of the world’s most famous fictional detective appeared in print in the Strand Magazine, a real-life Canadian doctor was stalking and murdering women in London’s downtrodden Lambeth neighbourhood. Dr. Thomas Neill Cream had been a suspect in the deaths of two women in Canada, and had killed as many as four people in Chicago before he arrived in London in 1891 and began using pills laced with strychnine to kill prostitutes. The Lambeth Poisoner, as he was dubbed in the press, became one of the most prolific serial killers in history. In this fascinating book, Dean Jobb reveals how bungled investigations, corrupt officials and failed prosecutions allowed Cream to evade detection or freed him to kill, again and again. The first complete account of Dr. Cream’s crimes and his many victims explores how the stifling morality and hypocrisy of the Victorian era allowed this monster to poison vulnerable and desperate women, many of whom had turned to him for medical help. It offers an inside account of Scotland Yard’s desperate search for a killer as brazen and efficient as Jack the Ripper.