3. What was the signifigance of Dr. Clement performing a hysterectomey on her? Was that her interpretation of an earlier event? Is Ros the one who killed him when she was originally there?
The dr. did
NOT give her a
hysterectomy, he gave her an
abortion. If he had given her a hysterectomy, it would have been a major operation, she'd have been under anesthesia, and he'd have to cut her wide open with a laparotomy. Not to be intentionally graphic, but he went in the vaginal canal, clearly with abortion-type apparatus (he shines one up while talking to her), which is how abortions are performed. Also, she cried out in pain, which isn't uncommon during an abortion, although the good dr. didn't appear to be doing it too gently, either.
That scene was a flashback from earlier in her life, and actually happened. I was under the assumption he was performing an abortion against her consent (which is not legal of course, but hey, it's fiction) because he knew she was 'crazy' and would abuse to the child as her mother did to her, and she was unfit to be a mother. She actually stabbed the dr. in the head with the scalpel and killed him then. All the interactions she has with him during present time (at her job) is just her imagining him there; remember at the beginning of the movie one of the first files pulled is the one of the skull x-ray with the scalpel lodged in it. Thus, Dr. Clement was clearly long-dead right from the beginning, proving all recent interactions with him were just her hallucinating.
Of course that also explains why she wrote "I want my baby" all over the place - she was
pining for the baby she lost in the abortion, not wishing to get pregnant. It also makes sense how she was able to finally get pregnant at the end of the movie.
"If you just talk, I find that your mouth comes out with stuff." ~ Karl Pilkington
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