How can you say that it was very symbolistic and really easy to understand where. The "man" was the director and the skin wasn't falling of but was surgically removed and contains 8mm films which created movie that the mass media liked.
In the segment the "man" director run away from the hospital like a good movie director would escape form the Hollywood standards, the bullet that came out of he's skiing would be he's argument to the media to break free.
It takes the "train" that is symbolic for changing direction and end up in a blood rain symbolising that it's not the end of he's film making career but the begging of an independent one.
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