black comedy   based on novel   beating   dream   hell   alcoholic   face slap   ambulance   blood   new york city   manhattan new york city   falling from height   empire state building manhattan new york city   prostitute   blood spatter   1990s   blood on shirt   drug dealer   car crash   heroin   coma   broken leg   drug abuse   head wound   prostitution   impalement   director cameo   broken windshield   ghost   childbirth   drug overdose   attempted suicide   catholic   goth   box office flop   tied to a bed   insomnia   time lapse photography   covered in blood   severed foot   paramedic   baseball bat   bloody body of child   cardiac arrest   carried over back   cpr   dead baby   emergency   euthanasia   medical   mercy killing   wrist slitting   ecstasy   fast motion scene   fictional drug   guilt complex   car accident   dog   death   hospital   fish tank   fish out of water   kicked in the face   loss of father   pregnancy   cynicism   voice over narration   violence   shot in the forehead   drunkenness   rescue   shot in the chest   shooting   drugs   hallucination   pistol