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(Photo taken by Ariel Blocher-Smith)

Jim is played by my other office / rounding nurse, Josiah Reish. He is not drinking real alcohol, but a visual dupe. After several experiments, the best mixture was a combination of water, de-carbonated soda, and non-alcoholic bitters. We did multiple “takes” to capture the correct posture and expression, as Josiah had no prior experience playing a drunk.

(Concept art by Dr. David A. Smith, M.D.)

The concept behind this picture was to show Jim’s emotional state after finding out about the baby. Jim used alcohol as an escape from a situation he did not want to face. His unwillingness to support his partner and confront his fears over becoming a father cost him both his relationship with Monica and their baby’s life.