MovieChat Forums > A Few Good Men (1992) Discussion > Santiago's medical condition

Santiago's medical condition


Private Santiago displays all the common symptoms of a potential heart problem, yet our "expert" Dr Stone fails to diagnose his case and gives him a clean bill of health ? That part of the plot just doesn't make any sense...

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Good point. In reality, one would think that additional medical experts would be called in as witnesses.

It's not clear from the film whether Stone was less than competent, or whether he was pressured by Jessup or other military commanders to say that Santiago was fit for normal duty.

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You got your mind right, Luke?

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Thanks for your reply. Well, Dr Stone was an internist and was called an expert in his field by the prosecutor. No, neither Jessup nor anyone else would have any reason to pressure him into declaring Santiago fit for duty prior to the incident..What would they gain from doing something like that ?

What I don't comprehend is how come Dr.Stone ignores all the common indicators of a potential coronary condition and issues a clean bill of health ? It doesn't take an expert to tell you should see a cardiologist asap if you complain of chest pain, shortness of breath and fatigue !

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It doesn't take an expert to tell you should see a cardiologist asap if you complain of chest pain, shortness of breath and fatigue !

maybe for normal, everyday life. but we're talking about 10-mile runs in full gear in the Cuban heat. Who WOULDN'T have pain, shortness of breath and fatigue?

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The dialogue reveals that Santiago was complaining of chest pains, shortness of breath and fatigue. Medical symptoms are invariably inconclusive, a condition is diagnosed solely on the basis of an appropriate physical examination which the doctor conducted revealing a clean bill of health. Restricting him from running over five miles was mere prudence, just like your GP finding nothing but telling you to take it easy for a while. It's common medical practice. To diagnose a condition he didn't detect would have been nonsensical. In fact If anything Santiago's symptoms were as a result of stress, a product of his circumstances. Also bear in mind that the examination was performed before any conspiracy took place therefore the doctor, whatever about lying after the fact, had no reason to fabricate anything at that time.

Ultimately it could be argued that Kaffee was badgering the doctor not to prove a heart condition but merely to disprove poison. 'We just need to show that Santiago could have died from anything other than poison.'

I've had a lot of sobering thoughts in my time Del Boy, it's them that started me drinking!

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[deleted]

It doesn't make sense to me that the Commander continues to state that some exotic, "virtually undetectable" poison was placed on the rag, and caused Santiago's death.
Well the whole interaction between Jo and The Judge suggests that the court accepts the Doctor is entitled to give his opinion. In the context of his testimony he's insisting on a logical deduction not a fact and it's Kaffee's questions that prompt the insistence rather than the Dr's whim.

As to the poison it didn't necessarily have to be cyanide or magical or mysterious. Kaffee indicates in his question that what qualifies as a poison could be substances such as turpentine etc. There are any number of deadly toxins in the average family home. There would be dozens of perfectly practical yet lethal products on a navy base that two marines could get access to.

I've had a lot of sobering thoughts in my time Del Boy, it's them that started me drinking!

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[deleted]

If it wasn't poison, the doctor could be in trouble. He was the medical authority who declared Santiago fit.


But even Kaffee gave the doctor an "out" when he asked "Is it possible to have a serious coronary condition, where the initial warning signals were so mild as to escape a pysician during a routine medical exam?"
The doctor says it's possible and there are hundreds of symptoms that could be associated with such a condition. Kaffee rattles off three of them. Those three symptoms could be indicative of a lot of things beyond a coronary condition, well alone a serious one. We don;t even know if Pvt Santiago smoked or not.

It's only when Kaffee (not a doctor) started diagnosing the Doctor Stone's patient that Stone rejected and resisted the lawyer's insinuations. And then Kaffee badgers him and accuses him of being self-serving.

Frankly, when Kaffee asked, "Isn't it possible that Santiago had a serious coronary condition, and it was that condition, and not some mysterious poison, that caused the accelerated chemical reaction?" The doctor should have replied, "I just testified to that possibility. As you can see by my report I took a proactive approach to his medical complaints by restricting his exercise regimen and conducted initial testing which proved negative. Based on the negative test results and the nature of the acidosis, I opined that a poison was most likely used.".

It would have strengthened his own testimony and character and slightly weakened Kaffee's "anything but poison" strategy.







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As you can see by my report I took a proactive approach to his medical complaints by restricting his exercise regimen and conducted initial testing which proved negative. Based on the negative test results and the nature of the acidosis, I opined that a poison was most likely used.".
Doesn't he say this more or less though?

I've had a lot of sobering thoughts in my time Del Boy, it's them that started me drinking!

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Definitely less. He didn't really tie in the reason it was poison, against Santiago's clean bill of health.
Doc basically dumped everything out for the prosecution and then (as a defense attorney's supposed to do) Kaffee deconstructed the doctor's testimony, chipping away at it. But the doctor didn't effectively defend himself as Kaffee attacked his competence and his character.


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The thing is malingering is a real thing in the defense force. Statistically, it's more likely that Santiago is malingering rather than suffering from a real illness.

Diagnosis of illnesses can be difficult... especially if you're already half convinced he's malingering.

So, yes, poor, but not unrealistic.

SpiltPersonality

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It seems absurd to me that Santiago would make it THIS FAR as a Marine! Certainly, basic training would have revealed that this kid had a problem, and Jessop would certainly have wanted him out.

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