The children of actress Marcia Gay Harden and writer-director Peter Landesman attended the same school. The pair knew and admired each other before Harden was cast as Nurse Nelson. Landesman said: "Nurse Nelson is present in virtually every moment of the hospital thread. There are not a lot of lines, but as you watch the movie, it's clear that she's leading the charge. I needed someone with Marcia's presence and power. She also brought things to this role that I didn't anticipate. She moved me to tears a number of times."

Film

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