Blue, rain covered, low lit long two shot of Vidal and the doc represents the cruelty of masculinity.
Vidal's imperative 'make her well' reveals cruelty through speech, whilst alone could appear as wanting better health for his wife 'if you have to choose, save the baby' reveals his true intentions with carmen (to have a son, to continue fathers legacy)
A OTS CU on Vidal restraining from facing the doc until the last moment shows his disregard for those below him: which is his ultimate downfall