First time I ever had to think about the possibility of what would happen with a sizable belly slash.

Never going to un-imagine it.

It was so visceral in the book. I remember watching the movie thinking "oh its about to happen", then it's basically off camera.

Despite posting a photo of the book in my hand, I haven't read it for a good minute. You're referring to the clinic scene? (I think that's first in the book, but not 100%).

Now that you mention it, I recall he's generally a lot more sinister in the book.