a close-up of a male doctor in a white coat and blue tie and white coat with a stethoscope around his neck, male doctor with white hair and beard, aged 55 years, smiling in his office.

multiple persons, deformed, bad anatomy, disfigured, poorly drawn face, mutation, mutated, extra limb, ugly, disgusting, poorly drawn hands, missing limb, floating limbs, disconnected limbs, malformed hands, blurry, ((((mutated hands and fingers)))), watermark, watermarked, oversaturated, censored, distorted hands, amputation, missing hands, obese, doubled face, double hands, sepia, balck and white, grayscale