You missed the angle.
See that bit of flesh on the edge of the arm at the top border?
The flesh appeared as if the face of the patient was hugely wide,
like some gross deformation.
You need a better perspective,
the whole pic.
However,
a possible theory could be either another individual is kneeling lowly by the patient,
and it's his/her face edge as they watch the instruments;
or,
it's the patient's left hand moving in that area.
The question was the bit of flesh at the crook of the doc's elbow…..
Need a closer,
clearer,
shot.
Like "alter christos",
"another Christ",
which is what a certain priesthood calls itself…..
But the Revelation is a Prophecy,
and written around 95 AD,
after Nero.
Clue is Ephesus was fallen according to one of the letters,
but it wasn't yet fallen during the 60's AD.
And yet another clue:
666 times 7 years in the style of Daniel's 7 times 7 years.
Take the value of that former number,
go backward from 536 AD when Justinian I created the office of "bishop of all bishops" (Rome),
and one will arrive at the time Adam fell to the Serpent in the Garden of Eden.