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deformed, ugly, disfigured, blurry, pixelated, hideous, indistinct, old, malformed, extra hands, extra arms, joined misshapen, collage, grainy, low, poor, monochrome, huge, extra fingers, mutated hands, poorly drawn hands, mutated hands, fused fingers, too many fingers, nude, naked, blur haze

black male doctor using a stethoscope to check the heartbeat of a black male patient inside a bar 