Vitality? The pictures themselves convey the messages: her postures and how she appeared in general, etc. (not about hair and makeup), especially since we already know the pictures are of the same person a year apart.
The family had reported seeing her legs swollen.
In the best interests of the patient, the doctor at Boston CH should at least have called the original doctor at Tufts to discuss the case before rendering his new diagnosis which basically says Tufts had made a big mistake. This shows BCH’s arrogance and total lack of respect for Tufts’. And now people are wondering why doctors at Tufts have nothing to say?!