So the omperzole infusion makes an appearance that day again dated 11/4 but when you look at the bottom of the picture it says May update which correlates to your picture.The caption , and the date on the hand
Didn't James say he was due to go on holiday in May but had to cancel as he needed emergency surgery following an endoscopy but he didn't post for a week but when he did post again he stated he had been extremely unwell? I'm guessing he wasn't in hospital and he was on holiday as the recycled pictures have come out again.