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gilf , 88 years old, obese, broad torso, heavy upper arms, full abdomen, thick neck, broad rounded face, loose cheeks, pronounced jowls, double chin, small gray eyes, hooded eyelids, prominent under-eye bags, sparse white eyebrows, broad nose, thin lips, deep forehead wrinkles, pronounced folds around the mouth, fair skin, uneven pigmentation, brown age spots, fine visible capillaries, deeply wrinkled hands, short white hair beneath a disposable surgical cap, alert slightly apprehensive expression, hospital gown, body covered with a hospital blanket, identification wristband, pulse oximeter on one finger, hospital operating suite preparation area, clean equipment trolley, folded surgical textiles, wheelchair beside the transfer bay,realism,