That's the one! His right-hand middle finger looks severely swollen, as do the others actually, but that one really stands out. That isn't Reynauds, that's a long term deformation of soft tissue, cartilage and bone. His PM photo of his right foot shows a dropped 1st MTPj joint to a degree that would need surgery, it would have made walking unbelievably painful. It didn't even decrease despite every gram of bodyweight aside wasting away. In fact, it would have made it all but impossible and certainly not with any additional weight.