a deranged doctor making the thumbs up sign while eagerly holding a syringe and with an evil grin. on a white background

scary grinning doctor syringe terrifying sinister menacing chilling holding drug crazy insane deranged psychotic mad unhinged delirious frenzied wildeyed obsessed extreme invite frightening crazed dangerous staring gesture physician man male guy person 40s middle aged filipino southeast asian indonesian malaysian vietnamese asia thai chinese white coat professional grin evil injection shot shady approving assuring making thumbs sign eagerly isolated background grin