 The attention paid to his hands compliments his surgical skill, but also alludes to the sensuality of man who insisted on performing intimate manual examinations of his female patients.At the time the painting was made, his watery eyes and mottled knuckles could have been intended to imply was suffering from neurasthenia.Sargent chose not to exhibit his larger-than-life-size portrait of Pozzi in Paris, perhaps to protect Pozzi's reputation