It's a photograph taken by a patient (who wishes to remain anonymous) whose physician works at Rockville Maryland's Spectrum Family Health Center where if you join their practice you too can redeem their coupon for a free bag of chips, a candy bar or a soda for any new or transferred prescription!
Of course you could also choose to hightail it out of there as clearly the physicians there simply don't have a clue.
(And in an apropos twist, Spectrum Family Health Center's website, at least according to Google Chrome, is infected with malware. I wouldn't be at all surprised if they also struggled to keep their plants alive.)
