Someone posted this in another thread, I don't know the source though.
The one posted as proof of life:
to me what looks weird in the vacation pic is the alignment of torso and legs. It looks really off. In the hospital pic is more natural. So I'm inclined to agree with you that hospital is real and holiday isn't.
Also, I was looking for an actual turtle in the holiday pic to check reflections, it took me a while to understand 😅