Remember that things weren't always as they are today. Photography, especially indoors as this one was taken, was of very poor quality. Details were drawn in - consider a black pen the "enhancement filter" of the day. Even Mary's face looks like it would have been a white blob with faint detail if not drawn in.
LOL even this picture looks fake. Is the person in the second bed a real person or a drawing?
https://www.washingtonpost.com/resizer/mgySZpZinfye7kXtuCWA2EL28pI=/1440x0/smart/arc-anglerfish-washpost-prod-washpost.s3.amazonaws.com/public/VOMBAGSBTBBZBKYMPCH5PLBOSQ.png
Remember that things weren't always as they are today. Photography, especially indoors as this one was taken, was of very poor quality. Details were drawn in - consider a black pen the "enhancement filter" of the day. Even Mary's face looks like it would have been a white blob with faint detail if not drawn in.