President Trump may have been livid at the media portrayal of his hospital visit with survivors of the Dayton, Ohio shooting this past week, but you’d never know it by photos of his trip to El Paso. One particular image of his second hospital visit has drawn widespread condemnation online, as the photo features Trump flashing his trademark thumbs-up and grin while first lady Melania cradles an infant whose parents were killed in the El Paso Walmart shooting.

Melania first posted the photo through her social media accounts, spotlighting the baby’s uncle, Tito Anchondo, Donald, herself and baby Paul. The Washington Post reported that none of the eight patients treated at the El Paso University Medical Center agreed to meet with President Trump, though Tito Anchando brought baby Paul—who was previously discharged—back to the hospital for the meet and greet.

Anchando has specifically identified himself as a Trump supporter, telling NPR, “I want to see [Trump’s] reaction in person. I want to see if he's genuine and see if my political views are right or wrong. And see if he feels maybe some kind of remorse for statements that he’s made. I just want to have a human-to-human talk with him and see how he feels.” Anchando also claimed that Paul’s late father, Andre, “was very supportive of Trump.” Both Andre and his wife, Jordan, were killed during the Walmart shooting, reportedly shielding their infant son from harm. Paul is said to have been grazed by a bullet and suffered broken fingers when his mother collapsed on top of him.

This was not the first time Trump was accused of insensitivity during his visit. Texas congresswoman Veronica Escobar previously told MSNBC that Trump declined to speak with her before the visit, and was “using El Paso as a prop.” A hospital official also reportedly told CNN that Trump showed "an absence of empathy" during his visit, while a video released on social media appears to feature Trump bragging to assembled staff about a previous El Paso rally’s crowd size. The White House refused press attempts to follow Trump during his visit, claiming “This was about the victims and their families and thanking medical staff. It wasn’t about a photo-op.”

They subsequently released their own campaign-style photos and videos, including that of baby Paul.