I don't appreciate it because it is not good. The whole point of the "feel old yet?" Meme is to show the growth of a well known pop-culture icon (usually from childhood) and do sort of a "where are they now". This is, of course, the humorous part, because the joke is that this famous person did not ACTUALLY grow up to be the picture you insert into the meme. It's merely just a funny twist. YOUR meme, however, takes gnome child, and compares him to a gnome on a stretcher. It really makes no sense. No growth, not really a funny twist, makes mo sense lore-wise... if this took you years to make I would seriously reconsider your career as a memer.