"Anyone know if its possible to have distince photos for each record but still using the same field"
That is the normal behavior of a normal ( NOT global ) container field.
A normal container field defined in the same table as your patient data, that is. Some relationship options you could use might also show the same image file on every patient record.
Also, make sure that you have inserted this picture into a container field and not onto the layout while in layout mode.
If that doesn't solve the issue, please describe what you have set up in more detail.
click on the container box on your current
under the insert menu click picture
select the picture you want from your photo library
& voila !
onto the next record
Thanks for the answers, all!
I figured out what I was doing wrong...yes I was trying to input the photo in layout mode (durr!)
It's all good now : D