The image is formatted in a tweet with image format. The caption says "handle with care" over two pictures. The first picture is of an Amazon package with "fragile" written in sharpie. The second picture is on the inside the box with a paper and the text "a middle manager's ego" on it.
My manager missed a pretty useless meeting due to a genuine personal reason, but I did attend. When we met up to update him on what happened, he talked for 15 mins out of 20 about how he'd have taken care of everything if he was there. He even sent out 3 - 4 emails to the organizers apologizing, they didn't care too much.
If you spend more time apologizing for missing a meeting than the actual meeting took, that screams insecure to me.
Edit: a week later 25% of managers his level were laid off. He probably knew what was going to happen, wondering if he was on the chopping block