I spoke to soon.
That fixed one issue but the images still do not update after the file upload.
In fact they do not update even after leaving and coming back to the page. I have to do a Ctrl + F5 refresh to get them to show up after they are changed.
Go ahead and upload an image. Everything works great except the images do not update in the image fields.
If you reload the page and then refresh it the images reload. I checked the server and the images are uploading correctly.
This really looks like a cache issue with the page. I set the cache-control to "no-cache" with no joy.