(high details, high quality:1.1), (ultra realistic, HDR:1.1),,
<lora:NurseJoy_v1:0.8>(sigh:1.1),(eyeliner,long lashes, mascara:1.1),zznursejoy, pink hair, hair rings, blue eyes, pink dress, apron, nurse cap, white footwear,hospital  veil of illusions, shimmering illusions, shifting reality, realm of tricksters (blurry background:1.2),(looking at viewer, sitting:1.1),,(huge breast,large breast:1.1),<lora:add_detail:0.97>full body, 
(tenebrism:1.1),