Photorealistic masterpiece, 8k UHD, hyper-realistic, sharp focus, cinematic lighting, chiaroscuro, hospital room setting, hazy sunlight streaming through a window, dust motes in air, a 40-year-old man in pale blue and white striped pajamas lying in a hospital bed, man masturbating, his hand around his penis, orgasm face, visible penis, busty voluptuous nurse in her 30s, beautiful facial features, long wavy blonde hair, wearing glasses, low-cut short white nurse tunic, no underwear, black sheer stockings, standing by the bed, arms crossed, angry facial expression, looking down at the man's genitals, large speech bubble with text, "The Doctor didn’t say you can WANK whenever you want ! He said you could have a STROKE at any time !" In a comic font., highly detailed skin textures, fabric folds, medical equipment in background, moody atmosphere, deep shadows and bright highlights.