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, 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 comic-style speech bubble with text, "The Doctor didn’t say you can WANK whenever you want ! He said you could have STROKE at any time !", highly detailed skin textures, fabric folds, medical equipment in background, moody atmosphere, deep shadows and bright highlights.