(RAW photo, best quality), operating room, overhead surgical light,blurred background, focused, dithering,backlighting, <lora:surgical_nurse_PPT_V1.0-000006:0.8> surgical_nurse_ppt, 1girl, surgical mask, gloves,long dress, nurse, <lora:Kaname_Shinohara_v1.3:0.5>kaname shinohara,glasses