a middle-aged male nurse pushing an elderly patient in a wheelchair, highly detailed, photorealistic, cinematic lighting, beautiful skin tones, intricate facial features, clean medical environment, warm color palette, shallow depth of field, emotional expression, dynamic pose, (best quality,8k,highres,masterpiece:1.2),ultra-detailed,(realistic,photorealistic,photo-realistic:1.37),professional,cinematic lighting,warm color palette,shallow depth of field,emotional expression,dynamic pose

verybadimagenegative_v1.3, ng_deepnegative_v1_75t, (ugly face:0.8),cross-eyed,sketches, (worst quality:2), (low quality:2), (normal quality:2), lowres, normal quality, ((monochrome)), ((grayscale)), skin spots, acnes, skin blemishes, bad anatomy, DeepNegative, facing away, tilted head, {Multiple people}, lowres, bad anatomy, bad hands, text, error, missing fingers, extra digit, fewer digits, cropped, worstquality, low quality, normal quality, jpegartifacts, signature, watermark, username, blurry, bad feet, cropped, poorly drawn hands, poorly drawn face, mutation, deformed, worst quality, low quality, normal quality, jpeg artifacts, signature, watermark, extra fingers, fewer digits, extra limbs, extra arms,extra legs, malformed limbs, fused fingers, too many fingers, long neck, cross-eyed,mutated hands, polar lowres, bad body, bad proportions, gross proportions, text, error, missing fingers, missing arms, missing legs, extra digit, extra arms, extra leg, extra foot, ((repeating hair))