(best quality,4k,8k,highres,masterpiece:1.2), realistic, detailed, smiling doctor, medical professional, stethoscope, calm and friendly expression, clean and well-lit medical office, modern medical equipment, warm and welcoming atmosphere, professionalism in every aspect, patient-centered care

deformed, bad anatomy, disfigured, poorly drawn face, mutation, mutated, extra limb, ugly, disgusting, poorly drawn hands, missing limb, floating limbs, disconnected limbs, malformed hands, blurry, ((((mutated hands and fingers)))), watermark, watermarked, oversaturated, censored, distorted hands, amputation, missing hands, obese, doubled face, double hands, b&w, black and white, sepia, flowers, roses