Both Nurse Ienil and Doctor Gorveth are based on the same friend of mine, who in life is a certified Medical Assistant. So, I've "promoted" her twice. With her years of experience she knows as much as any nurse but the state of Texas insists that to be a nurse you have to spend a bunch of money getting a nursing degree. In Bubbleopolis, medical professionals are certified by private agencies but experience and reputation count a great deal more.
