#1270858 - semi-grimdark, edit, edited screencap, screencap, big macintosh, citrus scrubs, cloud kicker, filthy rich, first check, karat, lightning bolt, medallion gold, noteworthy, nurse high fever, nurse purpleheart, nurse redheart, nurse snowheart, nurse sweetheart, nurse tenderheart, parasol, ratchet (g4), rosetta, royal riff, silver scrubs, spoiled rich, spring melody, sprinkle medley, sterile area, sunshower raindrops, tender care, white lightning, earth pony, pony, g4, my little pony: friendship is magic, season 6, where the apple lies, caption, cbt, humor, image macro, impact font, male, mask, meme, operating room, ship:spoilthy, spoiled milk, stallion, surgical mask, teenage big macintosh, text, this will end in pain, this will end in tears, unnamed character, unnamed pony, vasectomy, young filthy rich