Well I mean it's a real photo, but it's had a lot of post-editing done to it. The straight lines in the image have been greatly rounded due to a cool panorama effect, the HDR/Clarity effect ensures a pretty glow, and I bet there are more effects added to the lighting.
Being a nurse I can really appreciate this one. There is a book called "Within the Frame" by David DuChemin. It is a book about finding and expressing your photographic vision, specifically where people, places, and cultures are concerned. It's the difference being taking pictures and being a truly gifted photographer. You are that truly gifted photographer.