Nurse Spike the Dragon, Dr. Twilight Sparkle's best friend, number one assistant and scrub nurse, dressed in a dark blue DragonHealth surgical gown, white DragonHealth surgical gloves, light-blue DragonHealth surgical wing covers which covered his wings, a light-blue DragonHealth surgical tail cover which covered his tail, a light blue DragonHealth surgical cap, and is breathing in his white EquestriTech EMCSN95-S-W cup-style disposable particulate surgical respirator mask over his nose and mouth, to protect his lungs from any harmful airbourne particles and nasty germs. Spike's mask also keeps his muzzle warm.