There are a lot of focus points to the story starting to come together very quickly. I'll admit to stewing over one section for a very long time, as I want the medical descriptions of procedures to be accurate. I *could* use a lot of literary license but I'd rather not implant false impressions in the reader's mind.
Every item mentioned in the story exists in fact, and is, or may be, used as described. The reference books our heroine uses are all real and current. The training programs all exist in fact, though I have changed the names in order to avoid possible embarassment for the promoters.
RR