Jacob and Nora met on their first day of residency at UPMC Altoona where Nora is completing her family medicine training and Jacob did his transitional year prior to starting residency in anesthesiology. Their chemistry began during their Advanced Cardiac Life Support class when Jacob convinced Nora that Ambubags got their name because they are made from the radiators in ambulances. They became fast friends but both wanted more. Jacob asked Nora to be his girlfriend after their second perfect date in a row. They have come to realize all their dates are perfect, and the rest is history.