If we learned nothing else during the pandemic we learned that medical staff are "Essential". These professionals, nurses, doctors, support staff, and many others go above and beyond to help us during medical emergencies often their own needs and families for our benefit. Celebrate them and honor them. Let's celebrate our Essential Sisters. Each notebook is 5.5 x 8.5in and comes with 50 pages of lined college-ruled paper (100 pages). The binding is a plastic silver spiral. The back of the notebook is brown cardboard backing.