For Karkat, this was particularly polite. He wasn't a very apologetic person on the best of days, and the fact that he hadn't called Castiel a single name yet was testament to the fact that he felt bad for the guy's current condition. It was a shame that the rest of his actions didn't allow any of his concern to shine through.

The troll lifted his head enough that his eyes peeked over the edge of his arm. "Notes? Fine." He hadn't seen any husktops since he'd arrived, but maybe if he asked the nurse for one she wouldn't be as incredibly unhelpful as she'd been up to this point. They had to have them for proper communication here somewhere. Pencil and paper notes didn't even come to mind.

"Try not to fall down any stairs or anything for a while. You look like shit."