If he wanted to stand, he wanted to stand, and it wasn't as though Makiko cared all that much about his comfort. So long as he wasn't making a larger mess of her office, she was completely fine with it. She merely continued to write, as though he had actually obeyed and sat down.
"Clearly you weren't fine, if you ended up here," she observed, pausing long enough to point downward to indicate the hospital before she returned pen to paper again. "When you're a danger to yourself - and others - there comes a point when intervention is required." Still in the same tone of voice, even and calm as though they were merely discussing the weather, she added, "How has the pain in your hand been, these last few days?"
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"Clearly you weren't fine, if you ended up here," she observed, pausing long enough to point downward to indicate the hospital before she returned pen to paper again. "When you're a danger to yourself - and others - there comes a point when intervention is required." Still in the same tone of voice, even and calm as though they were merely discussing the weather, she added, "How has the pain in your hand been, these last few days?"