"I could stay, if you're watching things here? I'd be - uh - how much do I owe you for this, doctor?" James is trying to not wince too much. "I'd be okay, wouldn't I? All I'd have to do is not do too much?"

The shock's definitely wearing off a little, and it's making the twinging more obvious. Sort of a gnawing pain and he can feel his pulse in his ears. When did he start clinging to R's hand?