His words make her tense, though she tries not to let it show.

(Not realizing that her hand is squeezing his just a little bit tighter.)

She nods as if that's the plainest truth in the world, trying to underplay the situation. But she's still not looking at him, and her voice has suddenly gone on vacation.

One would think having this conversation once would make it easier to talk about. But this is a different Doc, and theirs is a different dynamic.