James laughed. It thoroughly amused him that she had no qualms with telling him to shove off. He could respect that. Despite being an attention seeker in his youth he had an ego that was difficult to bruise and that followed him into adulthood. It wasn't easy to offend James. It was all too easy to challenge him.
"Yes Ma'am," he answered in a stern tone once the laugh settled. Despite the fact that it was put humorously he did take her seriously. "That's how it should be. It's a sacred trust between you and patients."