Carlisle looks a bit taken aback as Ianchus presses his initial question again, albeit in slight variation; he had thought he could dodge the inquiry, that the topic would shift away from him to more light teasing. That does seem to be this fellow's primary means of communication, from his experience. Nothing is too serious, too dour to be immune.

"I feel as well as I look," he answers honestly, which is to say not well at all. "Perhaps I should not have chided you for being in the Clinic."

Ah, how the tables can turn.