Madeline cocks an eyebrow, either ignoring the shift in her demeanour, or not noticing it at all. Considering the woman doesn’t even know how to properly use a quill, it is likely she doesn’t see the darkness seeping out of her patient. "Hermione?" She repeats, voice soft—so soft Hermione wants to reach for her throat and pull at her vocal cords until the bitch can no longer speak. "Have you requested time off at work?"