[Castiel's gaze doesn't shift from Mary when Raphael speaks, at least not immediately. He seems to be restraining himself from saying what he wants to say, struggling with his temper and how Raphael's very presence inspires such hatred in him.
He continues to ignore the archangel for the moment, responding to Mary first.]
I haven't spoken to them.
[And finally, he looks at Raphael.]
Why haven't you healed her?
[This is all stupid, as far as Castiel is concerned. Raphael is an angel, and not just that, but the angel of healing. Why is Mary even in the hospital?]
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He continues to ignore the archangel for the moment, responding to Mary first.]
I haven't spoken to them.
[And finally, he looks at Raphael.]
Why haven't you healed her?
[This is all stupid, as far as Castiel is concerned. Raphael is an angel, and not just that, but the angel of healing. Why is Mary even in the hospital?]