The moment the realization clicks is very easy to tell. One moment, she can move the scalpel, the next it's very firmly lodged in his back with the bullet and little chance of getting anything out thanks to the stiffness and tensing of already ridiculous muscle.

Namie sighs and settles for cleaning and bandaging the wound she's already taken care of. Then she shifts, ignoring his question as she jerks the forceps out of the bullet wound and moves out from behind him.

"One that I can't get out now." The statement is made with a pointed look as she settles beside him again, returning her attention to the wound in his shoulder. Maybe that one or the one in his leg will be easier to remove at the moment. It's worth trying while she waits for him to calm down again.

She turns herself, on her knees and angling to face him, nearly sitting against his side while she cleans his shoulder then pulls out another scalpel since the second one is currently sticking out of his back. Then she's back to work, more effort now with the tightness of muscles that comes with his anger.

"Look at me while I do this." She glances over at him for only a moment before her attention returns to his shoulder. "If you snap now, how do you think this is going to end?"

This being her position so close to him. She's come out safe so far, but it's unlikely to remain that way if he gives in now.