Jessica & Alison
One of the things that comes up in Emergency Medicine is to not judge your patients. At least, not to their faces. They need help, and they already feel real bad about whatever it is they managed to get stuck up their butt. Jessica thought that was a bad attempt at humor by her instructors; a bit of hyperbole to accentuate the issue. That lasted until the first time she met a patient with something stuck up their butt.
The point being that the expression of surprise on her face when Alison speaks is fairly neutral. That the situation is merely unexpected, and not humorous or embarrassing at the patient's expense.
Dr. Kowalski is not a large person, either. She is merely conventionally short, a bit over 5 feet in height. She also appears to be a twenty-something blonde, though her hair is only neck-length. The soft blue scrubs obscure a lot of details, but she seems to have a decent figure at a healthy weight.
A tiny human is not what Jess was expecting. Not that she was expecting anything in particular; but this is somehow still outside what she was expecting. And yet, somehow, it is almost disappointingly mundane. She and Karl Brennan flagrantly disregard physics with the things they can do; whereas simply being one-quarter scale (fifth? sixth?) seems safely inside the bounds of things known science can explain.
"Actually, I think we just hit afternoon. Hello, in any case. I'm Dr. Kowalski," she says as she walks over to the bed. "No, I'm not here to run any tests. It would appear that I'm here for more psychological reasons." Slightly stiffly, she grabs a chair and pulls it up alongside the bed, then sits to be closer to Alison's level. "How should I address you, Ms. Wagner? Also, I'm sure they showed you the standard privacy forms. Would you be able to extend me a little patient-doctor confidentiality in return?"
OOC: Just to get my mental picture right, how tall is Alison right now? Also, is she still made of flesh, or does she appear to be made of plastic? Or porcelain? All the doll comparisons have planted ideas in my mind, and I want to make sure I don't go off on a mistaken tangent. ;)