Derek has a face that was somewhere between confused, horrified, and bemused at the actions of his cousin. He really didn't know how to react to this whole thing. At all.
"Dude...you go off into lala-land and you're still gonna try and get me soup for my non-existent illness? Dude, get yourself taken care of first."
The second part is not said in a warning tone or a sarcastic one, but a genuinely concerned one.
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