Raphael is simply silent as they drive to the hospital. He also casts a glance at Olivia, who doesn't speak with him or even look at him; Olivia can't do it; Raphael has no idea what Olivia's mind is thinking right now, but there's something in his mind that he needs to be aware of since he may lose Olivia at any moment.
However, he understands Olivia's dissatisfaction with everything, so he has no urge to complain to her about why she isn't talking to him or why she is ignoring him. He simply sighed and returned his eyes for a moment to her.
Raphael also wanted to confront James...