1) Clara and Dorian are
adorable.
2) It is highly possible, considering game canon that wizarding medicine isn't great on the internal, that Pepper has a slow internal bleed. Given that he got hit by a blasting curse to the torso and broke several ribs and is currently covered in bruises.
3) Apparently this is esp amusing as they have just started a log in which James collapses of that on Friday.
I suspect as long as it remained slow he'd actually be okay, though I'd have to research what happens to the blood that pools inside the abdominal cavity (medical types?), but if, say, he went back to training Magdalene or went on field duty and got kicked or hit in the stomach or ribs...