The man's manner of speech and actions make him wonder what manner of eccentric he has put himself in the care of, but he can't deny the efficiency. If that's taken care of, then all he has to worry about is somehow mending the trousers, and that'll solve some problems on this ship.

"Thank you, doctor. Mycroft Holmes - I wish I could say it's a pleasure."

But being kidnapped onto a strange ship tends to put a damper on it being pleasurable.