Ah yes--I imagine that a year ago it was indeed a line of dismissal. This month, I took it as meaning other since we have had months of adversities showing up. Who knows how many sick-from-the-jab patients he has been seeing. And no one has ever used that line with me in any other 'healthcare' setting. I bet you could find out his name: you know everything has to be documented. Some of those people are really harsh. I suppose especially in the ER where they must see more pain than most practitioners do.