University of Rochester vs My Pronouns (Patreon)

Today I had my followup appointment with Urology where I learned I had an abnormal amount of arteries lymphatics, unexpected by my surgeon.

I have a clean bill of health, y'all! I can resume normal activity 100%! Hopefully I'll have no further need of them.

Unfortunately, prior to going to my appointment I filled out my pre-check in form and was confronted (once again) with the binary:

Obnoxious.

In other news my grievance/claim has been filed, and I last week I got a letter of confirmation/apology.

...Is it just me or?

...are they still struggling with my pronouns?

It's odd that the letter addresses me specifically before alternating to they/their pronouns as if speaking of someone else.  

I feel they're sacrificing correct grammar as a way of demonstrating they understand my pronouns. Which to me? indicates they still might not actually get it?

...is it just me? am I nit-picking here? what in the what?

Neither here nor there. The letter is of no real consequence compared to the results of the report. It's just weird is all!