“Whether you’re a doctor or not, that degree of hyperbole and these types of words being used is very unusual,” Gupta told colleague Ashleigh Banfield. “People don’t write like that, that this is ‘the healthiest ever.’ First of all, they couldn’t substantiate [that]. How do you know that someone is the healthiest ever?”

Gupta also poked fun at the letter for saying that Trump only got “positive” results on his medical exams.

“It’s funny in medicine, because when something is good we say it’s a negative result. Meaning, that it did not appear when we did an exam. Positive results actually means quite the opposite,” Gupta explained. “Calling things ‘test scores’ instead of results — his PSA ‘test score’ was this, as if it was the SAT exam instead of a blood test. It’s a strange letter that’s absurd to look at it on face value.”