McCoy may have actually growled at the response. He's tired -- beyond tired straight into exhausted, could fall asleep in this abomination trying to pass for food -- and moody and disoriented, which is all working together to create one hell of a Bad Mood. (Not that that's entirely new for Dr. McCoy, whose bedside manner is something of a legend among Enterprise crew.)

"Can you or can't you?" He waves a hand at the replicator, looking for all the world like he'd rather punch it. "I haven't eaten in I don't know how long. I need food and I need sleep, in that order, and this," pointing at the gagh and again, preferring to flip the bowl rather than point, "is not helping."