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Honestly, I think this is the sort of thing that you notice because you're looking for it. I think that in an everyday scenario, it would be rare that someone would call it out then think of salmonella because context is everything with the brain. And in these sitations, the context is Sam and Ella = two people. Sure, I think occassionally someone will overhear/notice, but I don't think it would be a daily problem or anything.