"If my decision isn’t what you want, how are you going to react, I mean do I need to make a reservation at the emergency room?”"

I am stuck on this statement made by him to me. Does it sound like he has already made up his mind and he just doesn't want to hurt me anymore?

This is the most pain I have been in, in 2 months

me:51
H: 48
No kids together
M:14 years
seperated:Ask him to GET OUT 3/21/11
Piecing 09/14