You can only get a 6th year if you have already used a normal redshirt year and then are injured and apply for another year and an extension to the 5 year clock. Since the loss of a season for medical reasons occurred prior to his taking a normal redshirt year it was never an option for him to get both.
In all other cases where a player gets 6 I think you will find that they did a RS, then got hurt in a later year and requested a 6th.
Good clarification, Oh8ch. The other exception to the "5 years to play 4" rule is the Mormon mission (common at BYU) guys that take 2 years for a mission and can end up playing in year 6. They are also able to redshirt on top of the 2-year mission, which gives them 7 years.
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