tbh the patch has always been superfluous, the story is literally roger telling what has happened to his therapist and he might not be entirely truthful to her regarding certain relations he has with other people "also there's this....neighbour girl...and I went up to her room, I mean yeah, her room,..her parents aren't home much and as such she stays with us when that happens, also she get's sad if I miss her football matches and stuff, yeah, totally platonic, nothing that society totally frowns upon has happened between us, her name? casie mynamebutnotreallywhatevergetofmycasesomething"