(Strip Number 4573, Original Publication Date, 28 February 1986)
Panel 1: To Elly's happy astonishment, her first patient happens to be Phil.
Panel 2: She tells him how delighted she is by this happy coincidence.
Panel 3: As he gets seated, she confides that she hasn't done this in so long, she's forgotten which end of the suction goes where.
Panel 4: When he rises from the chair and yells NEXT!!!!!, she's all gobsmacked.
Summary: This is because she can't see inside his brain and look at the picture captioned "Former trumpeter's career destroyed by inept boooooooooooonehead older sister." It's also because she doesn't listen to herself talk when she does less than nothing to reassure him Monday.