Panel 2: Oh dear god, no.
Panel 3: Refresh my memory. Why have we all been talking about Elly's age at marriage and her college credits? Because of the strip, or just randomly? If the former, props to the Lynnions for following up on something.
Apart from that, I think it's official: there is one Patterson Face. It's like that Create Your Own South Park Character page where some of you have gotten your icons. The Lynnions chose the Elly glasses and navet nose, and that's how you know it's not Mike or Liz.
Panel 4: Moira is back to that gently-talking-down-the-high-risk patient mode.
Panel 5: And this is, what, Punchline #36? "I dunno what I'd do if I had the choice...probably the same thing I do when I have no choice!" Yuk, yuk, yuk.