The test is that two women (with names) have to talk about something other than a man. A male patient is probably an edge case where its effect would depend on who is running the test (where these things prop up all the time). Though, again, with the bechdel test, the point is that’s a very low bar. That an episode may pass the test based entirely on whether a male patient is a man or a patient, itself, is part of the point of the test, and, whether the episode passes or not, it certainly and deservedly will attract critique from any bechdel test assessment.