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As for patches he was already pretty much gone and was too weak for a smowder, which would be his only chance. Patches is a way to do a true practice from what you learned in the healing tutorial, and serves as a narrative device that not everyone can be saved.
Yea even when you heal patches he don't survive.
I do think haruspex acknowledges the heal and says he saved him if you do. But it don't matter they just tell him he died anyway.