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No spoilers. It's possible to free the distressed patient. It can only be done with a knock spell. For some reason you can't pick the locks of the shackles. I'm assuming he was being held down with leather straps. If that's the case, you should be able to saw through them with a bladed weapon. You aren't presented with either of this options.

After being freed he runs away crying. Can't really blame him after what he's been through.
I did it without a knock spell, can't remember how exactly though. I must have used some "slight of hand" or dexterity check. My guy is pretty high in that area and I almost never miss those checks, I get 14-17 bonus on a two dice roll, I just rolled a 36 on a lockpick attempt today, I think that must be my highest.
you can free him without any spell

lets leave it at that
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KaKarnage: I did it without a knock spell, can't remember how exactly though. I must have used some "slight of hand" or dexterity check. My guy is pretty high in that area and I almost never miss those checks, I get 14-17 bonus on a two dice roll, I just rolled a 36 on a lockpick attempt today, I think that must be my highest.
That option didn't show for me. Looks like it's a bug.
I have done so many things in this game and I do not remember how I did this one, it seems so long ago! How did you get the doctor and nurses to stop their work? With a fight or by talking? I never had to fight them, lets just say I had them take care of themselves for me, so maybe that has something to do with your options for the gurney guy...
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KaKarnage: ...
I promised no spoilers, so I'll leave out the details; I defeated Malus Thorm with silver tonged shenanigans.
if you talked your way out then clicking on the guy should have opened your options