He's going through a bad/difficult/rough 'patch' [='spell'] right now.
The chair's original paint is still visible 'in patches'. [=in spots]
The doctor 'patched' him 'up', so he's going to be as good as new.
(..) and how good that's gonna be. That's right. It's gonna be great, Jay. I'm telling ya. I got a vegetable garden. Two years ago, it was a patch of dirt in my backyard. Now I got tomatoes, I got five kinds of beans, I got squash. And between you and me, (..)2012 TvShow: Modern Family Title: Bringing Up Baby Season: 4 Episode 1
(..) I guess you're right. Sounds pretty good to me. You know, the more I look at you, the angrier I get that you don't got a beard. I had a soul patch once. A soul patch? That's like a beard's crap. I golfed six times last week. Found balls-- a new record. I don't think my falcon (..)2012 TvShow: Modern Family Title: Bringing Up Baby Season: 4 Episode 1