I can't remember what he said at the end of each round, but he congratulated me after each individual patient. I made sure to follow all the steps correctly for the "normal" patients, and for the "sexual" patients, they always left happy.
Well then it's very strange indeed. If you'll ever replay that sequence, if it's not too much of a bother can record a video. There's only one last possibility, if you saved and reloaded during the minigame and it didn't save the "happy" patients score.
