Shemp is forced onto a makeshift operating table and the buttons of his suit coat and vest cut off. When he escapes his coat and vest are buttoned.
The inter-cut old/new footage of Shemp does not blend. Old footage has him dressed neatly, with a nicely knotted tie, and buttoned vest and suit jacket. New footage has the tie loosely knotted, and vest and jacket unbuttoned; he is about 20 lbs. heavier.