the more obvious joke would be ralph is a literal nobody since his chunt and gunt are slowly morphing into a featureless sphereyou do
cause youre a nobody
There's a Ralph's mom is the real nobody now that she's a vegetable joke in there somewhere. Not a joke I'd make. I also wouldn't make the joke that the doctor's probably pissed on the floor next to her bed knowing she'd slip and fall and crack her head in their piss. That would be classless.