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Well, he's probably not a maniac right now :)
Let's count the options again.
According to the Red team, the possible roles are: Galio, Poppy, Teemo, Karma, Malzahar (team blocker), Kog'Maw (...), Katarina, Sion, Swain, Twitch. The probability of being a negative role is 3/5, and if we exclude the probability of blocking his own team, it's 2/5.
First night.
Based on the new information, Red is not Galio, Kog'Maw, Sion, or Kassadin. So, he could be:
Poppy, Teemo, Karma, Malzahar (team blocker for the first night), Katarina, Swain, Twitch.
The probability of being a negative role is 3/8, and if we exclude the possibility of blocking his own team, it's 1/4.
But there's also a very important factor: the doctor hasn't visited twice. Is that a coincidence? I doubt it.