Possible Clues:

• Do without starter — entering, order ungarnished beef
• Spenserian grouse
• Grief expressed at condition
• Sickness
• Minor ailment is cause for an expression of disappointment
• Does it show one's critically ill?
• Illness caused by grouse
• Negative comment that produces ill-feeling
• Grievance - may be treated
• Grouse being docile when sloth returns