Bad pic. He just looks a bit fatter (though he'd still be relatively lean) and is tired after doing a heavy set. If some of you actually worked out hard you might find that sweating, shortness of breath and possibly going a bit red in the face may occur.
Im not saying that Ruhl is the picture of health, but all of you are going on like he will be dead in the next few months. Ruhl seems like he was a pretty cool guy and pretty down to earth. Saying he will be dead soon isn't cool.