Damn, his body is clearly in pain. Joint, posture pains.. you can see it in his eyes, watery from the inflammation/deprave of sleep & he is breathing hard just sitting and talking.
Dude is living with on energizing drugs, at least 3-4 times lines of coke everyday, just to keep up daily. His skin tone is showing redness, probably chronic rosacea or seborrheic dermatitis from the joint pains.
He's clearly suffering from a traumatic experience, most likely small dick or an emasculating situation.