Even if Tom is on the verge of death right now (which he isn't), he has no excuse for looking like that.
Matt, you have no idea what you are talking about.
Do you know anything about Dialysis? The guy is in the hospital at least 12 hrs a week, those are the hours when the dialysis machine has to do all of the work his kidneys would have done for the whole week.
In b/w dialysis visits, the patients feel like utter shit (retain water, can't clear wastes, acid base and electrolytes all fucked up) not to mention the washed out feeling they get after the dialysis.
If TP has a fistula (which he most likely does, and yes that is probably what the bandage is for) at least he doesn't have to worry about getting an infection from a central line but, the fistulas do not last forever, and sadly neither do patients on hemodialysis.
I would give TP <10 years (and that is being conservative, not knowing all of his other medical problems).
Nicorulez, could probably shed more light on this matter....but the bottomline is, he decided to do what he wanted with his life and now......like James Dean, he lived fast and died young.