As entertaining as it is to speculate about his mental state, LM premeditated the crime, went through with it, and then fled. An unhappy abusive upbringing doesn't excuse his actions so much as offer a cautionary tale that benefits breaking those cycles of violence, isolation and abuse. Also...
Cosmetic surgery is usually paid for up front since it's not exactly something that can be "returned" if nonpayment occurs (according to an ex girlfriend who worked for a cosmetic surgeon).
I thought it was also interesting that he makes a point of saying he was not on any meds despite the bankrupcy stating he had ~$200 worth of medical expenses a month. According to his emails there should also be the hospital admission info, police reports filed, etc. Wonder if any will come to...
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