Tortoise
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It is looking as if the malnutrition started before he became incapacitated. I don't know what physical evidence they would find if he had become say anorexic before his dad saw him in December. He could have been lying to everyone about eating enough, I think that is standard with eating disorders. Use of laxatives is also a sign, although there has been some muddled reporting about whether the pills he was taking were laxatives.
I'm inclined to think that this is where it started, and the family were the only people who could confirm whether he had an eating disorder and what his eating habits were before he gave up normal activity and became bed-bound and perhaps they didn't even know.
It sounds as if there are some complex psychological issues involved too. He is described as being stubborn and I imagine that played a part initially. He may have been physically weak but I suspect he was still in charge of what he wanted vocally, until he was in quite a dire situation. That is the point at which they all failed to deal with it. Dawn seemed to be reluctant to let the paramedics see the state of her hoarding, which is another clue to her inability to handle what was going on in her life for a long time. Hoards don't build up that fast.
I'm inclined to think that this is where it started, and the family were the only people who could confirm whether he had an eating disorder and what his eating habits were before he gave up normal activity and became bed-bound and perhaps they didn't even know.
It sounds as if there are some complex psychological issues involved too. He is described as being stubborn and I imagine that played a part initially. He may have been physically weak but I suspect he was still in charge of what he wanted vocally, until he was in quite a dire situation. That is the point at which they all failed to deal with it. Dawn seemed to be reluctant to let the paramedics see the state of her hoarding, which is another clue to her inability to handle what was going on in her life for a long time. Hoards don't build up that fast.