First the droopy mouth, then the stuck eyeball, now this? Something has to be wrong. Maybe not an incoming stroke or aneurysm, but that shit is not normal, no doubt about it. I've never seen such problems before, and I've known people who have seizures and narcolepsy.
This is why I'm not going to be surprised when Phil winds up in the hospital for something serious, and before Boogie does, even. Boogie has only ever been extremely fat, to my knowledge. Not good, but better than he would be if he were more like the pigroach. Phil has managed to fuck his health up the same, if not worse, without ever being so heavy, and that's pretty fucking bad. For all the jokes about his physique, I doubt that Phil has ever weighed 250 lbs., though the reason WHY is even more cause for concern, because his body fat percentage is going to be a lot higher than someone else his height who weighs the same, but is very active. They're going to have muscle, which is denser and heavier than fat, so at the same weight and height, they have less fat on them than Phil.
Phil better hope that if he has a heart attack or something, it's at a time and place where Katherine is likely to find him quickly, because if it isn't, no joke, that's going to mean the difference between surviving it and not.