Honestly, same. Looking at it now he was on a fast track to death since his failed SRS surgery. He tried way too hard to speed things up, and clearly found irresponsible doctors to approve these multiple procedures at once. You're really only supposed to get major procedures once every couple of years, as some things (like a boob job for example) have like a 8 month recovery time by itself. If you don't give your body any time to heal and keep piling on the injuries you're eventually going to croak.
He had those 7 surgeries at once in April of 2018, and kept saying he had more to do but I'm not sure he ever did? I couldn't find hard evidence of him going back under the knife since then, so it seems that was his last. So... he was still not fully healed and still popping pills a year and a half after the fact. He said he had to be fucked up on drugs to even handle doing his dilation too. Big yikes.
Here's some more surgery and drug related tweets of his from lolcow:
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