FatBoyGetDown / Steven John Assanti - MASSIVELY Overweight Leech, Proud Useless Asshole, Reality TV "Star", Still not dead via Fat.

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glass_houses said:
Is he borderline or a narc? I had it in my head he was a narc. But no, he wouldn't be compliant in the least. People like himself are compulsively manipulative and abusive. They literally cannot stop themselves from fucking with people, even when they know it'll bite a huge chunk out of their arse. It's almost like a form of OCD.
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I strongly feel he is borderline. Justin the brother said that even from a young age, Steven would delight in hurting his brother. Add in the hair pulling, addictions (drug and food), getting kicked out of hospitals, trying to manipulate Dr Now, the fact that he is unable to have any decent relationship and so on is what makes me believe it.

BPD has a self harm element that narcissism does not, amongst other things. Narcissists don’t engage in violence. I think the trauma from the mom leaving is what the catalyst was.
 
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TheCakeIsALie said:
I strongly feel he is borderline. Justin the brother said that even from a young age, Steven would delight in hurting his brother. Add in the hair pulling, addictions (drug and food), getting kicked out of hospitals, trying to manipulate Dr Now, the fact that he is unable to have any decent relationship and so on is what makes me believe it.

BPD has a self harm element that narcissism does not, amongst other things. Narcissists don’t engage in violence. I think the trauma from the mom leaving is what the catalyst was.
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You do know he can have both, and that most people with personality disorders never just have one.
 
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Mariposa2.0 LTE said:
You do know he can have both, and that most people with personality disorders never just have one.
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Yes, that’s true. I’ve thought about that as well. But him being psychologically unwell due to his bpd or whatever would exclude him from things like a heart transplant, an lvad, etc. the bpd is more an issue than being narcisstic. What if he’s one of those people that goes back to abusing drugs, or gets a tx and decides anti rejection meds aren’t necessary. He would fail a psych exam big time.
 
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Mesh Gear Fox said:
I've been living with CHF for the past 5 years (and I'm only in my 40s). My EF is normal and so is the size of my left ventricle, surprisingly. So far, medication has been managing it pretty well. It sucks because I feel like I'm 80 years old because of how severe the fatigue is. It's definitely possible to live with heart failure for years. That being said, I'm not 500 pounds and try to be as active as possible. My one vice I can't give up though is cigarettes (I know I know).
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The way I quit was actually just not trying to quit. I'd tried over and over, setting dates, making resolutions, all that bullshit. None of it worked. I rarely lasted over a day quitting. How I ultimately did it, though, was I wanted to watch the first Lord of the Rings movies when it came out, and was so hardcore addicted I knew I wouldn't make it a full two hours without needing a smoke.

So I just bought some nicotine gum. And then for some reason, never smoked again. This was also during the time when you could get nicotine lollipops. So with a combo of gum, lollipops, and patches, I managed not to smoke again. And then went through a month of utter hell tapering down on the gum. This was so miserable that by the time I quit entirely it was almost ecstatic just to be done with it.

It was so miserable I never wanted to go through it again, so I am now on 20 years+ of not smoking.

You can do it dude. And if not, vaping is probably seriously better.

(The only thing I miss about smoking is Dunhill Reds.)
 
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All I will say is the best way to quit smoking is to change all the rituals that go with it. Coffee and a smoke in the am? Change it to tea on the balcony. Light up on the phone? Text instead. Just think of all those things that go together with cigs in your mind and habits and figure out another way or place to do them. Eat pretzels or carrots to have mouthfeel. That, plus remembering that cravings are short-lived, and having a real desire to change will get you through and you will not regret it. It really won’t take long either, it’s not like an opiate detox. It’s powerful at first but you’ll be surprised at how quick you can manage without.

As for Fat Boy, I think he’s lying, or he’s had CHF for years and just needs attention. I’m sure he’s on Medicaid so he’ll probably only get Lasix. He, will not be getting any expensive surgeries or machines. He is the definition of a non-compliant patient and they shouldn’t waste much on him. I don’t even fault him for his addiction as he has to be in pain, but I do fault him for the way he’s managed it. If he went to pain management and took his meds as prescribed, it’d be fine. Stealing and doctor shopping is the problem and part of non-compliance and will also keep him from certain effective types of care. Not that I believe his health is any different today than it was six months ago.

Guys been dying for years anyway.
 
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glass_houses said:
Is he borderline or a narc? I had it in my head he was a narc. But no, he wouldn't be compliant in the least. People like himself are compulsively manipulative and abusive. They literally cannot stop themselves from fucking with people, even when they know it'll bite a huge chunk out of their arse. It's almost like a form of OCD.
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I'm a firm believer that the flavor of personality disorder doesn't matter once you've assigned the patient to a broader category. I feel like sometimes the diagnostics get way too far into the weeds with the fine distinctions, when in most cases, it has no functional significance whether someone actually has narcissistic personality disorder or histrionic personality disorder or borderline personality disorder. Just call them Cluster B and move on. It's not really a situation where a misdiagnosis can result in a patient dying from incorrect or inadequate treatment.

I diagnose Steven Assanti with flaming trashfire personality disorder. The treatment comes in two dosages, 12 gauge and 20 gauge, administered orally qd.
 
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Meh, I prefer to make the distinction because it completely explains why Steven is the way he is, even if it doesn’t change the outcome, which is the whole point of psychology. Besides, people want explanations for things as a whole. Otherwise, medicine would never have made advancements. Why do people get cancer? What can we do about it? Now we know certain cancers are the result of the brca mutation.

It’s curiosity and there’s nothing wrong with it.
 
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mf out here looking like Gummy Joe

gunmyjoe.jpg
 
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I need to track down the bit where they listed all the drugs he'd acquired through going to the ER and doctor shopping. I think I spat my drink out at the grand total. It was obvious he was stoned out of his mind during his appearances on MSHPL.

Seeing how now I'm not surprised how he looks but I'm still amazed he's still alive. He's hanging on in there like his one top tooth,

Edit: Found a screen recording (of all things) of it on YouTube, have archived here:



He was able to acquire 39 prescriptions from 17 different doctors in one month. Tylenol and codeine 259 tablets, Tramadol 1,045 tablets, Hydrocodone 970 tablets. We don't know the dose of the tablets but assuming they were the lowest prescription dose that is still absolutely insane.
 
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