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Undiagnosed strokes and/or heart attacks that affect blood flow to the brain often cause sudden changes in personality, usually for the worse. People who never swore in their lives start swearing, others become physically or verbally abusive. And his lack of coherence suggests there's certainly some physiological thing going on.
As we used to say in the ambulance, "He looks sick."
As we used to say in the ambulance, "He looks sick."