Well this guy was stuck in a special bed and had stuff brought to him by one of his relatives. I cannot imagine he had a very happy existence, and of course he had a ton (or not quite half a ton, I suppose) of associated health problems. A lot these folks die of heart failure, as they just cannot push blood through all the adipose tissue. Virtually all the males also have obstructive sleep apnea, which is also hard on the heart.