Another one seeminly "headed downhill"

First thing he should do is quit the booze. It works in the beginning as a poor man's medicine, but you build a tolerance then it takes more to achieve the desired effect. After a while it doesn't work any more and does more harm than good. Being in pain all the time is difficult. It makes you not want to move, and that leads to weight gain, and depression. I wish him well, he may actually start feeling better once the booze is kicked, then follow doctors orders from there.