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Fat Jack is in crippling agony because his head hurts specifically. Reminder that he's blaming and hurling abuse at the staff after rejecting pain meds multiple times. Much like how he bitched at them after refusing to use the urinal before he pissed himself.
Faggot's just trying to abuse them tbh. He does enjoy being able to order menials around and he's had decades long history of trying to ruin reputation by bitching about people online.
Also this fucker pissed out kidney stones. Ain't no way a headache's a 10/10 if you pissed gravel out your urethra unless he's imminently about to stroke out again.