[Troublemaker]

At least I think you must be medicated to act as he does

Maybe an after effect from the malaria he had. I have noticed that his jowls have taken an oddly drastic turn to the south.

[OldFriend]

So you really think he was in the hospital for a malaria flare up? I presumed that he was in rehab. And it would appear that he is in need of another intervention.

Mere alcohol doesn't explain Matthews hysteria.