This appears to be as classic a case of Boerhaave syndrome (effort rupture of the esophagus) that I've ever heard described. I've never actually seen it in clinical practice as it is very rare but I do remember it from pathology lab, like an esophageal rupture all the way to the stomach. That person didn't survive obviously. I also clearly remember the exact station set up during practicals. Mortality is around 25% but much lower if treated within first 24h which it sounds like he was. Mean hospitalization is around 35-40 days so he could be in for a while plus he has complications. His infection is almost assuredly nosocomial thus drug resistant (MRSA, VRSA) and this along with the risks of simply being hospitalized (the reason why he has the infection) will be his biggest obstacles moving forward.
As I was reading this and saw that he was on Pavulon or similar x 2 wks unable to wean off the vent my thoughts were that if he doesn't get off the vent soon then he will likely not make it out of the hospital. I see now that he is off so his prognosis has improved significantly. I've seen a lot of people get stuck on the vent and die.
I don't really understand all the talk of GERD. If anyone here can present some data to support the role of GERD in effort rupture of the esophagus I'd love to see it. I already know you're just making shit up, but if you have anything besides pulling ideas out of thin air that would be interesting. Dusty eats huge pieces of raw meat and barely chews as evidenced by his videos. Leave it to the bros to make it about something it has nothing to do with.
Rex.