Oh for pete's sake. His inner thigh condition is not permanent...it just sounds like all the chafing has create a callous on the skin there. The more fat he loses, the less those thighs rub together, and with some tlc I bet he can get his skin in pretty good shape there. Might be discolored a little, but it won't look like rawhide I would bet if it didn't have to keep 'guarding itself' from the damage of two thighs weighing 80 lbs a piece rubbing against one another.
Frank, he's only 35lbs away from 400! He might have to start putting that resume out in the new year! I bet his wife must be positively giddy. Probably already singing the Christmas songs happily in anticipation of the new year. 
I do know of some behemoths circa 400 pounds that work for a living, including one who pitches hay, and another who stacks cases on pallets at a grocery wholesaler, eight cases a minute, eight hours a day, for circa $18 an hour, plus health insurance.
And there's a third one, who works for a grain elevator, but I'm not sure exactly what he does there' perhaps scoops grains into bins.
One hopes these last 35 pounds evaporate fast, so that the gigantic primitive is pounding the pavements, wearing out shoe leather, getting a job, and taking some of the pressure off his wife and the taxpayers.
