28 Years of a Truck Driver Tan

Pretty sure exposure to sunlight doesn't make the eye move lower in its socket. That guy has had a stroke in addition to having a driver's tan for three decades.

Stroke was the first thing that came to mind. Someone's pulling your leg.

If one wants to have one's leg pulled, one doesn't go to the New England Journal of Medicine (try the British Medical Journal at Christmas). The man does exhibit some facial asymmetry, but it is not suggestive of a stroke.

Nice find, John, and very instructive photo to show to young people.

Might be more Bell's palsy if he drove with the window down

My late father was a truck driver for most of his life and in his later years was treated for skin cancer. He had a spot on his nose, maybe one on his cheek and there was a very large spot on his left wrist (which was always in the window) that had to be removed. I can still remember helping him to change the bandage on his left wrist and it just was not pretty. His doctor had dug deep to remove the cancer. I just cannot remember if the left side of his face differed much from the right side. He probably drove truck for at least 30-40 years.