@@PeachShortcake_ because he's touring a poor country with bad medical and hygiene standards. Baba died from a heart attack in his 50s. Shamboo has untreated tourrets. Laal baba died in the last year or so as well. It wouldn't be unheard of.
Literally every massage is made up as the masseur/masseuse goes along. The experience is tailored to the client and their needs, they don't just follow a script ya know.