He has emphysema
He cannot direct in studios anymore, due to risk of a viral infection, whether a cold or COVID. He would have to do it remotely from home. I did not know he worked on "The Elephant Man". I was in junior high when it came out. Some of my classmates saw it. I know it is based on a true story. I only watched " Twin Peaks", a few times back in the day, it was too quirky for my tastes.