He was never going to work in polite society again. Never be a nurse again. He will not be able to get a job as a dog catcher. No one would let him near their dogs. He was a sick man with sick fetiches. His life as he knew it was over unless he could go the other way - but he didn’t seem mentally capable to make the flip. Sad really because he was miserable in his head and they took advantage of it. Which seems to be their modus operandi.