He writes that his wife is worried for his liver (Day 3, I think). Maybe he has Hepatitis C?
Edit: Well, this shows that I'm not a doctor. I have no idea if Hepatitis C can kill as quickly as this. Maybe he was diagnosed very late and his malady already is at its final stage?
It reads to me as a dark joke by repeating a common caution that is now completely irrelevant. Note the "Je ris" ("I laughed" for the non-French speakers) immediately afterwards. I'm presuming that's what kome think you missed.
Yeah, I totally missed the sarcastic tone. I just thought she was making the joke on his actual illness, not the possibility of having another illness due to wine abuse.
Edit: Well, this shows that I'm not a doctor. I have no idea if Hepatitis C can kill as quickly as this. Maybe he was diagnosed very late and his malady already is at its final stage?