Hehehe, he looks happy though, as he had just been offered a couple of shots, rather than having been asked some :)
Great capture, personal and very effective shutter sopeed.
There is also a face pareidolia in the blur on the right side, what looks to me like some long nosed hapanese demon, but probalby it's just my immagination :)
Good stuff.
This is a terrific shot. His expression speaks volumes about his condition. I love his reflection, the lines, the POV, and the contrast of crisp and blur. A beauty.