Maybe this is the reason the song "I am a loser" was leaked?
It may also be a reference to the more famous song by the Beatles (and we know all of Michael's connections to the Beatles),
I'm a Loser and perhaps these lyrics:
I'm a loser
And I lost someone who's near to me
I'm a loser
And I'm not what I appear to be
I never understood that line. But certainly one can say about Michael and the good Doctor. They are not what they appear to be.