As we get older, there are issues of blood flow to the brain, and nervous system deterioration. Our reactions slow down, our cognition is not as good, even our speech slows down.
Thank you Dr. Melfi!

His drinking from a hose, etc. was a function of his upbringing in the milieu of cultures that is NY: informaility, if you will. His NY domain required that he be phyisically aggressive, not necessarily wise. That domain also subsumed various threats, even to family members. When backed into a corner, Michael threatened Frankie's brother. Now, such a threat is not that difficult to perceive. He's not a buffoon; he's sinply a product of his culture and experience which, sometimes, sharply contrasts with others' cultures and experiences.
You elaborated on what I was trying to say in the first comment in my post above, and I agree. :
He was an old timer, a street guy.