Usually August was such a trouper about his medical issues, whether it was skateboarding a few days after a surgery or sipping food through a straw when his mouth was practically bolted shut.
What does trouper mean here?
You've got two contextual clues to work with. What's the same about "skateboarding a few days after surgery" and "sipping food through a straw when his mouth was practically bolted shut"? The way in which he did those things tells you the meaning of "trouper."
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A trouper is an actor or other entertainer, typically one with long experience
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"Trouper" (often "trooper" in American English) in this context is a colloquial way of saying "A person who is reliable and doesn't complain (especially about difficulties)."