In her 1987 book Elvis and Kathy, friend and backup vocalist Kathy Westmoreland wrote "Everyone knew he was sick, that each public appearance brought him to the point of exhaustion." Kathy has been known to counter common misconceptions concerning Elvis's lifestyle and health leading up to his death.
According to Peter Guralnick's book, Careless Love: The Unmaking of Elvis Presley (1999), "drug use was heavily implicated in this unanticipated death of a middle-aged man with no known history of heart disease... no one ruled out the possibility of anaphylactic shock brought on by the codeine pills he had gotten from his dentist, to which he was known to have had a mild allergy of long standing...There was little disagreement in fact between the two principal laboratory reports and analyses filed two months later, with each stating a strong belief that the primary cause of death was polypharmacy, and the BioScience Laboratories report...indicating the detection of fourteen drugs in Elvis's system, ten in significant quantity."
Michael M. Baden and Judith Adler Hennessee say, "Elvis had had an enlarged heart for a long time. That, together with his drug habit, caused his death. But he was difficult to diagnose; it was a judgment call."
In his book, Elvis: The Last 24 Hours, Albert Goldman even went as far as to suggest that Presley committed suicide by overdosing on a stash of drugs that he stockpiled. David Stanley, Presley's stepbrother, who was at Graceland the day Presley died, is alleged to have removed the needles and drug packets near Presley's body before the paramedics arrived, suggesting that he did not want to see Presley's name tarred with the brush of suicide. These rumors have been strongly rejected by some of Elvis's family and friends such as Joe Espositio during past appearances on the Larry King Show.
On the other hand, some of his closest family members, friends, band members, and background singers have long disputed stories concerning Presley's alleged prescription drug abuse and "self-destructive" lifestyle. At the same time, they have not denied that he did take prescription medications for bona fide or suspected health problems. For instance, Vernon Presley, Kathy Westmoreland, Charlie Hodge, and J.D. Sumner pointed out that Presley also suffered from severe health problems unrelated to drug abuse. These health problems included glaucoma, chronic insomnia, and perhaps even bone cancer. The illness may have increased his dependency on prescription medication. In 1977 alone, his personal physician Dr. George Constantine Nichopoulos (usually referred to as "Dr Nick") had prescribed 10,000 hits of amphetamines, barbiturates, narcotics, tranquilizers, sleeping pills, laxatives, and hormones.
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