This was an interesting book to read. I do believe that Elvis was destined to die young, but could have helped himself live a little longer if he had gotten the ostomy surgery. Granted, his ego would not have let him do this, particularly since he dated so many girls. And he would be afraid that his bag would show through his clothes. I also found it weird that Dr. Nick suggested that he try going without his sedatives at night to see if he could fall asleep through exhaustion. That doesn't work if you are addicted to these drugs. He needed to be weaned off of them to see if he could fall asleep without them.
It also might have helped him if he would have had his tonsils removed. This may have caused him to not be able to sing again, but it could have prevented his tonsillitis, flu and colds, as well as losing his voice. Again, this would have impacted his career. He essentially knew that taking care of himself would affect his career and his ability to care for all of the people who relied on him for their living. But, dying affected them as well.
Then his daughter died from a heart attack on January 12th, 2023, but it was obvious that she was high 2 nights before her death at the Golden Globes awards. She had troubles over the years by abusing drugs, so did that impact her heart and caused a heart attack? It appears that heart attacks and liver problems are a part of the family line.
The fact that his grandparents were 1st cousins doesn't necessarily put him into a devastating disease category. There are still 1st cousins marrying throughout the world, and there are 26 states in the US that allow marriage or marriage with exceptions between first cousins. But based on the facts that so many of his mom's relatives died at young ages, and he and his daughter died at young ages should point to the fact that there is definitely something wrong on that side of the family.
Since Dr. Nick did lose his license to practice medicine at all because he was giving drugs which caused addiction to many of his patients, I do believe that many of the drugs that Elvis took were to help him cope with his out-of-control life. He had no say in his life. The Colonel continued to put him into shows knowing full-well that he was completely exhausted and could not perform. I believe that the Colonel also helped to cause Elvis to die young. But Elvis had no control of his life. He felt like he needed to take care of all of his family, and his friends. It is so sad that he died so young, and never fulfilled his creative capacity that he had in himself.