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==== Cause of death ==== While an [[autopsy]], undertaken the same day Presley died, was still in progress, Memphis [[Coroner|medical examiner]] Jerry Francisco announced that the immediate cause of death was cardiac arrest and declared that "drugs played no role in Presley's death".{{sfn|Ramsland|2010}} In fact, "drug use was heavily implicated" in Presley's death, writes Guralnick. The pathologists conducting the autopsy thought it possible, for instance, that he had suffered "[[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". Lab reports filed two months later strongly suggested that [[polypharmacy]] was the primary cause of death; one reported "fourteen drugs in Elvis' system, ten in significant quantity".{{sfn|Guralnick|1999|pp=651β653}} In 1979, forensic pathologist [[Cyril Wecht]] reviewed the reports and concluded that a combination of [[depressant]]s had resulted in Presley's accidental death.{{sfn|Ramsland|2010}} Forensic historian and pathologist [[Michael Baden]] viewed the situation as complicated: "Elvis had an [[Cardiomegaly|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."{{sfn|Baden|Hennessee|1990|p=35}} The competence and ethics of two of the centrally involved medical professionals were seriously questioned. Francisco had offered a cause of death before the autopsy was complete; claimed the underlying ailment was [[cardiac arrhythmia]], a condition that can be determined only in a living person; and denied drugs played any part in Presley's death before the toxicology results were known.{{sfn|Ramsland|2010}} Allegations of a cover-up were widespread.{{sfn|Baden|Hennessee|1990|p=35}} While a 1981 trial of Presley's main physician, George C. Nichopoulos, exonerated him of criminal liability, the facts were startling: "In the first eight months of 1977 alone, he had [prescribed] more than 10,000 doses of [[sedative]]s, [[amphetamine]]s, and narcotics: all in Elvis' name." Nichopoulos' license was suspended for three months. It was permanently revoked in the 1990s after the Tennessee Medical Board brought new charges of over-prescription.{{sfn|Higginbotham|2002}} In 1994, the Presley autopsy report was reopened. Joseph Davis, who had conducted thousands of autopsies as [[Miami-Dade County]] coroner,{{sfn|Tennant|2013|p=2}} declared at its completion, "There is nothing in any of the data that supports a death from drugs. In fact, everything points to a sudden, violent heart attack."{{sfn|Higginbotham|2002}} More recent research has revealed that Francisco did not speak for the entire pathology team. Other staff "could say nothing with confidence until they got the results back from the laboratories, if then."{{sfn|Williamson|2015|pp=11β14}} One of the examiners, E. Eric Muirhead, <blockquote>could not believe his ears. Francisco had not only presumed to speak for the hospital's team of pathologists, he had announced a conclusion that they had not reached. ... Early on, a meticulous dissection of the body ... confirmed [that] Elvis was chronically ill with [[diabetes]], glaucoma, and constipation. As they proceeded, the doctors saw evidence that his body had been wracked over a span of years by a large and constant stream of drugs. They had also studied his hospital records, which included two admissions for drug detoxification and [[methadone]] treatments.{{sfn|Williamson|2015|pp=11β14}}</blockquote>
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