The Clark County Coroner’s office called the death “accidental” as a result of “toxic levels” of the narcotic Dilaudid in conjunction with heart and blood disease and chronic pain syndrome. But the coroner seemed to go to great pains to stress that Gans’ death was not a drug overdose and was not related to drug abuse.

This sent the blogosphere into a frenzy with several websites calling the report everything from a “whitewash” to an outright conspiracy. Everyone from Gans’ manager to a doctor that had once prescribed Dilaudid rushed to the press to try to refute some of the wilder claims and calm speculation.

During Gans’ previous career as a professional baseball player he had injured his shoulder and discussed in various interviews his ongoing issues with pain. According to reports and statements, a series of surgeries designed to fix the problem didn’t and Gans often suffered ongoing pain that was often made worse by the physicality of his show and his active lifestyle.

In addition, Gans suffered from high blood pressure and polycythemia, a condition that is the opposite of anemia where the blood actually gets thicker.

One of Gans’ doctors prescribed Dilaudid for the entertainer several years ago, but in an interview last week he said that Gans didn’t like taking it because it not only didn’t help but “dried out his vocal cords.” The same doctor said that he did searches of medical databases and could not find any other prescriptions from any doctor for the drug.

I spoke to one of my doctors about Dilaudid and got some interesting information. My doc tells me that the drug was originally developed decades ago after heroin was banned from normal medical use. It is a powerful narcotic, described as being stronger than morphine and usually only prescribed in the case of excruciating, debilitating pain. This is the kind of drug that is often given to people in the end stages of cancer to ease suffering. Although sometimes prescribed for more regular levels of pain management, most physicians shy away from that practice because the drug can be both physically and mentally addictive and is simply too strong for what can normally be handled by drugs like Vicodin.

Although it is widely accepted that Gans was often in pain, the questions center around how bad the pain was and whether or not it was bad enough for a drug like Dilaudid to be prescribed or used. The strenuous demands of his show and his recreational activities – he played golf the day before he passed away – seem to indicate that it didn’t rise to the level of debilitating pain, but as mentioned the drug is sometimes used in less extreme cases.

It also raises the questions about where Gans got the Dilaudid and how much of it was in his blood stream, details that have not been answered in the official coroner’s report or subsequent statements. The official prescription that was written for him was five years ago, but it is unclear whether the Dilaudid that contributed to his death was leftover from that prescription or obtained in another way.

Ultimately what this all boils down to is a yet another cautionary tale about pharmaceuticals and the ways in which they are used. No matter what official terminology you want to ascribe to the incident, Gans died because he took a powerful narcotic for which he did not have a current prescription (that we know of right now). The people surrounding him and his family are, understandably, trying to stress the positive aspects of his life – his charitable works, his healthy lifestyle, his Christian values – but in doing so, are they perhaps missing an opportunity to have some good come from this tragedy by educating people about the dangers of prescription drugs?

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But a tour of the historic El Cortez in Downtown Las Vegas proves that you don’t have to bring in a wrecking crew to turn a has-been hotel into one worthy of notice. The El is back and she is in many ways better than she ever has been before.

The fabled history of the El Cortez dates all the way back to 1941 when it was built by JK Houssels with 59 rooms and a small casino. Houssels sold it in 1946 to none other than Bugsy Siegel. It went through a series of owners landing eventually with one of the most famous names in the casino industry, Jackie Gaughan. Although he no longer owns the place, he still lives in the penthouse atop the hotel tower. Gaughan can regularly be seen in the casino or the restaurants, chatting amiably with customers who are on a first name basis with him.

While the hotel was never a “first rate” property, it had been a solid performer in the Downtown arena until the neighborhood around it declined. The crowded, somewhat dingy, and smoky casino mainly lured an older, locals audience and the rooms were little more than basic accommodations.

It’s amazing what throwing a few million dollars at a building and its surroundings can accomplish.

First there is the neighborhood. The couple of blocks between the relative safety of The Fremont Street Experience and the El Cortez was not a safe one, especially at night. But the city dumped tons of money at the blocks between Las Vegas Boulevard and 8th Street, turning the depressing row of pawn shops with unsavory characters hanging around outside into a hip nightclub row. The sidewalks have been widened, landscaping has been added, classic signs from the Neon Museum are being installed, and several fun and funky bars have opened up along the stretch.

The El is getting in on the action by turning a parking lot stretching from Las Vegas Boulevard to their front door into a pedestrian plaza. That delivers people to the porte cochere, done with flagstone and ironwork details that give the place a much more swank first impression.

Inside the entire casino and most of the public areas have also been redone. They have removed nearly half of the slot machines they had and reorganized the floor to improve sightlines and personal space. Upscale carpeting, wall treatments, gaming tables and chairs, and woodwork combine to turn faded into fashionable. The front desk, lobby bars, lounges... it's all gotten a facelift and it’s almost impossible to believe that it’s the same place.

The renovations carried over to the guest rooms where new furnishings, flat panel televisions (in some rooms), high-speed Internet service, and additional niceties like mini-fridges in some rooms turn boring boxes into well equipped accommodations. To be sure, no one will ever confuse this place for Bellagio – rooms are small, bathrooms very small, and the décor won’t get them a feature in any interior design magazines - but the before and after difference is night and day. These rooms are as good as any other in the Downtown area.

But that’s in the main building. There may be some design magazines snapping photos of the new as of 2009 Cabana Suites across the street.

They took the former Ogden House, a 102 room hotel that could best be described as a dump, and gutted it from top to bottom. The only thing they left were the exterior walls and the floors. From that they created 64 larger rooms and mini-suites all with a stunning retro-design scheme that is both appealing and comfortable.

Done in black, white, and eye-popping greens, the Cabana Suites building is something you would expect to see on The Strip, not Downtown. All of the furnishings are custom made in sort of a mod-60s, mid-century vibe and heavy use of marble, vinyl, and Swarovski crystal chandeliers turn this former hovel into a showplace. The lobby features a concierge (and new media specialists – they Twitter!), a fireplace, television, and Internet stations. A small gym is adjacent and available to all guests of the Cabana Suites and the main hotel. Rooms are a bit dark but otherwise fully modern with comfortable beds, mini-fridges, irons and boards, safes, and smallish but quite nice bathrooms.

The building is located across the street from the main hotel, which could be intimidating for some in this neighborhood that isn’t as sanitized as The Strip, but there is a 24-hour security guard on duty outside the front door to watch your every step so I wouldn’t be too concerned about it.

Back over in the main building there is a casino there are several restaurants including a fine steakhouse, a very popular coffee shop, and some fast food type outlets. There is no pool or other recreation option (yet – that should be coming in 2010), but if that’s important to you, you probably shouldn’t be considering Downtown anyway since only the Golden Nugget has a pool area worth spending any time at.

The service at the El Cortez is another big draw. Many of the employees have been with the property for years. They consider the hotel home and the people who visit their family and you will sense the difference between this and the brusque professionalism of The Strip immediately.

Soak all that in and then throw in the affordability factor. You can get one of their “Vintage” rooms – the very small but perfectly fine rooms that date back to 1941 – for as low as $25 during the week. Come on! The larger and newer tower rooms go for as low as $40 and usually in the $80 range on the weekends. The funky Cabana Suites start at $55 during the week. For those kind of rates you are lucky to get a pillow and a blanket.

Note that while the Cabana Suites are in a different building, they are booked and operated as an extension of El Cortez so you can just request them while calling or visiting the website.

If I haven’t stressed it enough, it needs to be said again: the new El Cortez is not comparable in any way shape or form to the multi-billion palaces on The Strip. But it isn’t trying to be. Instead it offers solid accommodations in a friendly package for rates that will allow you to spend your money on more important things. Like gambling.

El Cortez/El Cortez Cabana Suites
600 Fremont St.
Las Vegas, NV 89101
800-634-6703
website

Highs: Cost, beautiful remodeling, Cabana Suites.
Lows: Most rooms are small, neighborhood.
Location: 6 – A few blocks from Fremont St. Experience.
Price: 10 – One of the cheapest in Vegas.
Value: 7 – Recent upgrades mean a great value.
Rooms: 7 – Check out those Cabana Suites!
Casino: 8 – A major revamp has helped this one enormously.
Amenities: 6 – Rooms are decently equipped.
Facilities: 6 – Addition of a gym helps here.
Service: 10 – Like most Downtown places, very friendly.
Fun: 7 – Saving money is fun!
Bonus: 9 – Major bonus points for bring The El back to life!
Vegas4Visitors Rating: 76

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