Big, bordering on huge, TPTHB fan here. Prefacing my comments with that fact...
The years of heroin were, as you might imagine, really hard on him and it was noticeable.
Health issues to come only piled onto that, even with legit prescription painkillers.
His hip was full-on broken and required replacement ASAP; he chose instead to finish what
he perceived to be the obligation he felt to his fans and to the band and crew.
By his last tour (40th anniversary), he was hammering oxy's before shows just to get through
them and you could tell on stage, both in his speech and in his mannerisms - yet he was
hellbent on seeing it through.
Bandmates reported him needing help to get to the stage some days - he was barely able to
bear weight on his hip towards the end, so what he did on stage was miraculous really.
By then, it was Fentanyl and Oxy's...
Personal observation on my own exposure to prescription painkillers:
They don't actually "kill pain" - instead, they make you simply not care about having pain.
Almost instantly addictive. I've seen them ruin many an otherwise perfectly good human.
I learned early on to live without them, regardless of whatever was to come (and as y'all
know, a metric ****-ton of pain was and is a part of my life).
I'm simply scared to death of them - and they don't freaking kill pain.
If you listen to the last couple interviews, he was both proud of the fact the band had completed
the tour and at the same time, there was a steadfast refusal to acknowledge the physical condition
he was in - but he also sounded like he had gotten done what needed to be done and was at peace,
like he was completed in his obligations.
As a lot of you fellas have learned over the years, when there's no mission anymore, no obligation,
no reason to get back to work in someone's life, oftentimes bad things happen.
Purpose is a huge reason we get up and go; hell, it's probably the prime directive.
I've been there, when the perceived purpose had been completed - and I can relate.
It may have just been time for Tom; he may have been called home, job well done.