“Frankly, he had to medicate himself to get through the pain. It was clear he didn’t have control of some of his motor skills. But that’s how much he wanted to conduct; he was prepared to put himself in jeopardy. But we had to have an intervention of sorts, and I had to say to him: ‘Jim, it’s not right for you, it’s not right for the audience.’ Nobody wants to see somebody suffer, especially somebody you have a relationship with.”