His brothers visited him in alcatraz and they were involved in organized crime so its possible he sent messages through them, al cliamed he was retired before he went to alcatraz but it was just a ploy to get the fuzz off of his back, most people who got syfilis back then didnt die from it, capone was in good health until about 37 when the prison started injecting lead into his body cause they was afraid that he would get out and run his empire, after capone was released from the hospital in baltimore he held mafia meetings at ralph capone getaway retreat in wisconstin, capone wad semi retired and he let the guys in chicago run the day to day business of it