Joan Rivers Died From Complication in Treatment, Officials Say

The report did not cite medical error as a cause of death, but left open the possibility of malpractice. It did not address whether actions taken by the medical personnel after she stopped breathing were sufficient.
Nonetheless, a ruling of death from therapeutic complications typically does not address “errors of omission, clinical judgment/management or missed diagnosis,” according to a review in the Journal of Forensic Sciences of New York City deaths investigated by the medical examiner’s office. Ms. Rivers, 81, went to a private clinic, Yorkville Endoscopy, on Aug. 28 for what was supposed to be a routine procedure on her throat. She had been complaining of hoarseness, friends said.
She stopped breathing and went into cardiac arrest before emergency medical workers were summoned by a call to 911. She was put on life support and died seven days later.
The procedures were performed under sedation with Propofol, according to the medical examiner. Propofol, which was implicated in Michael Jackson’s death, is an anesthetic known for having a small margin of error between sedation and respiratory arrest.
“This woman had brain death before the medics arrived,” Dr. Jamie Koufman, an ear, nose and throat specialist in New York City, said after reading the autopsy report.
Dr. Koufman said that when Ms. Rivers stopped breathing, either the anesthesiologist, whose identity has not been publicly disclosed, or the ear, nose and throat specialist in the room, Dr. Gwen Korovin, should have been capable of putting in a breathing tube or doing an emergency tracheotomy to allow her to breathe
But she said the death was probably a result of more than one factor. “It’s not easy to kill a patient,” she said. “It takes several errors.”
Dr. Korovin’s lawyer, Michael S. Kelton, said he would not comment until he had “an opportunity to read and evaluate the complete M.E.’s report.”
In the past, Mr. Kelton has said Dr. Korovin, who had a long list of celebrity patients, was “revered” by her patients but could not discuss Ms. Rivers because of privacy law.
A spokeswoman for the clinic also declined to comment. Dr. Lawrence Cohen, the gastroenterologist who performed the endoscopy, resigned from his post as medical director of the clinic after it became known that he allowed Dr. Korovin to practice there, even though she was not authorized to do so.
The State Health Department is also investigating the death.
In a statement issued on Thursday, Ms. Rivers’s daughter, Melissa, said: “We continue to be saddened by our tragic loss and grateful for the enormous outpouring of love and support from around the world. We have no further comment at this time.”

 http://www.nytimes.com/2014/10/17/nyregion/joan-rivers-died-of-complication-in-treatment-medical-examiner-says.html?_r=0

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