Joan Rivers.

     I cannot understand how any outpatient facility would consider doing a procedure that required an general anesthetic, on an 81 year old woman.
    Despite the very soft criticisms I heard on the American media, I consider this medical malpractice.  In anyone things can go wrong, but in the elderly, this is much more likely.  It is necessary to have the emergency backup services that may be required and that exist in almost every general hospital.   This was sadly lacking in Joan's case.

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