NEW YORK (REUTERS) - The daughter of comedian Joan Rivers filed a malpractice lawsuit on Monday against the New York clinic that treated her mother days before her death last year, saying botched medical procedures by poorly trained doctors there cost the entertainer her life.
Rivers, who was 81, suffered a loss of oxygen to her brain on Aug 28 while physicians at the Yorkville Endoscopy centre in Manhattan were performing procedures to examine her throat and vocal cords, and she died a week later at a New York hospital.
The lawsuit said the doctors were not adequately trained to recognise and deal with the type of emergency airway obstruction suffered by Rivers and that they failed to detect her deteriorating vital signs while she was in their care.
Moreover, the complaint says, the outpatient clinic allowed a doctor whose presence was unauthorised to twice conduct a procedure that Rivers had not consented to, a trans-nasal laryngoscopy, in which a scope is passed through sinus passages into the larynx.
It was during a repeat of that procedure, according to the lawsuit, that Rivers' already dangerously low blood pressure and heart rate fell further as her airway became so constricted that she could no longer breathe.
Apparently unaware at that point of Rivers' declining condition, one doctor took out his cell phone and snapped photos of himself with the doctor performing the laryngoscopy on their celebrity patient while she was sedated, the lawsuit said.
The malpractice case was filed by the pioneering comedienne's only child Melissa in New York state Supreme Court, seeking unspecified compensatory and punitive damages. It names Yorkville, its parent company and five physicians as defendants.
"The level of medical mismanagement, incompetence, disrespect and outrageous behavior is shocking and frankly, almost incomprehensible," Melissa Rivers said in a statement."Not only did my mother deserve better, every patient deserves better."
Yorkville Endoscopy declined comment on the lawsuit.
Earlier this month, a government health agency, the Centres for Medicare & Medicaid Services (CMS), cited the Yorkville clinic for failing to follow standard protocols during its treatment of Rivers, including some lapses alleged by the lawsuit.
Among failures identified in its report, the CMS said there was no record that clinic staff weighed Rivers before administering the sedative Propofol. It also found inconsistencies recorded in dosage of the drug.
The clinic has been given until March to correct its deficiencies or face revocation of its federal accreditation and funding.