My medical knowledge may not be MD proof but my common sense tells me Joan Rivers death could have been avoided. I believe that being put under for surgeries on a “regular basis” can weaken the heart because it is an un-natural process and if not watched carefully can be fatal. Therefore Joan Rivers passed elective surgeries to fix her features might have helped her features but truly hurt her heart. After having so many medical procedures in the past Mrs. Rivers should have had this procedure at a hospital with a license certified Anesthesiologist who would have carefully monitored her vital signals throughout the procedure. If this had occurred instead I wonder if today we all could be laughing a bit more instead of tears for the loss of a comedic genius.