Following her rise to fame in the 1960s Joan Rivers became the undisputed queen of stand-up comedy. For nearly five decades her unique brand of fast-talking, acid tongued wit made her a fixture on stage and television around the globe. But at 1.17pm on 4th September 2014 Joan was pronounced dead in her hospital room. She was 81. Joan Rivers was known for her love of plastic surgery. But after risking her life on numerous occasions by going under the cosmetic surgeon’s knife, a routine, low-risk procedure was to go tragically wrong. Dr Jason Payne James investigates the last days of Joan Rivers.