More facts are slowly emerging about Joan River’s clinic visit that led to her hospitalization and death.  There are two new shocking revelations;  Rivers never gave consent for a biopsy, and a staffer at New York’s Yorkville Endoscopy clinic has told investigators that Rivers’ personal doctor, who remains unidentified, took a selfie with the comedy star in the procedure room while she was under anesthesia.

Rivers died on September 4th at the age of 81.  She was sent to the clinic August 28th for a scheduled endoscopy.  The procedure was intended to diagnose her complaints about her hoarse voice and sore throat and involved the insertion of a camera down her throat.

According to the new details, after gastroenterologist Lawrence Cohen completed the procedure, a biopsy was performed on Rivers’ vocal cords without her prior consent by her personal ear nose throat doctor, who according to a CNN report is not certified to perform biopsies at the clinic.

As it stands, the investigators believe Rivers’ vocal cords began to swell during the alleged biopsy, which cut off the flow of oxygen to her lungs and in turn led to cardiac arrest.  At that point, Rivers was rushed from the clinic to New York’s Mount Sinai Hospital, where she passed away the following week.