of daysline "extra." i'm tamron hall. thanks for watching. xxxx . a suspicious death in a suburban condominium. >> you don't really know what happened. we have to find out why she's dead, how this actually took place. >> strange circumstances surrounding a 36-year-old man's death in a bedroom. >> what type of drugs did he use? >> the scene was kind of unusual for where he was. >> puzzling questions over a skeleton, and a 22-year-old mystery. >> this was a very unusual case right from the beginning. >> all unexplained death that

dr. daniel spitz tries to solve with forensic science. >> every scene is not what you first expect. >> go behind the police tape at death scenes. >> it was kind of bizarre. it doesn't make sense, the whole picture that we're seeing right now. >> and inside the morgue, the autopsy. >> the first question i would like answered is where did the blood come from. you never know when you'll have the crucial finding, that aha moment. >> places cameras are usually not allowed. >> what's the timeline? >> the medical examiner uses secrets from the dead to crack cases wide open. >> i never know when my phone rings what the next mystery may be.

>> 911, what's your emergency? >> a woman is found dead in her home. blood is streaked and splattered throughout the premises. >> minutes later, dr. daniel spitz, the chief medical examiner in michigan is on his way to the location. >> apparently there's quite a bit of blood at the scene. i'm not sure what kind of wounds we're dealing with, if any, at this point. >> medical investigator patty, who works with dr. spitz, responds as well. >> it's a female. i don't have the age. that was found by her children's nanny when she came for a visit. they found blood all over the

place. >> the sheriff's department cordons off the potential crime scene. with so much blood, investigators can't rule out foul play. >> it looks like a suspicious death. we don't really know what happened. >> dr. spitz and his staff at the medical examiner's office are responsible for investigating all suspicious or unexplained deaths in macomb and st. clair counties. a collection of 66 suburban townships, cities and villages outside of detroit. >> we work with the police at the scene. so that nothing is missed. and the police, while they do a good job at investigating, are not always comfortable dealing with a dead body. >> in a special arrangement, our cameras and producers are allowed unrestricted access to the 24-hour world of the medical examiner's office, as its employees respond to death scenes. perform autopsies. >> she's got no stab wounds,

blunt trauma, asphyxiation. >> and try to definitively determine the cause and manner of all deaths that occur under its jurisdiction. >> there are many more questions people have when you're dealing with a situation that involves a suspicious death. >> what time do you expect the search warrant to come? >> it's a tuesday afternoon on a hot summer day. dr. spitz and medical investigator roland are called to examine the body of a 42-year-old woman found dead on her bed. >> the scene was one that very much raised concern that we were going to be dealing with an obvious homicide case, with obvious injuries. >> they talk with police to learn as much as they can about the deceased before going inside. >> she's divorced and has three children with her ex-husband. the nanny was coming here today with the three children from visitation. they came in the home --

>> the nanny was here to drop them off? >> drop them off, yep. bipolar with hallucinations. that's from the nanny. >> oh, my god. i know her. i know her. this is my neighbor growing up. >> suddenly medical investigator roland realizes something very personal. >> she lived across the street when i was growing up. >> this woman? >> yeah. >> while roland has responses to hundreds of death scenes, none ever hit so close to home. >> first time i've known someone quite well. so this is a little disturbing right now for me. >> dr. spitz and investigator roland go inside. and find a scene straight out of a horror movie. blood is smeared all over the doors, walls, and appliances. the sight of her former friend

shocks medical investigator roland. >> i may cry, so i apologize right now. but it's hard, because it definitely hits home. i knew her when she was healthy and happy. to see her in this kind of condition, it's heart-wrenching. >> making the case even more difficult, neither dr. spitz nor investigator roland can find any obvious answers as to how the woman died. >> i tell you, it's a rare scene that i've been to where you have sort of conflicting evidence. in other words, blood evidence indicating some type of trauma, on a body that doesn't show any trauma. we haven't confirmed the blood belongs to her. >> if the blood isn't the woman's, then whose is it? and how did she die? macomb county sheriff mark hackel looks to dr. spitz to trike to make some sense of the disturbing incident. >> when you start doing the

autopsy, you can find a whole lot more. i'll be certain when dr. spitz gets that opportunity he'll have a little bit more information for us, how she died, when she may have died, what caused her death. >> when dr. spitz is done examining the body, a private company contracted by the medical examiner's office transports the victim to the morgue, where the autopsy will be performed the next morning. as the body leaves the scene, the sheriff's office continues its investigation. detectives talk with neighbors who say they've been hearing loud noises over the last few weeks. >> doors slamming, like commotion. loud talking. mostly at night. a lot at night when i'm sleeping, midnight, you know, after that. it's been pretty consistent, i'd have to say. >> investigators also question the woman's family, and the man she lived with. the man is the father of the first of her four children. he tells police he saw blood in the house before he left in the

morning. but wasn't concerned because the woman had a previous episode of smearing bodily fluids around the condo. he says he looked in on her, heard her breathing, and left. >> my understanding is the boyfriend did notice some blood. but that maybe she was having her period. >> investigators cart off bags of evidence. as word of the bizarre bloody scene spreads, the local news shows up. and the woman's death becomes a top story. at the morgue, the woman's body is put in a walk-in cooler kept at 42 degrees fahrenheit, halting decomposition. dr. spitz knows that law enforcement, as well as family, friends and neighbors of the 42-year-old mother, including medical investigator roland, are all anxious to learn if the autopsy will determine the cause of her death. coming up -- >> this is getting interesting. >> the autopsy reveals surprising information. >> i guess the question is, how does the blood play into this?

>> can dr. spitz crack the case? >> this is a serious amount of bleeding. >> plus, can this skeleton put to rest 22 years of anguished questions? >> when you go through tragedy, you don't really get on with your life. 22 years is a long time to wait. and now it's finally here. the mercedes-benz summer event is back, with incredible offers on the mercedes-benz you've always longed for. but hurry, these shooting stars fly by fast. lease the cla250 for $299 a month at your local mercedes-benz dealer. mercedes-benz. the best or nothing.

my name is jamir dixon and i'm a locafor pg&e.rk fieldman most people in the community recognize the blue trucks as pg&e. my truck is something new... it's an 811 truck. when you call 811, i come out to your house and i mark out our gas lines and our electric lines to make sure that you don't hit them when you're digging. 811 is a free service. i'm passionate about it because every time i go on the street i think about my own kids. they're the reason that i want to protect our community and our environment, and if me driving a that truck means that somebody gets to go home safer, then i'll drive it every day of the week. together, we're building a better california.

a 42-year-old woman is found dead in her condominium. but mysteriously, she has no visible wounds that indicate how she died. or where all the blood in her home came from. >> we've not been able to determine exactly what caused her death. looking at the scene, that's concerning to us, because there's blood in and around the house. >> investigators hope dr. daniel spitz will be able to make sense of the situation. the police call the medical examiner's office whenever they respond to a death. and dr. spitz begins an

investigation that may include an autopsy. >> it's a different thing every day. i go to crime scenes. i work with the police, involving deaths, and involving injury cases. so i never know when my phone rings, what the next mystery may be. >> dr. spitz is a forensic pathologist and often testifies at trials to explain his findings. one of the most high-profile cases he's investigated is the death of tara grant, a 34-year-old mother of two whose dismembered body was found in her garage in 2007. >> all very indicative of a manual strangulation. >> her husband, steven grant, was found guilty of second-degree murder. dr. spitz has investigated thousands of unexplained deaths. but the scene he finds at the condominium ranks as one of the most perplexing he's encountered. >> it's totally a mystery. i think going in with an open mind as far as the exam tomorrow is the way to go. it could turn out to be almost anything. >> it's almost 8:00 p.m.

he'll perform the autopsy tomorrow morning at the morgue. but just when he thinks his day is over -- >> hello? >> larry king live calls. they want him to be part of a panel on tonight's show to discuss missing toddler kayle anthony. >> i got a call that "larry king live" was going to be talking about the missing girl in orlando, florida. and they were going to talk about some forensic evidence that they'd found. >> that's very concerning to me. the smell of decomposition is very -- >> dr. spitz isn't the only one from his office still busy. >> okay. great. i'll be on my way out there then. all right. we'll see you in a little bit. >> an employee of the medical examiner's office is on call 24 hours a day, 7 days a week, to respond to death scenes. investigators split 12-hour shifts. when someone's life ends, their work begins.

>> they go to the scenes and collect the information that i need, and that they need to make decisions about how a death investigation is going to be handled. >> pulling the night shift after the bloody scene at the condominium is medical investigator rene deegle. >> in the dead world, people want to forget about everything, and we're here to respect the dead and their families. >> she gets a call in the middle of the night. the 36-year-old male is found dead in his bed by his mother. >> and that was a real upsetting case, because he was only 36 years old, you know, and he's younger than i am. >> hi. >> medical investigators never know what type of scene they may be called out to during their shift, or how the family members of the deceased will react. >> sometimes they want to see the body, but they can't see the body because it's grossly disfigured. they think, no, i can handle it. i watch csi, i can ham it.

it's nothing like that. especially when it's your loved one. >> her job is to gather as much information possible about the person who died. she starts by asking the mother, who asks not to appear on camera, a series of questions about her son, curt lewitski. >> can you tell me a little bit about his medical history? >> curt's an alcoholic. he has been for the last several years. he has done some drugs in the past. >> what type of drugs did he use? >> vicodin, morphine once or twice. >> okay. >> he tried fentanyl, he told me. >> i have to take some photographs. >> the man's history of alcohol and drug use is an important clue that may help determine the cause of death. even so, deegle always keeps an open mind when investigating a death scene. >> we have to be careful not to get tunnel vision on these

cases. you get your initial investigation. that's when it's critical that we have to go to the scenes and see the circumstances around it. because it can change. >> she follows a routine. >> i usually start at the head, looking for any deformities to the head, any depressed skull fracture, bullet holes, anything that shouldn't be there. then i go to the eyes, the neck, work my way down the chest. make sure there's no stab wounds, no gunshot wounds, any trauma to the body, and then work my way down. >> she doesn't see any sign of foul play. >> he was just lying peacefully on the bed, almost like he was sleeping on his side. nothing unusual with the scene. i had no objections if the family was to come in and see him. >> because there is no obvious cause of death, the body will be brought back to the morgue for an autopsy by dr. spitz.

>> he'll be examined tomorrow morning, and he'll be released back to your family by late morning, early afternoon. thanks, guys. >> thank you. >> coming up, did 36-year-old curt lewitski drink himself to death, or is there more to the story? >> i have some long-standing alcohol. it's as ser otic as they get. >> all eyes are on dr. spitz as he looks for answers to the puzzling mystery at the condominium. >> the biggest thing now is to say, is there anything that could account for her death that could have been caused by somebody else? because my dentures fit well. before those little pieces would get in between my dentures and my gum and it was uncomfortable. even well fitting dentures let in food particles. just a few dabs of super poligrip free is clinically proven to seal out more food particles so you're more comfortable and confident while you eat. so it's not about keeping my dentures in, it's about keeping the food particles out. try super poligrip free.

for patients like lynn, advanced genomic testing may lead to other treatment options that can work. learn how genomic testing is changing the way we fight cancer at cancercenter.com/genomics

it's 8:00 a.m. macomb county medical examiner daniel spitz arrives at the morgue to perform the day's autopsies. his first case, a 42-year-old woman found dead under suspicious circumstances in her home. it's front page news. >> i think the autopsy here is going to be critical to figure out, you know, how this woman died at the scene, and the body are telling a different story right now. we'll try to figure this one

out. >> the woman is identified andrea bean, and more of her story is revealed. police have responded to several disturbances at the residence in the past. she also has a history of mental illness. information that may help ultimately determine the cause of death. >> you never know when you're going to hold the vital piece of evidence. have the crucial finding, that aha moment. >> two morgue attendants assist dr. spitz with the autopsy. christina hisler. >> what i like about the industry in general is it's unlike any other. >> and cheryl waters. >> you'll get something different every day. >> a mystery. we'll solve it. hopefully. >> michelle x-rays the woman before the body bag is opened. >> we mainly take these x-rays before we open the bag, in case there's a piece of metal

somewhere that we don't know. could be anything from a small bullet to a tip of a knife. but it's nice to find it before we get in there. >> the body is transferred to the autopsy station where, as in an operating room, water, suction and drainage are all available to aid in the procedure. a plastic seal p showing the bag has not been opened and the body not tampered with since it left the death scene is cut open. they take photographs, focusing on any wound or marks. there's usually at least one member of law enforcement present during the autopsy. but today, there are several. evidence of their interest in the case. >> obviously that doesn't account for the blood at that type of scene. but we don't know if it's her blood. we don't know how long the blood has been there. >> was she having her period? >> i don't know. we're going to try to figure that out. this is not a routine case.

this is not an obvious anything. >> they unwrap the woman's hands, which were covered with paper bags at the scene to preserve potential evidence. because of the suspicious nature of the dead, forensic nurses are brought in to perform a sexual assault exam. >> cervical swabs. are. >> they meticulously pull samples from the body and place them into marked envelopes and bags which are sent to a lab for analysis. christina and michelle take several samples of blood from different parts of the body. urine, eye fluid and tissue samples are also collected for toxicology and other tests. >> let's do these photos. >> dr. spitz starts his xrexam with a careful review of the body. he's trying to figure out andrea bean died and where all the blood in her home came from. >> any menstrual blood?

>> it's pretty clean. i don't see anything on the walls. >> all right. let's roll her over and take a look at her back. >> this isn't an easy case. the external exam doesn't appear to reveal any obvious answers. >> she has a few minor injuries. nothing that you would associate with her death. >> the internal exam might find something hidden. >> i think we're ready to go here. you guys take your last swabs? >> the internal exam is a detailed analysis of all the organs, looking at the organ-to-organ relationships, and then looking at the body cavities. looking for collections of blood, or infection. >> an autopsy often finds that a person died from something completely unexpected. >> the sky's the limit as to the kind of findings you can have internally. that's the whole medical part of the autopsy. the medical part being the analysis of each and every

organ, to look for injury, or natural disease. >> the organs are weighed and inspected. all look healthy. >> nice coronary arteries. >> yeah, nice. >> but then dr. spitz finds something that gets everyone's attention. >> she does have an iud. when did she have it put in. >> police officers crowd in. could the woman's intrauterine device have something to do with all the blood. >> there's been information put forth by the boyfriend that he thought this was menstrual blood because he saw the blood before he left for work in the morning. the fact that an iud is present may actually prompt some inappropriate vaginal bleeding. but it doesn't really answer the question definitively. can't look at this and say, wow, she must have been bleeding a whole bunch from this. >> the autopsy isn't over until

dr. spitz examines the woman's brain. >> saw's coming in. >> everybody gets an examination of the brain. we're looking for any kind of injuries, bleeding over the surface of the brain, any infection that involved the brain, or any disease process that's in the brain. >> everyone observing the autopsy is eager for an answer. but dr. spitz isn't ready to reveal his findings just yet. >> she has some sort of complicated past medical history that's going to have to be sorted out. so there's a lot of things going on behind the scenes right now, getting medical records, and talking to family to see what kind of information we can glean. all this information gets sort of sifted through and a final sense will be made of this case, hopefully. coming up, a bizarre conclusion to the baffling case. >> the police are in the process now of determining the source of

that blood, who the blood came from, and how long it's been there. >> and the autopsy of the 36-year-old alcoholic finds something unexpected. >> this case still is an unknown cause of death.

[ tires screech ] ♪ flo: [ ghost voice ] oooo! [ laughs ] jaaaaamie, the name your price tool

can show you coverage options to fit your budget. tell me something i don't know -- oh-- ohhh! she slimed me. which i probably should've seen coming. [ laughs ]

i'm richard lui with your top stories. crews are trying to contain a week-old wildfire that is threatening 2,000 more homes. it's also claimed one life. officials believe the blaze could linger until the end of august. hillary clinton and tim kaine continuing their battleground bus tour. last hour they rallied voters in pittsburgh picking up the endorsement mark cuban. next stop, youngstown, ohio, later tonight. now, back to our msnbc special.

medical examiner dr. daniel spitz is finishing up his autopsy of andrea bean, a 42-year-old mother of four found dead in her condominium in macomb county, michigan. >> obviously that doesn't account for the blood. >> he's trying to solve a mystery. a large amount of blood is found throughout andrea's home. but strangely, there is no blood on her. and no wounds that show where the blood came from. >> the question is, is it her blood and how long has it been there. that's recent. you can see the little tags of skin that haven't dried out or anything. >> dr. spitz takes a closer look at cuts on her knuckles to see if they are responsible for all the blood in the house. >> i'm not saying how she got it. she could have easily gotten it from punching a wall and could that injury account for all the blood at the scene.

it's just not a very big injury. i have a serious problem with accounting for all that blood with that injury by itself. some of them actually appear to be old and healing. just not what you'd expect when you're dealing with the kind of blood that we saw at the scene. the blood at the scene was fairly extensive. smears up and down a 20-foot hallway. blood drops. multiple blood drops on the floor. >> andrea's neck is carefully examined for signs of strangulation. >> rarely do you see an actual fracture with a strangulation. >> after two hours, a thorough external and internal exam fails to find a direct cause of her death. >> the biggest thing right now is to say, hey, is there anything to account for her death that could be caused by somebody else. and -- >> you don't think -- >> -- i'm not seeing it. there's nothing to indicate that this is a homicide.

what was most important during the exam was to rule out that trauma caused her death. and i relayed that to the police now, who are in the process of determining whose blood does that belong to. >> dr. spitz and detectives believe the woman's psychiatric history may hold the keys to understanding her death and the bloody scene. >> so it's going to be a medical or toxicology issue that we sort out as we get more results in. >> okay. >> take some fingerprints, and then we're done. we gained a lot of information over the last 24 hours about what's going on. this woman unfortunately had some psychiatric illness. she got some medical problems related to that. she's had multiple hospitalizations. so we're analyzing that history to see how that can help us figure out what happened yesterday. >> medical investigator patty roland who works with dr. spitz

at the medical examiner's office is also on the case. >> she was discharged on the 17th. >> this is an assignment she will not soon forget. the deceased, andrea bean, is her childhood friend. >> she was my neighbor growing up. spent a lot of time with her family. as kids. it broke my heart. i'm just hoping that i'm providing some kind of comfort to her family, because i'm their voice here. >> roland learns from andrea's father, john collier, and her stepmother, caroline cocoa, that andrea was diagnosed with mental illness three years ago. >> in may of 2005, andrea called us because she was sad, and she was confused. we took andrea to see a psychiatrist, where major depression psychosis was diagnosed. >> as her disease progressed, she became less focused on

things and couldn't concentrate. she would lose track of purpose, what she was doing. >> andrea was experiencing postpartum depression. >> after delivering her fourth child, she had severe postpartum depression with psychosis. she had 17 hospitalizations in two and a half years. >> dr. spitz will research the case further, and wait for toxicology tests to come back before he determines the cause of death, and signs andrea bean's death certificate. >> right now, it's a bit of a waiting mode. i think that's important for people to realize that we often don't get answers in the course of an hour, or at the time of the autopsy. there's many other things that go on to having a complete death investigation. >> all right. let's do this last one. >> dr. spitz quickly switches his attention to the second case of the day. there's another mystery to solve. 36-year-old curt lewitski found dead in bed by his mother.

>> this is a different type of case than the other kind of case. this is a case where everything seemed to be in order as far as, you know, ruling out foul play early on. but this case still is an unknown cause of death. and an unknown situation until the exam is done. >> despite the morbid surroundings, it's just another day at the medical examiner's office. >> when are you going back up to your cottage? >> probably next week. i can't wait. i can't wait. >> dr. spitz begins the exam by analyzing the information his medical investigators have gathered at the scene. >> you know he's got signs of chronic alcoholism. he has a long history of alcohol abuse. he's also got a history of prescription drug abuse. >> toxicology will be essential in determining the cause of the 36-year-old's death. >> got it in his airway. see that typically in drug

overdoses. >> when dr. spitz performed the internal exam, he discovers that the man has severe liver disease. >> i have some long-standing alcohol. look at that. that's as sir otic as they get. >> he's a young man, 36. pretty unusual to develop cirrhosis of the liver at that age. but the autopsy did in fact confirm that he did have alcoholic liver cirrhosis. i want to confirm that his toxicology was not a cause or contributory factor in the death, because he does have an underlying history of prescription drug abuse. >> curt lewitski's autopsy is filed as pending until test results come back. coming up, these bones may hold the answer to a 22-year-old crime. >> we're trying to fill in the gap as to what actually happened. >> can dr. spitz turn the cold case into case closed.

going to the skate park today? maybe... you can make it gr-r-reat! ♪ kellogg's frosted flakes gives you the sweet spark to go all in and let your great out. they're gr-r-reat!

authorities in macomb county, michigan, descend on a remote wooded area near a river. a convicted killer has just confessed to burying a young girl here 22 years ago. >> everybody was on scene as this excavation unfolded over the course of many hours. >> loogs like the purse. >> it looks like the head. >> the digging stops when skeletal remains are found. >> then it became a medical examiner case, really, because human remains found in the county, believed to be related to some type of foul play, certainly became the jurisdiction of the medical examiner. >> medical examiner daniel spitz is called to the scene to help collect the remains for further

analysis at the morgue. >> we brought the bones back here to the medical examiner's office. we brought the bones in addition to her personal belongings, which included clothing, shoes, a purse, which contained a variety of personal items. and we began to do our own excavation here at the office. >> obviously it's very disintegrated. just being in the ground for over 20 years. there's a bra, as well as some type of thin jacket with a zipper. >> investigators believed these are the remains of cindy czar si ki, a 13-year-old girl who has been missing since 1986. >> she just disappeared. it's like an arm is ripped off you. >> cindy is last seen by her parents, ed and al lis czar sis

ki. >> she was supposed po meet a friend at the dairy queen. and they were going to go to church together. and that was the last time i seen her. >> ed reports his daughter missing that night. >> there was something wrong. and i had went to the police station to report it. they just thought maybe she just ran away. they hadn't connected that something bad could have happened. >> cindy's family searches for her, but she's gone without a trace. their family is never the same. >> you spent most of your whole life looking. wherever you went. and someone would catch your eye that it looked similar, and you do a second time around the block just to check it out. and look. >> as the years pass, everyone, including ed's second wife linda, is always on the lookout for cindy. desperate for answers. >> i just wanted to know where

she was, and if she was alive, tell her that i love her and miss her. and if she wasn't, then we could put her to rest with our own family. >> in 1995, detective derrick mclaughlin reopens the case. which has been cold for ten years. >> my chief at the time came up to me with this box filled with binders and notes and things of that nature, and he said this was the zarcyzki case, solve it. >> the father of cindy's boyfriend, scott. >> he asked us to meet him up at the dairy queen. for a surprise birthday party for scott. and i guess the birthday party was just a roos to get her to go with him. >> the detective soon discovers that he's a convicted criminal and is in prison.

>> he was convicted of indecent liberties with a minor. and he served in 1975 to 1978, he served three years in prison. after that, he was out and about all the way up until 1997 when he was convicted of the rape of the 13-year-old girl. >> detective mclaughlin believes he's found cindy's killer. >> i'm theorizing that he had picked her up, taken her to a place, went to go rape her. she resisted. he tried to get her out of that situation. couldn't. and he killed her. >> but with no body, it takes 13 years of tenacious police work to finally build a strong enough case to charge arthur ream with murder. >> that was the amazing thing is that you're walking into a case with no physical evidence. >> even though cindy's body is never found, and ream never admits to killing her, a jury convicts ream on circumstantial evidence for her death in 2008.

>> guilty in the first degree. >> cindy's family is relieved that her killer is finally brought to justice. but they are still eager to locate her remains and bury cindy on their own terms. >> that's important to be able to put her where we want, not for somebody else. and close to home. >> before ream's sentencing, detective mclaughlin visits the convicted killer in his cell. >> i said, i'm here for one thing. and i says, i need a map. i need a map, will you draw out where she is so i can go find her. i says, give that much to the family. >> ream finally admits he buried cindy 22 years ago, and leads authorities to the spot where remains are recovered. but he says he didn't kill her. ream claims she died in an accident while playing with his son, scott. scott died in a car accident in 1994. nine years after cindy disappeared. >> he's still trying to blame it on his son.

saying that they were playing up on some carpet reels at this warehouse. and cindy fell down this elevator shaft. >> at the morgue, dr. spitz has two goals. he tries to confirm that the remains are indeed cindy's. >> once we lay it out, we can photograph everything. we needed to be definitive in regard to the identification. we can't as a medical examiner just assume it is who we think it is based on circumstantial information. we have to be definitive and use some type of biological means to confirm the identity. >> and he looks for signs of injury that would explain how this person died. and if there is any truth to arthur ream's story. >> he hasn't come totally clean. he has stated he knew where the body was and helped the investigators locate the body. but he has never actually said he committed the murder.

so those are the questions i hope to answer. coming up, coaxing secrets out of the skeleton. >> after 22 years in the ground, it's a challenge. finding dna evidence, finding other types of trace evidence. not impossible, but unlikely, you know. and an unexpected conclusion to the andrea bean case. and the trail of blood at her condominium. it's here, but it's going by fast. the opportunity of the year is back: the mercedes-benz summer event. get to your dealer today for incredible once-a-season offers, and start firing up those grilles. lease the c300 for $379 a month at your local mercedes-benz dealer. mercedes-benz. the best or nothing. put under a microscope, we can see all the bacteria that still exists. polident's unique micro clean formula works in just 3 minutes, killing 99.99% of odor causing bacteria.

for a cleaner, fresher, brighter denture every day. w...i was always searching for ways to manage my symptoms. i thought i had it covered. then i realized managing was all i was doing. when i finally told my doctor, he said humira was for people like me who have tried other medications,... but still experience the symptoms of moderate to severe crohn's disease. in clinical studies, the majority of patients on humira saw significant symptom relief... ...and many achieved remission. humira can lower your ability to fight infections... ...including tuberculosis. serious, sometimes fatal infections and cancers,... including lymphoma, have happened; as have blood, liver, and nervous system problems, serious allergic reactions,... ...and new or worsening heart faile. before treatment, get tested for tb. tell your doctor if you've been to areas where certain fungal infections are common, and if you've had tb,... ...hepatitis b, are prone to infections, ...or have flu-like symptoms or sores. don't start humira if you have an infection.

if you're still just managing your symptoms, ask your gastroenterologist about humira. with humira, remission is possible. youthat's why you drink ensure. sidelined. with 9 grams of protein and 26 vitamins and minerals. for the strength and energy to get back to doing... ...what you love. ensure. always be you.

as to count one, your verdict is? >> guilty in the first degree. >> on june 18th, 2008, arthur ream is convicted on circumstantial evidence of killing cindy zarcyzki 22 years ago. but ream never confesses and the 13-year-old girl's body is never found. before his sentencing, ream finally admits to burying cindy

in the woods and leads authorities to the spot. after a ten-hour excavation, the remains are brought back to the morgue and examined by dr. daniel spitz. the medical examiner for macomb county, michigan. >> we're trying to fill in the gap as to what actually happened. we've never got a confession on this case. the prosecutor still doesn't know what the cause of death is. so we're hoping today to help determine how this girl died. >> ream claims he buried cindy after she accidently fell down a warehouse elevator shaft in 1986. in addition to trying to determine the cause and manner of death, dr. spitz will use whatever methods he can to positively identify the remains. >> while we have pretty good evidence that it is who we think it is, for the sake of being definitive, we're going to do dental records or dna testing to try and answer that question for certain. >> dr. spitz and his bags of dirt and remains collected at

the burial site onto the autopsy table. he finds disintegrated strips of clothes. >> fabric is reduced to almost thin paper. >> and bones. >> we'll start with just carefully cleaning off these bones. these are all ribs and fragments of ribs. all the bones were covered in dirt. the skull was completely filled with hard dirt, vegetation, roots, all types of things were growing through all the different orifices of the skull. >> also recovered, a purse with belongings. it's an important clue. >> this is probably the most interesting personal effect that was found. it really can almost be construed as a time capsule of sorts. something you don't see today. cassette tapes. looks like they were maybe homemade cassette tapes. >> detective derrick mclaughlin observes the exam. he's been working on solving

cindy's disappearance for 12 years. >> she always had a purse with her, they said. >> this looks to be like a black -- like a plastic, maybe leather type bag. >> dr. spitz carefully goes through every scrap. >> mainly i'm looking for any kind of damage to the clothing that could be indicative of an injury that she may have sustained. you're looking for any clues as to what may have caused her death. >> the clothes and purse seem to point to a teenage girl. but the bones tell even more. after several hours of sifting through the remains, dr. spitz lays the skeleton out carefully. >> the characteristics of the skull, as well as the characteristics of the other bones point to this being a young early teens, mid-teens white female. and that obviously fits with the

description of this child. >> dr. spitz doesn't find any evidence to back up arthur ream's story that cindy died in an accident. >> i didn't see any indication of blunt trauma. while i can't be definitive, is that this is some type of asphyxiation or strangulation. >> a bone is shipped to a lab for dna tests. even before tests come back, arthur ream is sentenced to life in prison for cindy's murder. >> without any possibility of parole. >> tests eventually prove the remains are cindy's, and after 22 long years, ed finally gets his daughter back. >> it takes a lot of pressure off, 22 years of not knowing, looking, waiting. to be able to have a funeral. >> other tests help solve more

cases. toxicology results for curt lewitski, a 36-year-old man who died in bed, show high levels of several prescription drugs in his system. dr. spitz records the cause of death as an accidental overdose. >> it showed he was acutely intoxicated by alcohol, at a .15. it also showed that he had methadone, hydrocodone and ox i more phone. pretty potent main medications. >> lab results also solve the mystery of how andrea bean died. she was found in her bedroom with blood smeared throughout the house. but with no blood on her. tests showed that severe elec o electrolyte imbalance caused her death. dr. spitz believes it was accidental brought on by a rare psychiatric condition to cause andrea to drink too much water. >> the terminology used to describe the situation is psychogenic poly dip si a.

it means there is a compelling urge to consume large amounts of water, which is the poly dip sia, and the psychogenic part means that it's brought on by a psychiatric illness. >> the autopsy results are not a surprise to her family. andrea had been hospitalized for the condition before. >> andrea had three other episodes of losing consciousness. she would have a seizure, stop breathing, and then nearly cardiac arrest. >> dr. spitz is able to determine the cause and manner of andrea's death. but the blood found throughout her house remains a mystery. because of the back lock at the state crime lab, tests to see if the blood is andrea's will take nearly a year to process. but authorities believe it is her blood. even though the autopsy didn't find any wounds on her, that could have been responsible for it all. dr. spitz and the sheriff's office believe the blood, like her death, is explained by her mental condition. >> i would assume that it is her

blood. it could be related to some type of, you know, psychosis, where this was done in a purposeful manner. >> andrea's condition deteriorated after being diagnosed with mental illness three years before her death. her family is frustrated and angry with the care she received. >> the mental health care system is grossly inadequate to take care of mentally ill people. >> when will people become aware that these aren't just strange people out there. these are family members. these are people that you pass on the streets. these are people that need care, and need someone watching them. and there's nobody doing it. >> every exam dr. spitz performs is different. but the goal is always the same. >> ultimately it's left to me to tell the story of the deceased person.

xxxx . a man is dead. >> he was found naked and appears to be a lot of blood at the scene. >> his body in a contorted position. >> something had to have happened here. people don't end up this way. >> as the man makes one final exit from his home, the mystery builds. accidental death -- >> did he die first? >> -- or murder? >> the same van parked in front of the house. >> now it's up to the macomb county medical examiner to figure it out. >> let us see what's in his