of "dateline extra." i'm tamron hall. thanks for watching. >> sudden death shrouded in suspense. >> all of a sudden her whole body and head jerked dead left. >> medical mysteries. >> yeah, that's. >> the doctors were baffled. the husband was beside himself. >> good lord. >> devastating loss. >> he's in the garage right now cut down. he's 19 years old. very young person that became very distraught. >> they should have helped.

not crucified him. >> stranger in life are about to end up side by side in death. it's about to be a busy weekend for the mccomb county medical examiner. >> i never know when my phone rings what the next mystery may be. >> we're back. ♪. >> saturday morning mt. clemens, michigan. patty loehmann, the investigator on call at the mccomb county medical examiner's office has just received news of a death in the county. >> and what happened? >> who is the attending? >> what was her pressure when

she came in? >> patty is one of six medical investigators working 12-hour shifts around the clock. for mccomb county medical examiner dr. daniel spitz. >> there is a 24/7 operation. holidays, weekends, it doesn't really matter. sometimes the days other people aren't working are our busy days. >> dr. spitz dictating. > dr. spitz has agreed to allow our cameras unprecedented access to the inner workings of his office just north of detroit. it's only saturday morning. anything can happen this weekend and it will. >> 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. >> the m.e.'s office responds to any death unwitnessed, unexplained or suspicious within mccomb and st. clair counties. if a terminally ill person dies

an actual death and their doctor is willing to sign the death certificate, the body generally does not need to come into the morgue. but the case just called in has many unanswered questions. patty consults dr. spitz about the sudden mysterious death of jill moore. >> i have a case i want to discuss with you. >> this was a 44-year-old woman who died suddenly. she had been to her dentist within the past few days. had fairly routine dental work done. and was sent home. she just went in for a routine cleaning. but jill always had problems with cleaning. so what they did was they gave her a couple shots of nobody vo cane. >> over the course of several days, she started to develop pretty profound jaw pain. that progressed to a headache. >> i woke up at 7:00 in the morning on saturday and she was laying by the front door. i'm like, do you want to get up? semi said my head is kel killing

me. let me sit by the front door and see if i feel better. about five minutes later, she just said i want to die. please call 911. >> it goss so bad she went to the hospital. and she was in the hospital with worsening jaw pain, worsening headache. >> after several hours in the hospital, doctors are considering releasing jill with a prescription for antibiotics. when suddenly, things take a turn for the worse. >> we were talking, i was holding her hand and she started to kind of go under a little bit. like she was getting tired. and all of a sudden, her whole body and head just jerked dead left. i sat outside emergency for an hour. people running in and out. but once i saw them start to do cpr on her, i knew she wasn't coming back. i have a 13-year-old that doesn't have a mother. i'm mourning. it all happened so fast. >> nobody had any idea what caused her death. a sudden unexpected death in a

fairly young healthy woman. that's a medical examiner's case. because of the sudden and unexpected nature of jill moore's death, dr. spitz wants to perform an autopsy. john moore wants one, too. he wants to know what caused his wife's death. >> this is just one of several cases investigator patty roland will handle over the course of today's 12-hour shift. >> bi, bill. >> see you later. have a good day. >> thank you. >> you mean you hope i have a quiet day? >>. >> patty's not even out of the parking lot when the death knell rings. her work issued cell phone. a 50 something-year-old man has died at home. he's a diabetic with high blood

pressure and chronic back pain. >> the roseville, michigan police deny our cameras access. >> is her family inside. >> yeah, there's probably four or five people. >> is this a white male? >> yes. >> for close to hour, patty talks to police, examines the body and takes inventory of au prescription drugs found at the scene. a nurse by training with 15 years experience, it isn't difficult for her to form a hypothesis as to cause of death. >> initially it appeared to be a familiar death. but after some investigation, it's probably an accidental overdose. i think he overmedicated. >> they are kind of like police. they're investigators and they go to these scenes and they collect the information that i need to make decisions about how a death investigation is going to be handled. >> coming up next, jill moore's

death is a mystery. dr. spitz's job is to solve it. >> we don't know what happened. the doctors were baffled. the husband was beside himself. nobody knew. >> and more cases. a routine surgery takes a tragic turn and leads to i a rough day at the office. >> whoa. >> i deal with the good and the bad. >> yeah, that's pus. smells like pus. you named it brad. you loved brad. and then you totaled him. you two had been through everything together. two boyfriends, three jobs... you're like nothing can replace brad. then liberty mutual calls... and you break into your happy dance. if you sign up for better car replacement™, we'll pay for a car that's a model year newer with 15,000 fewer miles than your old one. liberty stands with you™. liberty mutual insurance.

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for the mack comb county, michigan medical examiner's office. early saturday morning, investigator bill robinette is on his way to the scene of another death. >> a 19-year-old male that hung himself sometime last night. his friend found him hanging in

the garage this morning. and cut him down. right now, he's laying on the garage floor of his grandmother's address. >> the call came in at 5:50 a.m. within the hour, bill is moments away. >> we should be there probably in about five, six minutes. if we don't get stopped by the police here. >> bill's boss, macomb county medical examiner dr. daniel spitz, sends investigators to most residential death scenes to work with police and make sure no detail is missed. >> arriving at destination. on left. >> they go to scenes. they collect information. they're knowledgeable about wounds and injuries. >> threw have a different set of tools than the police do when it comes to being an investigator for a deceased person.

many times the case is not suspicious. but we don't know that until one of our investigators gets there and talks to the family, investigates the scene firsthand, takes photographs, and actually examines the body. >> okay. this so he's in the garage right now. cut down. >> from what i understand, he had a coup friends come over. >> okay. we'll go take a look. see what we got. >> did they remove the rope from his neck? >> by 7:00 a.m., investigator bill robinette has been briefed officers on scene and begun an external exam on the young man identified as 19-year-old ryan sodowsky. >> you can roll him over. bring him my way, i guess. >> when bill's done with the

exam, he calls dr. spitz. >> the police are asking if you would be doing in this morning or tomorrow. it's an obvious hanging. hemp rope around the neck. climbed up a ladder and stepped off of it. all right. bye. >> tomorrow. >> macomb county, michigan, population 900,000 is, a mainly working class suburb of detroit. hadivitically, the area's largest employer has been the automotive industry. but with some of the highest unemployment and foreclosure rates in the country, things have been grim around here. >> in its heyday, this was a booming community. lately, it's been a very difficult time because of the economy. it's caused a lot of people to lose their jobs. it's caused a lot of people to have hardship that they didn't expect to have. and i think as the medical examiner, i see the direct result of it.

the suicides have been frequent. >> already tagged? >> yeah, he's tagged ready to go. let dad see him fur a minute. >> thank you. >> we'll be all set. >> okay, guys. >> we're going to take him back to our facilities and dr. spitz is going to do the exam tomorrow. >> 19-year-old ryan sa dow ski hasn't lost a job or a house. he's lost hope. accord doing his parents, ryan was trying to join the marine corps to get his life back on track after several run-ins with the law. but the marines a it was ryan's arrest record that prevented him from being enrolled. it's human nature to look for blame. the sa dow ski's are angry at what they call the system for failing their son. >> each time he goes to be sworn

in, they postpone it. can you imagine what that does to a young man? >> the marines failed him. >> the system failed him. >> and the court systems failed too, because you know, they. >> they should have helped, not crucified him. >> i know from talking to so many relative who haved a loved one commit suicide that it is just incredibly difficult for these people to understand how their loved one could ultimately make that decision. and i try and explain to them that the decision of suicide is not a very rational decision. many times i'm presented with but they were happy, they were working, they had plans and they just can't accept it. i've had meeting after meeting in my office with families who while they acknowledge the suicide, they can never ever

understand how it is that their son or daughter got to that point. >> he was 19 years old. just very young person. became very distraught. unfortunately, he took matters into his own hands and ended his life. just a sad ending to a nice day today. >> an hour and a half after bill's shift is over, he's still in the office doing paperwork. working here for nearly nine years, it's bound to make a man think about death. >> you just appreciate life a little bit more. and you might go out and do a little bit more living. >> ryan sadowski and jill moore, the woman who had a dental cleaning, jaw pain and then died in the er this morning, never knew each other in life.

but they're neighbors now in death. side by side, they are awaiting the last doctor's appointment they'll ever have. dr. spitz will perform both autopsies first thing in the mornin morning. >> coming up -- >> he was full rigor. happened about 12 hours after death. >> will ryan's autopsy reveal anything other than a straightforward suicide? and more cases, did this man have a heart attack in the water, or was it a standard issue drowning? >> did the bystander find him first or lifeguard. >> lifeguard. >> okay.

this is sunday morning 8:30. christina is here to help this morning with the cases.

we have what looks to be a suicidal hanging in a young man 19 years old and then a woman here who was in the hospital who went in for some jaw pain and was really being treated for that, but nobody felt it was much of anything, and she was actually being scheduled to be sent home. and all of a sudden, went into cardiac arrest and died. it's kind of an unusual situation. >> sunday may be a day of rest for many. but for macomb county, michigan medical examiner dr. daniel spitz, the work never stops. >> you took what kind of blood so far. >> three and one. v >> kristin into highsler, one of two assistants prepares both of today's cases simultaneously. the first is jill moore.

a 44-year-old mother who went to the hospital complaining of head pain after a recent dental cleaning and died in the er. >> keep in mind i did have my own high theo poe thesis based on that terminal event. it's a pretty short list of things that could cause that. i was thinking could this be a pulmonary em bowism, some type of cardiac problem. i was keep agopen mind. >> she's probably got blood clots in her. her blood is now starting to key aggue late. i'm trying to manipulate some of the arteries so the cloths will loosen up and i will be able to get blood to send out for toxicology. 69 inches tall. 5 . the other case is ryan, a 19-year-old marine hopeful who hanged himself in the garage of his grandparents' house a few

hours before jill's death. >> any apparent suicide we will definitely look at the arms to see if there's any scars from previous attempts. this gentleman doesn't seem to have any on this side. he's full rigor. happens about 12 hours after death. he's also a young man. really good muscle structures. the more muscle you have, the more rigor you'll have because it binds to the proteins in your muscles. >> once the bodies are photographed and bodily fluids drawn for toxicology testing, doctor spitz begins the external exams. >> a comprehensive analysis of the body from head to toe. he bounces back and forth between the two cases. beginning with jill moore. because of her initial symptom this week, severe jaw pain, at first, everyone is wondering

whether the dental work had anything to do with mrs. moore's sudden death. >> we have a mystery. we don't know what happened. the doctors were baffled. the husband beside himself. nobody knew. >> okay. christine, take a look at this lady's back and then she's ready to go. >> nothing on the external exam real gave me a big clue as to what i would be expecting. >> if any cases get to dr. spitz, it's the young ones. like ryan sadowski. >> i can take a look at his back and then he's ready. >> kind of watch on the back. >> especially lately whether he we have had so many suicides i do take a step back and look at some of these people. young, healthy. good looking people that had their whoa life ahead of them. i just think it must have been just an overwhelming burden and just a huge weight on their shoulders to ultimately come to

the decision that this was the only way out. >> police who were on the scene of yesterday's suicide are in the morgue today. one undercover detective asks us not to reveal his face. >> do you have the rope? >> yeah, i do. >> take a picture of it so we can correlate it with the ligature mark. let's quite an elaborate knot that he had prepared on the rope. left what could be a suicide note but not really stating what he's planning on doing. >> just ramblings about the family. i got a copy if you want. >> yeah, we take a copy for our file. >> the note. >> yeah. >> with the external exams completed, dr. spitz is now ready to move onto the internal exams. as he's about to start on jill moore, his other assistant arrives. michelle waters. >> hello.

>> hello. >> the internal exam is making the the y incision across the body, opening the chest, opening the abdomen and removing the rib plate, the chest plates so that you can visualize the chest and abandonal org dans and then looking at the body cavities. looking for collections of blood or infection. >> she's got something going on in her abdomen with all this blood. >> watch, find out it's aneurysm. >> let's just work our way down. >> there's a problem. >> the first clue dr. spitz finds? an accumulation of blood in mrs. moore's abdomen. but he quickly determines the blood is not significant. >> that's only a little bit of blood. i thought i was going to maybe find a lot more. the little bit of blood in her abdomen didn't seem to be a problem. it seems to be mostly related to

some resuscitation that she got while she was in the hospital. >> i kind of step back and say wait a minute, this could be some type of aneurysm that ruptured but quickly figured out there was a very small amount of bleeding and there was a small injury to her liver which was cpr related. so that was quickly ruled as being sort of an artifact of resuscitation as opposed to being related to her death. >> then the rest of the body is examined. in the order in which dr. spitz always conducts these exams. organs removed, weighed, and dissected. >> and finally, the head opened up. >> with a history of headaches, you might expect some kind of ca catastrophic bleed in the brain but that doesn't seem to be the case so far.

>> coming up next, this medical mystery is about to be solved. >> and here certainly seems to be a major problem. >> but few could have predict this had. >> the own i was calling is that your wife' autopsy has been completed. and we have some answers for you. >> and more cases, a high risk surgery. a deadly infection. an angry survivor. >> i would like to see this doctor lose his license because to me, he killed her.

i'm dara brown with the top stories. just south of austin, texas, investigators are probing the cause of a hot air balloon crash. all 16 people on board are feared dead which would make it the deadliest hot air balloon crash in u.s. history. in texas, police say antonio arp vong and his wife were murdered by their 16-year-old son. the two were found shot inside

their home yesterday. their son now charged with capital murder. no word yet on a motive. now back to our msnbc special. >> dr. daniel spitz is the medical examiner for macomb and st. clair counties just north of detroit, michigan. investigators from his office attend every death scene in the county, occurring outside a hospital, hospice or nursing home. his job simply stated, to perform autopsies and figure out why people died. >> we obviously don't like surprises. so we second an investigator to basically make sure that the death is what it seems to be. and many times, that allows us to comfortably release the body to the family, to the funeral

home and other times, it prompts an investigation that involves the body coming into the medical examiner's offers and an autopsy being done. >> he's been fascinated with this subspecialty of medicine sincechildhood. his father, dr. werner spitz, is one of the country's best known forensic pathologists. after graduating from medical school in 1995, did he six more years of training in anatomic, clinical and forensic pathology. >> it's not a field that attracts huge numbers of people. it's not you know, billed as being glamorous like you see on various television shows. but it has its own reasons for my interest. >> on this sunday afternoon in macomb county, dr. spitz is about to solve a medical mystery. the case of 44-year-old jill moore who had severe jaw pain after a dental cleaning and then died suddenly in the er. four days later.

>> in autopsies, dr. spitz always follows the same routine. first, an external exam, then internal. the external exam of mrs. moore revealed nothing. >> so we're still trying to figure out exactly what happened. >> finally, as he dissects the heart, dr. spitz finds the elusive answer. >> it wasn't long before i identified a severe coronary artery narrowing that involved one of her main coronary arteries that precipitated a sudden cardiac a filmia and a sudden death. >> there's a very profound blockage right in the beginning portion of the left and tierio descending coronary artery. you can see right at the tip of my scalpel. shows a yellow plaque which almost occludes the lumina of the coronary artery. >> jill moore has died of a tlom business or blood clot sparked

by severe coronary artery disease she didn't even know she had. in other words, she suffered a fatal heart attack. 70% he ever people having a heart attack, male or female suffer the classic symptom, chest pain or radiating pain to the neck, arms, back, shoulders, or jaw. >> her jaw pain and even headache could be related to some cardiac ischemia which means that the referring pain from the heart muscle not getting enough blood flow can cause pain in other areas of the body. the typical one is radiating pain down the left arm. that's sort of more classic. this is not so classic but i think in light of the findings, all of this is sort of intimately related. >> in some cases, a more commonly in women,s a typical symptoms such as fatigue, nausea or dizziness may occur. many times women don't even realize they're having a heart attack. and if they appear young and relatively healthy as jill moore

likely did, an emergency room might overlook or misdg it. doctors may have also been thrown off by mrs. moore's recent and purely coincidental trip to the dentist which in the end had nothing to do with her death shoo she had a dental cleaning just four days ago. somehow that seemed to maybe play a role in how she was evaluated. thinking it may have been some kind of dental problem. and then it turns out to be a heart related disease. >> my role is determining cause of death but anytime i have the chance to help the living, i take it. so a phone call was made to her family to discuss account findings. and let them know that siblings, children, anybody related to her may in fact be at risk for a sudden death related to coronary artery disease and should prompt intervention and relate if needed and at least a workup to see if that kind of disease is

present. >> hi, mr. moore. it's betty from the medical examiner's office. reason i was calling is that your wife's autopsy has been completed and we have some answers for you. >> jill moore's biggest risk factor? she was a smoker. more than half of all heart attacks in women under 50 are due to smoking. and at this age, women are two to three times more likely than men not to survive a heart attack. >> i was totally just shocked. at 44 years old, we never knew that. rampant heart disease doesn't run in her family. i would just tell people that if there was any inkling or if you didn't feel good, please go get it checked out. maybe as bad as this is, for jill and my family, that somebody will benefit from it. >> even though there's little question as to the cause of death of ryan sa dow ski, the 19-year-old who committed suicide, dr. spitz opts to

perform an internal exam anyway. >> we don't always autopsy every suicide. i felt in this case that it was a good idea. keep in mind highway the medical examiner is charged with determining cause and manner of death, that you're presented a body that tells a story. and in this case, the injuries obviously told the story of his death. but the analysis of the organs could possibly tell ar unrelated story, a story that could help his living relatives. did they have any underlying heart disease, did he have any injuries that were significant. as i expected, i didn't find anything of great significance. this is going to be a pretty straightforward suicidal hanging. with no detection of any natural disease. >> i loved my son. i was, i was just devastated.

i couldn't believe it. but it still hurts it still hurts. >> with cause manner of death now conclusively determined in both of today's cases, jill moore and ryan sadowski are ed ready to be picked up by their respective funeral homes. dr. spitz's work is done for the day. it's odd to consider but tomorrow's cases may be alive and well at the moment with no idea they're about to end up on the autopsy table tomorrow morning. dug but the doctor tries to not to think about things like that as he spends what's left of the weekend out on lake st. clair with his family. >> you want to swim? go for a ride?

>> as far as taking my work home, i try not to. you know, i don't think it would be good. it would cause me to do things and act in a way that's not necessarily normal. i don't want to see something here and be paranoid and cause my kids 0 not have a normal childhood because of something that i saw. >> all right. >> i realize that accidents happen. i realize that traffic accidents are frequent. pedestrian accidents, kids on bikes. drownings. i realize all these things happen. i see them regularly. >> okay, addison. you're in there. >> michigan winters are long and cold. on sunny days like there, dr. spitz and his family try to get out on water as often as they can. but this family outing is about to take a strange turn. in a chilling coincidence, just ten miles away, in the very same body of water, dr. spitz's next patient has just met his final

fate. >> we were dispatched to the beach where a younger white male was discovered in the water. lifeguard, pulled him out and started to adminster cpr. he was transported to the emergency room here where they continued to work cpr and obviously, it didn't work out. >> coming up next, who is this drowning victim? and how exactly did he die? >> nobody knows an identification of this person. and that's what we're going to try and figure out. if you have moderate to severe plaque psoriasis, isn't it time to let the real you shine through? introducing otezla (apremilast). otezla is not an injection or a cream. it's a pill that treats plaque psoriasis differently. with otezla, 75% clearer skin is achievable after just 4 months, with reduced redness, thickness, and scaliness of plaques. and the otezla prescribing information

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let's see a cannonball. >> in forensic pathology, there's a saying, when your life ends, our job begins. while dr. daniel spitz and his

family are out boating on lake st. clair, there's an eerie coincidence. >> what's going on? >> how old is he? >> just ten miles away, in the same body of water, an unidentified man has drowned. he's brought to a local hospital where medical investigator sean monticello photographs him. police will take the photo back to the beach to see if anyone can identify him. >> so i'm just going to put the tag on him. his armband, identification band. so that when he gets to the morgue, the autopsy techs can get any information needed to start the autopsy process. even though we consider him a john doe till he's possibly identified. >> that same afternoon, a 47-year-old woman named providence marie marcum

collapses and dies at home in roseville, michigan. 13 days earlier, mrs. marcum had hernia surgery. doctors warned it to be risky. she weighed more than 300 pounds. according to her husband, michael, the day she was released from the hospital, she told her doctor she didn't feel well enough to go home. >> just looked at her finally whether he she says i just don't feel right. i don't think i should. i don't feel i'm ready. he said mrs. marcum, you're going home. >> over next two days, she has excruciating abdominal pain and loss of bowel control. her husband says he called the doctor repeatedly to no avail. >> he said i think your wife just wants to be sick. >> i said should i bring her to the er? he said that's up to you. there's nothing we can do that you can't do for her there. >> ten minutes after hanging up the phone, michael marcum decides to buck the doctor's advice and take his wife to the er. it's around 5:00 p.m. sunday and what he doesn't november is that

his wife is dieing. > i got her up. made it about ten feet to the living room and she stopped. and i looked at her, i says can you make it baby, and she shook her ahead, took her last breath and i felt her legs go down and held other all the way down. >> he beak watches her death. he's beside himself. he has no idea how this death could occur. he is very upset. and needs to know what happened. >> i'll take it. >> there's an identification. >> by late sunday, the drowning victim is identified. >> who identified him? >> wife from a photo. >> okay. >> he is jihad, age 35. he leaves behind a 28-year-old wife and four young children. all of whom were with him at the beach. his wife ca deeshia is strong for the children but angry the

lifeguards weren't able to save her husband. >> on weekdays, it's weekend. and all the people around. and the lifeguard should put more effort to help people. there are several lifeguard over there. there's not only one. >> tomorrow's cases, are wheeled into the morgue's 42 degree cooler. in just a few hours, they'll be in the hands of dr. spitz. another set of strangers in life. two people who most likely never crossed paths, now share the same room for one night in death. before being studied and then sent off to their final resting places. first thing monday morning, all hands are on deck. as dr. spitz gets ready to perform the two autopsies of the

day. >> one is a 47-year-old woman who was found dead at home. it was sort i've sudden collapse actually. the other case is a 35-year-old man who was swimming at a public beach and a lifeguard there pulled him from the water after several minutes. and although he was rans pored to the hospital, he was pronounced dead at the hospital. >> could i see his back? >> all right. >> dr. spitz begins with 35-year-old jihad. who drowned at a local beach sunday afternoon. >> what did you get for blood? >> toxicology samples are drawn. they'll be sent to a lab for analysis. >> the question would be, well, it looks like he drowned. so why bother to do there. you never want to assume that a body recovered from water is a drowning death. because you will miss cases of homicide where the body is then

disposed in the water as a means of concealing the death. you will also police cases where somebody had a natural event that essentially caused hair death, actually while the person was this water. >> after the hour caused their death. actually while the person was in the water. >> after the hour plus autopsy, dr. spitz has reached a conclusion which toxicology reports confirm weeks later. the man had no trace of drug or alcohol. jih jihad's death is accidental. >> there's a component of the environment that made it difficult for him to maintain himself on the water. >> he got swept by the tide and then got stuck? seaweed on the lake's floor, ending up figurative, and

literally over his head. his wife spreads a message. >> i don't want this to happen to anybody else. the water should be cleaned up of the seaweed. >> coming up next, the second case of the day, presents a graphic challenge for dr. spitz and his staff. >> it obviously doesn't smell like roses. >> that was one of the worst we have had. like i said, we take a good with the bad. well, if he were here, i'd say that being different is what makes him special. just like our discounts -- each one is unique, but together, they help save our customers a lot of money. okay. pop quiz, who's my favorite student? gwen? yeah! it's gwen. yeah, gwen's the best.

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hi, mr. marcum. it's penny with the office. there will be an autopsy that's done today. dr. spitz will be doing the autopsy here.

>> dr. spitz is about to perform his second autopsy on this early monday morning. that a 47-year-old woman, who collapsed 13 days after having hernia surgery. so far, it's another medical mystery. >> we're back. the only thing we know so far is she is an overweight woman, and on home oxygen. that leaves the question of an underlying lung disease. >> but as soon as the initial incision is made, it becomes apparent to dr. spitz who caused the woman's death. everybody knows from what they see and smell. >> i made the decision and opened up the abdomen. >> there's pus. >> let's be careful how we open

this. in the abdominal cavity, it was filled with fecal material, and bacteria infection. >> it smells like pus. or poop. i don't know which. >> hey, christina? will you take a picture there has? the infection progressed to the point of causing organ failure, and we're back to the heart where the septic shock, the toxins and bacteria basically caused the heart to stop functioning. >> that fluid coming out of there. >> she has had recent surgery, and it looks like she has an infection going on in her abdomen. so i just want to document a little bit of this before we continue on.

the smells are pretty intense, and it's something that all of us here are used to. it's not pleasant. man, her intestine is just a swollen mess. she has a distended and perforated bowel. she has had some complications here. yeah. there has been some less than desirable autopsies today. >> as dr. spitz wraps up the internal exam, the body of providence marie marcum speaks to him loud and clear. >> it was at the time of the first cut we knew what happened. sometimes that's what happens. you make one incig, asioincisio

say, that's what it is. she perforated her intestine, and allowed contamination of the abdominal cavity that caused septic shock and a fairly rapid death. >> hello, mr. markham? >> dr. spitz reaches out to the husband to see if that will corroborate what was found. >> i want you to know that the exam was done yesterday. was she having abdominal pain? did she have a fever? >> he asked me about the pain and i told him about the pain in the right side. >> what happened close to the time she passed? did she lay down or collapse? what happened? was she lethargic and not doing well? you laid her down on the couch? >> when he asked me if i laid

her on the couch, i said, no. she was beginning to squat down, and i held on to her until she went down all the way, and i laid her on the floor. >> okay. okay. well, i just wanted to call to, you know, to get an understanding as to what happened, you know, from your point of view, and the day. s and hours and minutes, you know, prior to her death. >> like many survivors, michael markham is as angry as he is sad. he has hired an attorney and is moving forward with a lawsuit against his wife's doctor. >> i would like to see this doctor lose his license, and see him, if i could, see him jailed. because to me, he killed her. >> this weekend's cases, now resolved, the bodies are moved to their respective funeral homes. there is room for more bodies for one last doctor's

appointment before moving on to their final destinations. wroo due to mature subject matter, viewer discretion is advised. msnbc takes you behind the walls of america's most notorious prisons, into a world of chaos and danger. now, the scenes you've never seen, "lockup: raw." >> you're in jail. there's no greater punishment in the world. >> you're here with crack heads, dope fiends, rapists, murders. >> we're all treated guilty until proven otherwise. >> "lockup" has spent time in