So let me ask you definitively, why forensic pathology? Medicine is science being applied to find out what happened in the body and how we can change or manipulate those variables to diagnose, prevent, treat and manage disease. Each diagnosis is solving a crime occurring within the cells in the body, if you will. Nancy Drew. But for me, those all sound like pretty interesting ways to spend the day, sign me up.
As a pathology technician assisting with the autopsies and external exams, I was never required to think about what was happening in the body, but I wanted to understand it all. I wish her all the best of luck as she continues through her training with electives and core rotations both in the UK and state-side.
If you have any questions to relay to her, please feel free to comment below and I will forward appropriately. He is currently a medical student actively involved in public health and laboratory medicine, conducting clinicals at Bronx-Care Hospital Center in New York City. A colonoscopy revealed a circumferential, villous, carpet-like lesion extending from 15 cm to the anal verge, with biopsies demonstrating fragments of a villous adenoma. A follow-up CT scan was negative for metastatic disease. The decision was then made to proceed with a low anterior resection with hand-sewn colo-anal anastomosis and diverting loop ileostomy.
Upon opening the rectum, a Sectioning demonstrated a lesion with a maximum thickness of 1. Due to the prior biopsy history of a villous adenoma, the entire lesion was completely submitted. This required blocks to be submitted, which were then mapped out to show where each block would have been taken from Image 2. Although there were many foci of intramucosal carcinoma present, clear cut submucosal invasion was not identified, and the specimen was signed out as a villous adenoma Image 3.
Polyps are an abnormal tissue growth that is a common occurrence within the colon, although they can also be found throughout the small intestine, stomach and esophagus. Polyps can be further classified as being neoplastic or non-neoplastic based on the histological pattern of the cells. The most common types of neoplastic polyps found within the GI tract are colonic adenomas, which are benign polyps that serve as precursors to the majority of colorectal cancers. Nearly half of adults in the Western world will develop adenomas by the age of 50, and there is no gender predilection.
It is because of this that it is recommended that all adults get a colonoscopy by the age of 50 even earlier when there is a family history of developing colorectal cancer. Most polyps are small, measuring 0. When a colonoscopy is performed, these polyps can appear as sessile, meaning flat, or pedunculated, meaning on a stalk. Due to the abnormal epithelial growth of the mucosa, the surface of an adenoma can have a velvety appearance, resembling that of a raspberry.
Most patients will not demonstrate any symptoms from their polyps, with the exception of occult bleeding and anemia which are associated with larger polyps. The presence of dysplasia contained within the epithelium of a polyp is what classifies the polyp as an adenoma Image 4. Based on their epithelial growth pattern, adenomas can be classified as either tubular adenomas or villous adenomas. Tubular adenomas tend to be smaller polyps, with a smoother surface and rounded glands on histologic examination. Villous adenomas, in contrast, tend to be larger polyps with long, slender villi noted on histology Image 5.
If an adenoma contains a mixture of tubular and villous elements, they are classified as tubulovillous adenomas. When a dysplastic cell is no longer contained within the epithelium, and instead breaches the basement membrane which separates the epithelium from the underlying tissue, it is termed invasive. What makes this case so interesting is that there is a direct correlation between the size of an adenoma, and the risk of developing colorectal cancer.
This is not true with most other cancers, however, as size plays no part in determining whether the tumor is cancerous or not. With colon polyps, the larger the polyp, the greater the chance of developing invasive carcinoma i. This is why screening colonoscopies are so important. Studies have shown that regular colonoscopies, combined with the removal of the polyps found on the exam, reduce the incidence of colorectal cancer.
Why this case is so interesting is that you could assume based on the size of this polypoid lesion, you would find some invasive component. However, after reviewing blocks, not a single focus of invasion could be identified. His job involves the macroscopic examination, dissection and tissue submission of surgical specimens, ranging from biopsies to multi-organ resections. Cory has a special interest in head and neck pathology, as well as bone and soft tissue pathology. Cory can be followed on twitter at iplaywithorgans. A 33 year old man of Japanese ethnicity presents with a 2 month history of a mass behind the right ear.
Examination reveals a non-tender local with no other local or generalized adenopathy or hepatosplenomegaly. The lesion is excised. The germinal centers demonstrate polarity and tingible body macrophages A. Focally, follicular centers reveal eosinophilic microabscesses B, C. Immunohistochemical analysis with an IgE stain reveals deposition in germinal centers D.
A diagnosis of Kimura disease is rendered. Kimura disease, also known as eosinophilic lymphoid follicular hyperplasia is a rare, chronic inflammatory disorder of unknown etiology. While an infectious etiology has been suggested, no pathogen has been identified to be causal, to date.
Historically, Kimura disease was considered to be the same as Angiolymphoid Hyperplasia with Eosinophilia ALHE ; however, these entities are not the same. It presents as painless, slow-growing adenopathy. An association with nephrotic syndrome has been reported. Histologically, nodes reveal hyperplastic follicles with well-formed germinal centers and mantle zones with deposition of IgE and eosinophilic microabscesses, as seen in this case.
Perinodal soft tissue may be involved. Necrosis may be present, but is not extensive. Cytologically, FNA material may reveal polymorphous cell population with many eosinophils. Prognosis is indolent; however, most cases recur after excision and radiation therapy usually yields best outcome. Follow him on twitter kmirza. Not exactly culture with a swab or agar dish, a Just Culture is an all-encompassing term for system-based thinking and process improvement not at the expense of individuals.
In a post I made last July, the topic of high reliability organizations or HROs is one that addresses communication and accountability in high stakes environments—like healthcare! We do that through quality control, QA measures, competencies both internal and from accrediting bodies like CAP , and continuing education. And, instead of punishing lab professionals when we make errors, we try to be transparent so that each error is a learning opportunity moving forward.
Essentially, the theme is that disciplining employees for violating rules or causing error s in their work is less effective than counseling, educating, and system-oriented and best-practice-informed care. In this talk, we watched a short video embedded below which walked us through approaching faults or errors in medicine in a way that empowers and educates. A story from MedStar Health, a Maryland-based health system, demonstrates how systems-based thinking can be the best way to solve problems in healthcare.
Annie, a nurse in the MedStar Hospital system, is the spotlight story in this video. She came across an error message on a glucometer after checking someone who was acutely symptomatic. She double checked it and made clinical decisions, with her providing team, to give insulin.
This sent the patient into a hypoglycemic event which required ICU support. This prompted some action, inciting nursing managers and other administrators to investigate further, ultimately involving the biomedical engineers from the company to weigh in on this systemic fault in glucose POCT.
Annie returned to work, and the problem was recognized as not user-error, but system error; she went on to talk about how she felt unsure of her clinical competency after being reprimanded. Imagine if you accidentally reported the presence of blast cells in a manual differential in a pediatric CBC while you were alone on a night shift only to find out from the manager on days that you made a pretty big mistake with clinical implications.
Then imagine you were suspended for a few weeks instead of simply asked to explain and identify opportunities to increase your knowledge. Pretty harsh, right? It was me. I mentioned mistakes in my discussion on HROs and discussed that particular mistake in part of a podcast series called EA Shorts with a clinical colleague of mine. Anyone else notice a stark absence of professional laboratory input in the video?
And, to me, that begs the question: was there any lab input on this instrument, its training, or its users? Imagine 1 in 10 nurses, medical assistants, or patients misinterpreting their glucose readings. If laboratory personnel perform a test, then this test typically falls under the laboratory license, certificate, and accreditation, even if it is performed outside of the physical laboratory space, and regardless of whether the test is waived or nonwaived.
One of the modules I went through discussed this topic exactly: Empowerment as a Function of Leadership and Peak Performance. In short, if we want to be good leaders in the lab, we have to set expectations for positive patient outcomes, including safety. Good leadership should empower their staff with education, support, and resources. Poor management can create toxic environments with staff that can be prone to mistakes.
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If we can be dynamic leaders, who adapt to ever-improving best practices and respond with understanding and compassion to mistakes, then our colleagues become just as reliable as your favorite analyzer during that CAP inspection I mentioned. I often get clinician input about how the processes between the bedside and the lab can be improved. Often, they include comments about the need to share relevant clinical data for improving diagnostic reporting or improving a process between specimen collection and processing.
Greek gravestone verse has a life of its own
But what often gets left out is the human element: the scientist behind the microscope, the manager behind the protocol, and the pathologist behind the official sign out report. What do you think? How does your lab, hospital, clinic, etc. Do you operate within a Just Culture? Share and comment! The CT scan showed an incidental finding of a 2. The tissue shows nodules of epithelial cells in a lymphocyte-rich background.
The epithelial cells have round to somewhat spindle shaped nuclei, vesicular chromatin and small mostly inconspicuous nucleoli. There is no high grade cytologic atypia, mitotic figures or necrosis seen. The nodules contain very few interspersed lymphocytes, but are surrounded by abundant lymphocytes which are small and mature appearing.
A cytokeratin cocktail highlights the epithelial nodules and shows an absence of epithelial cells in the lymphocyte-rich areas. CD20 highlights stromal B-lymphocytes around the epithelial nodules which are arranged in follicles. CD3 highlights stromal T-lymphocytes, which surround the B-cell follicles and the epithelial nodules.
TdT highlights only a very small subset of immature T-cells which are found scattered around the rim of the epithelial cell nodules. Overall, the findings are consistent with a micronodular thymoma with lymphoid stroma. The differential diagnosis for an anterior mediastinal mass includes thymoma, lymphoma, germ cell tumors, neurogenic tumors and benign cysts among other less common entities. Typically, CT scans are the best modality to evaluate the mediastinum.
The WHO has classified thymomas into 5 categories based on the morphology of the neoplastic epithelial cells along with the lymphocyte to epithelial cell ratio. Type B1 thymoma resembles normal thymus and has scattered epithelial cells in a dense background of immature T-cells. Type B2 thymoma is composed of epithelial cells in small clusters with a lymphocyte-rich background.
Type B3 thymoma is primarily composed of mild to moderately atypical epithelial tumor cells in a solid growth pattern with few intermingled immature T-cells. Type AB thymomas are composed of lymphocyte-poor spindle cell Type A components as well as lymphocyte-rich Type B components. Patients tend to be asymptomatic and the finding is usually incidental. The tumor tends to be well circumscribed and encapsulated with a tan cut surface. The histopathology is characterized by solid nests or nodules of epithelial tumor cells in a background of abundant lymphoid stroma.
The tumor cells are bland spindle or oval cells without significant atypia or mitotic activity. The epithelial tumor cells are positive for pancytokeratins. The lymphoid stroma typically lacks keratin positive cells and consists of predominantly CD20 positive mature B-cells in follicles with admixed CD3 positive and TdT negative mature T-cells. There is typically a population of rare TdT positive immature T-cells that surrounds the epithelial nodules, as seen in this case.
Due to the rarity of MTWLS with only 74 cases reported since the first case described in , there is limited data on its pathophysiology and prognosis. Patients tend to have a very favorable prognosis with most patients alive without recurrence or metastasis many years after diagnosis. Authors: Dr. Maryam Zenali Department of Pathology , Dr.
Al Robbins: He's been pretty worked over. How many teeth did you find at the crime scene? Grissom: "The evil men do always lives after them. The good is often interred with their bones. Greg Sanders: [about orthodontia] I had it all - palate expander, braces, retainer, headgear. Five years of torture, but worth every penny, don't you think? Getting away with murder Captain Jim Brass: What can't you put your finger on, apart from the cut off switch?
Captain Jim Brass: Let me put it this way - I'd want them investigating my murder. Captain Jim Brass: [an accused perp bends over to be searched] You better save that position for later, you'll need it where you're going. Nick Stokes: Well, it takes 10 minutes to drive from the clinic to Industrial Road. Gil Grissom: So, let's see. You surf, you scuba dive.
You're into latex, you like fashion models and Marilyn Manson. And you also have a coin collection? Gil Grissom: Did you hear the one about the cop and the monkey who go into a bar? Listen, if this is about dinner, I'm free next week. I'll be having the fish. Sara Sidle: I think this print dust is getting to me. Would you mind finishing up the fridge? Gil Grissom: Maestro, what's the deal with our floater? What's up with our floater?
Catherine Willows: You know how you're always pushing that holy trinity stuff? Gil Grissom: I tend not to believe people; they lie. The evidence never lies. Nick Stokes: [Greg opens a cupboard and pulls out a book] I thought that's where you kept your porn. Greg Sanders: Bringing back a semen sample I analyzed this and found your DNA. Catherine Willows: The thing that makes a fantasy great is the possibility it might come true. And when you lose that possibility it just Gil Grissom: Her body fell out when I opened the door.
It happens. We move on. Catherine Willows: [crawling through collapsed building] Am I almost at ground zero? Greg Sanders: [looking through the microscope] Shh! I might be looking at the mother of my children here. Greg Sanders: No, man, this is serious. I had a date last night and this girl has the most impossible green eyes. Shoulder-length blonde hair, intelligent, and she smells so good.
Greg Sanders: Both feet. But, you know, what I need to know is what's on the inside? Greg Sanders: No And let me tell you, this girl has got some fine epithelials. Greg Sanders: No, no. There is this guy in Louisville. He charges clams to test your spouse's underwear for foreign DNA. Now, that guy is sick.
Valerie Laws – Morgen 'with an E' Bailey
I'm just a romantic. Nick Stokes: But whatever happened to getting to know someone over coffee, letting the relationship evolve? Romantic is sending flowers, not bogarting her skin cells. Grissom is out with the CSI team in the area where they were told to look] There's ten stab wounds. Captain Jim Brass: [about Langston] He's a little cranky for an academic, isn't he?
Gil Grissom: Actually, he's an M. D from back east. A colleague at his hospital turned out to be an angel of death, killed 27 patients before he was caught. Langston was the staff's research pathologist, all the morbidity evidence came across his desk, but he was unable to connect the dots. He wrote a book about it. Gil Grissom: So, let's assume that 'shoe print' was involved in all four murders.
It's possible that he knew, Gerald, right? Is it also possible that he was an accomplice of D. Greg Sanders: That would explain the 9 post-mortem stab wounds in Ian Wallace. It's a continuation of the master's work. Catherine Willows: But if he was D. Catherine Willows: And when he realized that his old partner turned informant, he got scared and killed him.
Gil Grissom: Maybe that's what brought the old thrill back. Once these guys get a taste, it never seems to go away. Greg Sanders: Sara, I just want you to know that when we were in the shower together, I didn't see anything. Captain Jim Brass: Let me get this straight, Larry. An old man refuses to let you steal his money, so you jack a Hummer and try to run over his taco stand? Captain Jim Brass: What, did you piss off Ecklie again? This is a hit and run. I was expecting Greg Sanders. Greg Sanders: No matter how hard you work to get big, there's always someone bigger.
Sara Sidle: It could be what keeps them going. Like Freud said, "Anatomy is destiny". Greg Sanders: What do you think Freud would have to say about one of these being the murder weapon? Greg Sanders: This is just like that Edgar Allan Poe story where the victim's heart under the floorboards betrays the murder.
I thought you didn't like reading the classics. Nick Stokes: So your saying, two generations from now, 4 year olds are just gonna be getting trashed? Jones: [about Chase; crying] You put your best friend in a What is wrong with you? Sophia Curtis: If I can't talk to one of my good friends, who can I talk to? My mother? Oh, I forgot, she's a cop too!
Nick Stokes: You know when I was a kid we used to make these out of lunch trays and mower motors. Catherine Willows: Theaters are like nightclubs. They should always keep the lights off. Gil Grissom: This is the last art house left in Vegas. I saw Baraka here, on a double bill with Koyaanisquatsi.
Greg Sanders: 99 bottles of beer on the wall, 99 bottles of beer. Nick Stokes: What ever happened to 'take one down pass it around'? That's the best part. Greg Sanders: You know, us labrats have to do something to get through the day. Greg Sanders: [after watching the fanboys denounce "Astro Quest Redux"] So let me get this straight: some nerd takes a cheesy '60s sci-fi show and turns it into something a little more realistic - minus the spaceship, of course - and the other nerds get pissed off enough that they beat him up and kill him over it?
Nick Stokes: [interviewing a bartender in alien makeup] Well, there's nothing worse than a bunch of drunk conventioners. Must be hard enough to sling drinks without making you play dress-up. William: [removes his alien headpiece to reveal extensive facial scarring] How do you like this makeup? Got it on my second tour of Afghanistan. These Astro Questers, they believe in a future where human beings, they transcend their differences. I wouldn't mind living in a world like that.
Free from a vision of an antiseptic future filled with Like most of you, I grew up with "Astro Quest. I loved it! But the older I got, the more the mythology began to eat away at my soul. I couldn't measure up to the brave crew of that perfect ship. I wasn't handsome, courageous and strong, I was weak, petty, self-destructive and I hated myself for it. But then, one night it hit me like a bolt of lightning. I looked around the bar at the other frightened, sad people and I said to myself "Do you see an Artemus Bishop here? Do you see one at work? Do you see an Artemus Bishop anywhere? Of course not, because he's a fictional construct, a phantom who whispers "You are not enough!
Ladies and gentlemen, I give you "Astro Quest Redux! Wendy Simms: So if you're having some fantasies about me dressed up in a tin foil bikini dancing around in a casbah on a strange alien planet then Catherine Willows: Thousands of girls come to Vegas every year, just hoping to beat the odds. Catherine Willows: So it probably never occurred to you that you wouldn't be successful. If all you ever hear is that you're gorgeous, you can let everything fall away and leave you in a very dangerous place.
Gil Grissom: When the reality of their actions set in, they usually turn to religion. Gil Grissom: In religion. I believe in God, in science, in Sunday supper. I don't believe in rules that tell me how I should live. Gil Grissom: How many crusades were fought in the name of God? How many people died because of someone's religion? Father Powell: Light bulb goes out other people fix it, get a new one. Light bulb goes out for the Catholic he stands in the dark says, "What did I do wrong? Gil Grissom: A Harvard professor conducting an experiment asked a bunch of students to watch a basketball game and count the number of times the ball was passed.
Gil Grissom: During the game a person dressed in a gorilla suit ran across the court. Afterwards the professor asked the students if they noticed the gorilla. Fifty percent responded, "What gorilla? Captain Jim Brass: That's wonderful, Gil. If I see a gorilla, I'll arrest it. Gil Grissom: Dressed as a woman, among men dressed as women Nick Stokes: [after a successful lab test with Greg] And that's what turns an accident into murder! Greg Sanders: [blue lighting some sheets] Well, no crime of passion starts without the passion. Sara Sidle: Cyrus, next time someone says experimenting with drugs is harmless, remind me of this.
Greg Sanders: Henry, my friend, you are about to have the best birthday of your life because we are taking you to the one, the only, Harry's. Nick Stokes: It's only the best barbecue know to mankind. It's a little bit of a drive but don't worry.
Greg knows where it is. Henry Andrews: I hate my birthdays. They always suck. David Hodges: I'm surprised at you Henry. There's absolutely no statistical evidence linking lunar cycle to an increase in irrational, careless, or criminal behavior. Nick Stokes: [seeing a car coming straight on ahead of them] Are you sure about that? Nick Stokes: [a car had swerved into the path of Nick while he was driving with Henry, Hodges and Greg causing Nick to wreck the car, subsequently flipping it several times before it comes to a stop.
Everyone gets out of the car and is staring at it] Damn. I rolled that bad boy, didn't I? Catherine Willows: [arriving at a crime scene where the body is propped up in an upright position] She forget to fall down? Sara Sidle: If we are going to die, we need to go down fighting, okay? So put us to work. Russell: DB: Neither one of you have my permission to die! You've got that? Catherine Willows: Hey, if you can explain the behavior of teenagers, more power to you. Catherine Willows: We're going to need urine samples so we can test for nicotine in your systems. Jessica Abernathy: My house is burned down.
My daughter is dead. And you want me to pee into a cup. Why not? Sara Sidle: Asphyxiated and head bashed in. No soap was the least of his problems. Viva Charles: There's a difference between a pyromaniac and an arsonist, you know? Catherine Willows: [touches his wound on his neck] Nasty. Kinda looks like a hicky. Captain Jim Brass: [to a suspect] That stare doesn't work on me. Keep it though - they'll love it in prison.
Greg Sanders: You know, this is exactly like a dream I had once, except it wasn't in a garage. And Grissom wasn't watching. Nick Stokes: They should do a commercial for the city - "Las Vegas: where even the beaver can strike it rich. Catherine Willows: The only thing that sports book means to me is guys without showers.
Wendy Simms: You know, if you're still having trouble coming to terms with the fact that this isn't your lab, I suggest counseling. Catherine Willows: Yeah, that's been shaped, rolled and twisted. Las Vegas Origami. Pretty corny. Hodges: Let's see Clean friendly lab, bullet strewn- urine soaked street? That's a tough call. Gil Grissom: [looking at a bullet casing] Fifty caliber, casing looks new. I bet it's from a Desert Eagle. Hodges: I have no intention to. Field rotation for the lab techs was Ecklie's idea. He was very explicit that I was only allowed to observe.
Gil Grissom: [shining his flashlight on brain matter and skull fragments] Well then that must be his brain on drugs. Sofia Curtis: That could be considered assaulting an officer. Let's not make this harder than it has to be. David Phillips: No, it's blue from afar and transparent when held in hand, like any other body of water. I was just speaking figuratively. Sara Sidle: Going back to the girl.
She's out in the car. The windows are cracked. Hey, give me a little credit, she's at the hospital. Gil Grissom: This is a Lady Macbeth. There's not a trace of blood on the teen daughter's clothing. Not a spot! Tina Collins: I was young. I learned to deal. But when he went after my daughter. Tina Collins: The father? I was 13 and nobody noticed that my clothes were getting bigger. Greg Sanders: I'm afraid I don't have time for your humour, Ecklie has a multiple, Warrick tells me his home invasion is top of the heap and I'm still backed up with Catherine's no suspect rape.
It's like one servant many masters, you know what I'm saying? Al Robbins: When I was in fourth grade, I dropped karate because some kid half my size made me cry. Judy Tremont: I'm just secretary. Besides, I heard what you did to Greg's feet. Helicopter pilot: [over radio] Control, this is air one. I'm at the trailer park There's a large gas main construction fire.
Sara Sidle: You know, Metcalf, just because somebody lives in a trailer park, doesn't mean they're a meth cook. Captain Jim Brass: All right, let me get this straight: You heard a blast like that coming from your neighbor's and it took you 5 minutes to poke your head out and see what was going on? Catherine Willows: So you get the team back together only to break us apart again. What kind of a perverse game are you playing here, Gil?
Warrick Brown: You know, what happened to Nick - it just got me thinking. Life is so short, you know? It's almost Warrick Brown: Exactly. So, I, ah, I've been heading to ask this young lady I've been seeing, Tina, to marry me. Catherine Willows: Warrick And when you lose that possibility - it just kind of sucks.
You're wondering why you're here? Because you followed the evidence So, breathe quick, breathe slow. Put your gun in your mouth and pull the trigger. Any way you like, you're gonna die here. Archie Johnson: The tape was pretty mangled. Enhancement and noise cancellation increase intelligibility, but it alters timber and tone. So, I don't know there's any more I can do here. You know, Nick recorded a message on the flip side of the tape.
You think maybe we should. Catherine Willows: [Nick is suspected of murdering Kristy] I think we'd better head over to the police station. Catherine Willows: Never have I seen such a clean match. Jack Willman killed her. Catherine Willows: Hey, I'm just doing my job. Besides if they'd sent you to jail I'd get stuck with all your cases. He's better than a watch dog. Sara Sidle: [standing in Grissom's office doorway] I hear we're out of suspects. Gil Grissom: Not necessarily. Could be in town. Could be out of town. I'll work on it. Madeline: She's a baby. She grows. You know, this wouldn't even be a problem if you'd sign those damn contracts!
Dig for that! Warrick Brown: I thought it was our job to speak for the victim no matter what it took Gil Grissom: Our job is to think, Warrick. Machinery should never matter more than our mind. Nick Stokes: Hey It's a choice. David Phillips: From the sound of it, I'd say he's been dead about two months.
Club manager: Listen, this guy was scaring my customers, so I drove him out of town. Nick Stokes: You didn't, by any chance, happen to put him in a bag and dropped him off a hill into a gully did you? Warrick Brown: I was just telling Nick how you were a big bully in high school. Catherine Willows: A bully? All right, I guess I was. But, I mean, not the kind that people want to take a gun out and shoot. Nick Stokes: No, no. You were the kind that guys fall all over themselves trying to impress. Catherine Willows: Like you, Nick, huh?
Oh, Nick Nick Stokes: No. Never a strap, never a smoker. Just all-around "dependable" guy, I guess. Warrick Brown: Cath laughs. Warrick Brown: What's wrong with those Member's Only jackets? They were kinda cool back in the day. Warrick Brown: Yeah. I got pushed around by all the guys and never got any play from the girls. Warrick Brown: Well, it's the same difference, really. Air is drawn into the last tube the chalk absorbs the chemicals from the air. And mass spec will break it down at the lab.
Catherine Willows: So why did you need the expensive one in the first place? Catherine Willows: The vic seem more like a hardwood floors kind of guy to you? Gil Grissom: Carpet beetles are usually the last to arrive at a corpse, when only found on a body when its near becoming being a skeleton. This guy is still fresh. Gil Grissom: David! Get this body out of here right now! We've got cross-contamination! Sara Sidle: Wow, you got to go to the body farm? I've always wanted to go there! What was it like?
Gil Grissom: So, take some photos of the experiment for the D. Sara Sidle: I'm a vegetarian, everyone here knows I'm a vegetarian. I haven't eaten meat since we stayed up that night with that dead pig. It pains me to see ground beef. Forget about cleaning it up. Gil Grissom: It's been 24 minutes, Greg. When's this thing going to be done? Walt Braun: That's the thing about my father - he could never give advice but he had a million stories. Walt Braun: Scorpion needed to get across the creek and asked the frog for a ride.
Frog says, "I can't trust you, you're a scorpion. Midway across, the scorpion stings the frog. Frog looks at him. Now we're both gonna die. I'm a scorpion. Gil Grissom: I don't. You had choices. You made the wrong ones. And now this little boy Gil Grissom: It's sad isn't it, Doc? A couple of middle aged guys like us, how we never really touch people unless we're wearing latex gloves. We wake up one morning and realize that for 50 years we haven't really lived at all But then one day, someone young and beautiful offers to share their life with you, someone you can care about.
We have to give up everything we worked for to have them, I couldn't do it And she took that back didn't she? She gave you something precious then you took it back. So you took her life instead. You couldn't stand that fact that she was giving it to someone else so you took her life.
Greg Sanders: [spoken while Grissom is looking under a microscope] That's the hair from the spare bedroom. Greg Sanders: Propylene glycol. Active ingredient in Rogaine, for male pattern baldness. Personally, I don't use the stuff, but my grandfather Papa Olaf - he was Bruce Willis at age sixteen. Lucky for me, baldness comes from the mother's side, so I'm safe Greg Sanders: Well, maybe the guy we're looking for is going bald According to Papa Olaf, a lot of guys who use Rogaine also use Propecia, kind of like a cocktail.
I ran the hair through MassSpec. I got four peaks - ethyl alcohol, propylene glycol, minoxidil, and finasteride. Greg Sanders: But wait, there's more, and it's a family secret. Happens in less than two percent of users. Sara Sidle: There is this guy living in my dorm at college, we used to call him Space Bob. Your lab smells like his room. That's not a compliment to either of you! Morgan Brody: Well, I know Nick is the expert, but this just looks like a common crane-fly to me. They're everywhere in Vegas, I don't know how they're going help us any point to advance them.
You have better luck on your site? David Hodges: You mean: am I having any better luck with the bird excrement? It's not lost on me that of all the trace you pulled, you gave me the poop! Gil Grissom: Aaron Pratt is a high-functioning autistic man with superior right brain abilities. Nick Stokes: [watching Greg page through a book] I always thought you kept your porn in there. Jackie Trent: [after Catherine explains how she found a child's fingerprint's on a pen] They're not mine. Greg Sanders: [Grissom and Catherine walk in on Greg listening to loud music] Could have been a rock star.
Gil Grissom: [to Catherine] My mother may have been deaf but she was still the boss. Greg Sanders: [Grissom and Catherine walk into Greg's lab to see him rocking out to blaring rock and roll music] I could have been a rock star. Gil Grissom: There's still time, Greg. Tell us about the foreign substance we found in the vic's wound track. Greg Sanders: Uh, well, I like to rub it all over a lady's body.
Even better I, uh And it's also used as a stool softner. Catherine Willows: It's also the only open lead in our case. Spit it out, Greg. Gil Grissom: Possibly used as a preservative to prevent rusting of high-carbon steel. Greg Sanders: Old knives. New ones are made from stainless steel. Yeah, I'm like a sponge. I just absorb information. Catherine Willows: Okay, so We're looking for a weapon with a splash of mineral oil. I'll grab the ALS.
Gil Grissom: Mineral oil fluoresces at nanometers when filtered through a kv A little more absorbing Mimosa: I appreciate your telling me. Killed by someone in our own community. As if we don't have enough enemies. Her parents never understood her, but still I think they should know. What do I say? Gil Grissom: There are two types of male oysters, and one of them can change genders at will.
And before man crawled out of the muck, maybe he had the same option. Maybe originally we were supposed to be able to switch genders, and being born with just one sex Nick Stokes: You know, it's easier to get a master's degree than a parking spot on campus. Catherine Willows: Yeah. But we didn't give them what they needed - closure.
Warrick Brown: With all the stuff me and my boys got away with, it's probably why they have them now. Gil Grissom: [studying a surveillance tape and inadvertently blocking Cath's view] Can't tell what I'm observing here. What does that look like? Nick Stokes: And that's why it's illegal to discharge firearms within the city limits, genius. Sara Sidle: I'm gonna do everything in my power to make sure you're tried as an adult. Ashley Curtwell: Good luck.
I dress up real nice. Couple barrettes, little lace collar, two dead parents. I'll be the saddest little girl in the world. Valerie Dino: I don't see what you hope to accomplish. These patients are criminals with severe mental disorders. They're not going to give you a straight answer. David Hodges: [to Sara] Would you ever bleach your hair? I wouldn't. It's so Greg Sanders. Sara Sidle: When my father died, my mother came to a place like this for a while for evaluation.
It smelled like lies. Gil Grissom: Well, jail or no jail - I don't think she'll last six months. She'll die without her son. Al Robbins: Let's start with the stomach contents. They're fascinating. They reminded me of that scene in Jaws where Dreyfuss cuts open the sharks belly and all sorts of weird things come out? Gil Grissom: Aren't they always? I don't know why people think that rape has anything to do with sex. Gil Grissom: Maybe he's back in the game again, selling coke to out-of-town businessmen from the comfort and security of his hotel room.
Sara Sidle: So, he takes a break from his job, rapes and kills the vic at another hotel, and then goes back to work? Judge Witherspoon: It's one thing to send a print through AFIS, it's another thing to use a "background subtraction algorithm" to isolate the print from a bedspread. Gil Grissom: No, actually, it's the first time you've ever done anything to impress me.
Nick Stokes: I'm sorry [pause] [turns away] that you feel that way. Jerrod Cooper: It ain't your beeper, girl. That's my beeper. I do a lot of business on that beeper. Catherine Willows: Oh, a little somethin' something'. Maybe a little bling-bling? Catherine Willows: Invite me over to your crib, baby, and you might find out. Greg Sanders: Cath? Your DNA results are back. According to my DNA data, the chances are quadrillion to one - that your suspect is our killer. Pretty good stats Catherine Willows: Yeah, considering there are only six billion people in world.
Gil Grissom: I let him talk to me, actually. In fact, he just spoke. Didn't you hear him? He just told me he didn't commit suicide. Gil Grissom: [considering three possibilities using the "Norman" dummies] Norman pushed Norman jumped Norman fell. Greg Sanders: Well, maybe she had the munchies. Tox screen came back. Lambert tested positive for cannibus sativa. Greg Sanders: "Grass? Sticky green, dank, chronic, cush, happy stick, wacky tobaccy.
Catherine Willows: All we got is some paint that's going to match about twenty million other vehicles. Nick Stokes: Yeah, but I got her a chem set. Sara Sidle: [about Catherine's daughter having a birthday] What's the rule, how long do I have to be here before I start kickin' in for gifts? Catherine Willows: When spirit moves you, Sara, so in your case I guess, um, never. Horatio Caine: Well, honey on its own is just honey. But add platic wrap and Calleigh Duquesne: Hi. Calleigh Duquesne. Don't ask how I spell it.
Tim Speedle: Only way to outrun an alligator is swim faster than the guy next to you. Right Delko? Gordon Daimler: Ask the pilot. Dylan called him in person telling him to fly me to Monaco. Catherine Willows: The husband didn't die. You left us a witness and enough evidence to incriminate you in two states. Gil Grissom: Yeah, well, I knew you were coming back today, so I dressed up. Catherine Willows: Nothing. It's just unusual to Gil Grissom: Doesn't that give you a rash that smells like human excrement? We're looking for something a little sweeter. Horatio Caine: Detweiler, I know you want to impress your boss, but there's an innocent man on that boat.
Now, if you take this shot, I'm going to be in your grille for the rest of your natural life. I want you to think about what that might be like. Think about that. Horatio Caine: Thank you. Speed, the Corwins have a jet. Find the jet. Gil Grissom: Does it ever bother you that you make your living killing insects? Hodges: [looking for some recognition] Thank you, Hodges for performing that incredibly elaborate test requiring copious concentration and an advanced degree.
Russell: Crime lab has the same rule as the local news: it bleeds, it leads. Catherine Willows: [after Grissom pulls the 4x4 to the road side during her training run] 20 C. Medic: There is something wrong in the world if all you do is handle test tubes. Catherine Willows: If you think that's all I handle, you'd be very mistaken. Morgan Brody: We need to take a look at your membership records from , specifically the members who had tags to hunt elk.
Sara Sidle: We're investigating a murder of a family slot to death on Mount Charleston. Nick Stokes: [when finding a dead hunter] Looks like the hunter became the hunted. Nick Stokes: Well, it doesn't look like he is going to make that 3. Sara Sidle: Well, he wasn't a health mad, that's for sure. It looks like he ran a solar business down in Plano. Says on the back he is company owner. Nick Stokes: Ha ha ha, Texas has oil. When I was growing up, you mentioned something like this it was blasphemy! David Hodges: I think I discovered the secret about the most beautiful woman in history!
Greg Sanders: [referring to all of the hot dogs he just bought] And now there are over 50 major brands. Sara Sidle: Sometimes I think we made up God just to have someone to blame for our mistakes. Durbin: Sons of bitches! I'm gonna sue your ass into the ground. I hope you know that. I'm gonna own you. I'm gonna own this whole place. In fact, maybe that's where I'll live. I'm just gonna move in here. Captain Jim Brass: He stopped talking to us after I told him we blew up his house.
To make me appreciate blood and semen more? Gil Grissom: Good, your here. Sara Sidle: I don't have a death wish, and I'm not a drunk. In case you were worried. Al Robbins: [as Dr.
Al Robbins performs the autopsy on the body found in the drain, Greg Sanders' first] In the end, it's all we really are. Sara Sidle: I'm a slow sucker. Gil Grissom: [discussing Catherine's goals when trying to finish her evaluation] You don't have a personal life? Gil Grissom: How can I help? Advance, I mean. Catherine Willows: Classic Vegas. He pays for her boobs, tummy tuck, Prada, weekly spa, French manicure. And she's just hanging on his arm like she belongs. Sara Sidle: [Warrick is acting supervisor] I ran with the case. I do it with Grissom all the time.
Warrick Brown: Acting supervisor? What about Nick? He's got seniority. Or Sara? She'd jump at the chance. Gil Grissom: If it was about seniority, I'd ask Nick. If I needed someone to stay up for three straight days, I'd ask Sara. Instead, I want you. Sara Sidle: [crying] I held his hands, just like I held hers and I lost perspective.
Hodges: [leaving message on Sara's phone] Sara, the knife tip Doc Robbins extracted from Becca Mayford isn't metal, it's ceramic and extremely sharp. I accept thank you in advance, and you're welcome. Nick Stokes: It was good that you were there for her Sara. She didn't have to die alone. Hodges: Don't feel too bad.
They have health benefits, good pay. The women get regular check-ups. The industry is well-regulated.
As opposed to picking a hooker up off the street. Does she have a disease? Multiple diseases?