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Gumb had long felt he was born the wrong sex and desired sexual reassignment surgery. Gumb started his career as "Buffalo Bill" whereupon he would kidnap overweight women, then starve them before murdering them, which he would fashion their skin into a "woman suit" for him to wear. He also inserts a Death's head moth into the victim's throat because he is fascinated by the insect's metamorphosis, a process that he wants to undergo by becoming a woman. In the case of Gumb's first victim, Fredrica Bimmel, he weighs down her body, so she ends up being the third victim found. In the case of the fourth victim, he shoots her instead of strangling her.

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Jame Gumb (known by the nickname "Buffalo Bill") is a fictional character and the main antagonist of Thomas Harris's 1988 novel The Silence of the Lambs and its 1991 film adaptation, in which he is played by Ted Levine. In the film and the novel, he is a serial killer who murders overweight women and skins them so he can make a "woman suit" for himself. In the television series Clarice, he is portrayed by Simon Northwood.

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Graphic gift for someone on your list who needs muchibus thankibus. Given a cigarette in Dublin's Temple Bar, the recipient lights it and says, Muchibus thankibus. See Chapter 7 of James Joyce's ULYSSES. Tis the very time for muchibus thankibus. Nonsense words for nonsense times. Yet, they do make complete sense don't they? E pluribus unibus and all that. The digitally created design includes an adapted drawing of Leopold Bloom from Ulysses. Award-winning artist and modest to boot. See www.peterjketchum.com

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It puts the lotion on its skin