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That's when someone is so thick headed the only to get your point across is to symbolically embed it in a [good old fashioned] skin-on-skin [pimp slapping] (or literally write a note as in a post-it note or [Sharpie marker] across your greasy palm and deliver it like so). See also "BBHMM" (Bitch Bettah' Have ma' Mo-nay").
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