Patrick Duffy: Yeah, some yinzer was giving me a hard time, so I socked him with that double ender I keep in my trunk.
Can create a quandary of which end of the body should be using the toilet: the head or the butt?
The combination creates one of the worst smells known to man.
Patient: "While I was vomiting I was also having diarrhea at the same time."
Doctor: "Ohhh..a double-ender. Sounds you like you have that nasty stomach bug thats going around."