When your friend is being a real asshole so you have a doctor embed an old style silver dollar into his anal tract. Also you have an attractive female nuse sleep with him. And after they are finished she uses a syringe full of old silver dollar shavings into his bloodstream and replace his white blood cells. An easier way is just to kill him.
My rectum has been aching lately. (other friend) ohh yea i intruded your rectum last night. Ohh no ive been silver dollar assholed