Another name for opiate junkies who are nodding out on the shit. Often so retarded/out of it that they manage to light themselves on fire smoking heroin off of tin foil, or when they fall asleep smoking.
Dude 1: "Hey, what's wrong with that guy over there? He's sleeping and drooling all over himself, and his cigarette is so close to that pile of flammable magazines..."
Dude 2: "Oh, that's just Derek. He's got Down syndrome. Every time he gets paid he buys oxycontins."
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