This means that you don't exactly understand what someone is saying, and you'd like them to elaborate
PERSON A: "I have a friend who has a friend who's friend has a friend that has a friend that knows somebody who knows a guy who knows a girl who's girlfriend has a boyfriend who went to a really bad doctor who's doctor's doctor's doctor's doctor ate a BigMac and flatulated on top of his flatulence until he fainted"
PERSON B: "Can I buy a vowel?"
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