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Definitions by Pain in a nutshell

Dislocated Human Vertebra

An insult, commonly used for people who are spineless (figurative), or for people who you want to snap their spine.
Person 1: "Hey Jared!"

Person 2: "You are a Dislocated Human Vertebra"

Person 1: "Oh."

audible sigh 

a sigh, but audible
Person 1: I am very idiotic

Person 2: *Audible sigh*

pain and suffering 

a general description of life

how one feels when they wake up
Person 1: How's life?

Person 2: Pain and Suffering

Person 1: Haha, that sounds like a you problem