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upstate hand shake

“One finger in the throat and one in the rectum......"

When a neurological oriented member of a trauma 1 team checks gag reflex and performs a digital rectal examination simultaneously. This is usually performed on trauma patients to determine extent of abdominal, pelvic, and neurological injuries. New evidence shows the procedure is unnecessary but it's still performed and some have become fond of it's diagnostic powers.

"Espsoito et al (2005) found that none of 512 patients would have had a significant injury missed had the DRE been omitted." (Life In The Fast Lane)."Adding insult to injury?"
I just tried the ole Upstate Hand shake on the patient in room 2. Nurse, we're gonna need some restraints and sedation because they're fighting us for some reason!
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hand shake 

When a girl or boy tosses a boy off.
Oh my god, that sket hand shaked James last night!

Want a handshake, ;)
hand shake by Randomise November 5, 2006

Peanut Butter Hand-Shake

A prank where you accidentally or intentionally get shit on your fingers (see Peanut Butter Fingers) then shake the hand of a friend (or enemy)
To get even with my ole buddy Brian I believe I'll give him a Peanut Butter Hand-Shake

Vulcan Hand Shake 

verb. (sexual act)

To please a woman by spreading your hand in a V and placing 2 fingers in her puckered dumpling, and 2 in her meat wallet, then shaking vigorously until she cums. At the moment of orgasm, proclaim, "Live long and prosper!"

Not to be confused with star trekking, which is to have sex with an anal virgin, and thereby, "To boldly go where no man has gone before."
She looked pleased to meet me, but what pleased her more was the Vulcan Hand Shake.

the hand shake

similar to the shocker, accept its 4 in the stink and 1 in the pink, almost like your giving the girls private area a hand shake.
john: dude did you give her the shocker?

mike: nahh dude i gave her the hand shake
the hand shake by handshakeman July 10, 2011

Fecal Hand Shake 

The act of greeting a person with a hand shake after wiping your anus and not washing your hands. This is a common occurrence in the workplace.
Jaybird, I just saw Old man Chinnuz walking out of the shitter without washing his hads to give you a fecal hand shake
Fecal Hand Shake by bobachop June 19, 2011

Shanghai hand-shake 

(SHANG-HI HAN-SHAKE)

1. How they say hello in Shanghai. (Depending on the area)

2. Most often a simple dry handy, traditionally preformed in a public area.
I haven't heard back from any of the places I applied to. Pretty soon I'll have to start giving Shanghai hand-shakes behind the pawn shop to pay the bills.