the meaning isnt very clear but mostly you would say congratafuckulations after ie: giving someone a present containing a live grenade, giving someone aids, or after your child clearly heads down the ...wrong route of life... "you know what these people and drugs will do to your life, congratafuckulations son" some one who doenst "count their blessings" can be referred to as "congratafuckafied" and congratafuckufication often occurs in the mcdonalds 22 minute line ups.

17th Century setting: Due to his treatment of the "French Pox" (syphilis) with mercury a merkin Gwendolyn used a Merkin to used to hide the side effects of hair loss and not alarm her husband.