When a woman is giving felatio and has both hands on the shaft and twists them in oppisite directions while simutaneously moving them up and down. Just like using a fresh pepper grinder.

A phrase to describe someone who is cognitively degenerating. Synonym of "going off the deep end". Can have varying degrees of severity.

Reference to the song "Hey You" by Pink Floyd. The line "and the worms ate into his brain" makes no sense in an otherwise linear and literal narration throughout the lyrics.