One railed and wrecked pussy or asshole. Puffy, swoll and red like a package of ground beef in the meat department at your favorite grocer.

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.