Insult aimed towards people who live in big cities, especially those who are smug and look down on people in small towns. Can be adapted for different variations like cocksucker.

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.