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Keeping things short and to the point, it's when someone gets their consonant and vowel placements mixed up or lost trying to say a word. It's also a strong indicator of brain damage and/or dementia when accompanied by slurring and inability to finish words. If'n y'all want to know more, read up on it. 'Course knowledge comes at a price, and Dear Leader's rapidly progressing mental decline is gonna be way harder to ignore once you pay it so study on whether you really want to open Pandora's Box.