An example of this came in the case of an overheard communication by a hospital worker.
It was during a procedure where the hall of a hospital had to be cleared. The worker said, "Get the COW out of the hall."
He was berated for hs nonprofesional behavior, calling a patient 'a cow.'
His response was: "Cow. C-O-W. Computer on Wheels."
I wondere how he could have handled 'Nine F-er?"
[A Nine F-er is a fat, fortyish, flatulent, fecund female with foul foaming floating feces.]