When, after having two non-functioning arms for a period of time, you have an arm transplant procedure and use the new arms to pleasure yourself.
Note: This has to be done before full nerve growth occurs or it just isn't "ultimate".
http://www.cnn.com/2008/HEALTH/10/08/karl.merk.arm.transplant.ap/index.html
Jerking off after the above.
"Hey I got my new arms! Time for an Ultimate Stranger!"
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n. A short, fat, slow man with little to no grasp on the workings of technological devices, though he is "in the field".
v. To royally fuck up anything and everything one does.
"Man, he really dumbled that help call".
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