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a male homosexual, usually the one who pitches...
take your hands off me, mud butler!
don't be a mud butler; gimme a ride downtown!
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Someone who works in a health care setting in which changing adult diapers is a common requirement, such as a group home for the elderly or IDD (intellectually/developmentally disabled) residents.
Doctors think they're a special breed, but it's the mud butlers who do the real work.