My mom had to get a colostomy last year after her bowel ruptured, and she spent a month in ICU recovering from sepsis. The nurse there, when she was finally awake, tried explaining everything to her, but she had some pretty severe ICU delirium, and just couldn't comprehend everything she was saying, especially when she was using medical terms.

Eventually, the nurse said, "girl, basically, you don't need your bootyhole no more. That's now just for your husband and lonely weekends"

At which point she fully understood, and I died inside.