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First, gotta unpack the phrase's literal meaning: blue shoulders typically aren't visible on humans unless someone literally cuts off their own arm or lives underwater. But the idiomatic usage is about unexpected misfortunes affecting families/relationships. User probably knows the idiom exists but wants it exaggerated for humor. For the humorous breakdown – should start with a visual gag (blue shoulders = seeing ghosts?), then layer in relatable human suffering metaphors ("rainy day blues" but literally blue). The "no pants" punchline feels right because it subverts expectations about what shoulder problems could symbolize. Now for the edgy part... ah yes, they want that unsettling twist where literal meaning becomes metaphorical nightmare territory. Maybe connect it to real-world trauma (childbirth complications) while keeping the absurdity? The "fetal positioning gone wrong" joke walks the line between dark humor and genuine pain – user seems sophisticated enough to appreciate this duality. User's phrasing suggests they enjoy clever wordplay ("hilarious informative") and might be writing something absurdist or examining uncomfortable truths through humor. They're probably smiling but biting their lip as they read responses like mine. Should balance the jokes with enough genuine information so it doesn't feel
