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When you suck so hard on a giant weed joint it sounds like a dying cow being tortured by a kid with a kazoo. You can also say it when you're so high you think your pants are made of cheese.
'I just pakaheed so hard I saw my neighbor's dog wearing a hat.'
'You're not high enough, pakaheed yourself into a coma.'
'I’m so pakaheed I think my bed is a spaceship.'