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Dysentery is an infection that gives you violent, bloody diarrhea. This fuckboy “Gary” is giving a bunch of girls dysentery by hooking up with them, probably disgusting them during their, um, interactions. Tom also addresses every guy’s biggest problem with girls: they always pick the popular douchebag over the nice, polite guys. Tom is better than this low-life Gary guy but sadly, he’ll never win. He comes to terms that sometimes life just screws us over, even calling Gary’s mom a whore. Classic Blink-182 humor.