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Wierd Word: autotrephination

Posted by Sathyaish on February 21, 2004

Joel Spolsky, an eminent authority on software development, interestingly notes the dearth of presence of this cumbrous and weighty literary token: autotrephination.

http://www.joelonsoftware.com/items/2004/02/20.html

Would someone be so informed as to convey the meaning and the history of the word?