When I was doing my internship, there was an eastern European guy named Pedrus in my class. Pedrus had just immigrated, but had a decent grasp of English.
Occasionally, though, he'd encounter something that he only knew in the medical-speak of his home country. When that occurred he'd grasp at the closest-sounding English phrase he knew, and use that.
One night he was on call, and I picked up his admissions the next morning. One of the patients was a lady in her 60's.
Pedrus, in his note on her past GYN history, had written "the patient began her climax at age 51, and it has since continued."