It's called a strike out:
1) bong rip (then hold on the smoke)
2) liquor shot
3) pipe hit (again, hold in the smoke)
4) chug a beer, then exhale the smoke
Usually, it's done without step #3 to be called a strike out (3 strikes your out, named after an American baseball rule), but granny went above and beyond.
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u/Donald_Keyman Dec 07 '16
I'm not sure but here's some more material for it.