Typical conversation:
OB-GYN Nurse: So, Ms. Thomas, what will you be naming your daughter?
Thomas's Mother: Why Shmeco,...of course!"
Several years back, I worked the State track meet in Austin. As a judge for many events, I was given list showing the names of each competitor.
There was a sprinter named 'Shithead'. I assume it was pronounced sha-theed, but didn't ask.
I am not joking.