The spelling of "HOWGH" may raise eyebrows among those unfamiliar with its origins. This word derives from "hough" which is a Scottish expression for "hoof." The spelling is phonetic in nature and follows a distinct pronunciation. It is spelled as /hoʊ/ + /əx/. The first syllable is pronounced as "ho" with the long "o" sound while the second syllable is represented using the phonetic symbol for a voiceless velar fricative. The term gained fame as an exclamation used by the iconic TV character, Hawkeye Pierce from the television series, M*A*S*H.