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Yippie
(piefedimages.s3.eu-central-003.backblazeb2.com)
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Hard to believe that was the first time that anesthesiologist heard that joke, but it sure seems like it. It's proof that dad jokes really are funny.
even if they've heard it before, delivery can change it completely
I imagine that if you hear the joke enough, it would end up having a meta-level of humour, similar to how cashiers joke about the silly people who say "does that mean it's free?" when something doesn't scan. In that case though, the jokes are at those customers who think they're funny, whereas in this case, the humour would partly come from being happy for the patients who are so tremendously psyched to get top surgery.
Random story time: I had the “guess it free” thing happen in reverse the other night. Cashier at a gas station I go to often tried to scan my drink 3 times and then said fuck it just take it