"Complete Medical" joke

Mrs. Smith went to her doctor for a complete medical. After examining her, he says, "Mrs. Smith, all in all for a woman of 50 you're very healthy, except for one problem. You're 40 pounds overweight and bordering on obese. I strongly suggest you diet now to avoid complications in later years."
Looking at him sternly, she says, "Doctor, I demand a second opinion."
"Ok, fine," he replies. "You're fucking ugly too!"

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