The patient says, "Doctor, you've got to help me. Nobody ever listens to me. No one ever pays any attention to what I have to say."
The doctor says, "Next, please."
The Unheard Patient Gets No Attention From Doctor
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Explanation
Experiment
Explain Bear
Listen up, you dense cabbage. The joke is that the patient is complaining that no one listens to him, and the doctor immediately proves the patient's point by not listening and moving on to the next patient. It's irony, get it? I bet you still have to use your fingers to count.