Dr. Grumpy: "What happened?"
Mr. Mesial: "One of my buddies had a bachelor party on Saturday, and I stayed up late and forgot to take my medication."
Dr. Grumpy: "It sounds like that's the cause."
Mr. Mesial: "Um, actually no. I think it's punishment."
Dr. Grumpy: "Punishment?"
Mr. Mesial: "Well, when I was in church later on I realized it was because I had impure thoughts about the stripper we'd hired."