How Old?

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A somewhat elderly patient was seated in the medical doctor's office and was in progress of being interrogated by an exceedingly stern nurse. The battle of wills was about to begin:

Nurse: How old are you?

Patient: Can you keep a secret?

Nurse: Yes.

Patient: So can I..

Nurse: But the doctor must know your age for his records.

Patient: Well, first, multiply twenty by two, then add ten. Got that?

Nurse: Yes. Fifty.

Patient: All right, now subtract fifty, and tell me, what do you get?

Nurse: Zero.

Patient: Right. And that's exactly the chance of me telling you my age.