Patient: Hi doc, I seem to have a swelling to my scrotal area.
Sleepy Doc: Well how long has this been going on?
Patient: For a lil while doc. Here is a document from my primary care physician concerning the matter.
Sleepy Doc: Sir this referral was dated four months ago!!!!!
Patient: Well doc, I was busy then. However I have some time now and also, the mass has gotten significantly larger.
Sleepy Doc: Great……