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I have bad and very bad news
Doctor:  I have some bad news and some very bad news.
  
Patient:  Well, might as well give me the bad news first.
  
Doctor:  The lab called with your test results.  They said you have 24 hours to live.
  
Patient:  24 hours!  That's terrible!  What could be worse?  What's the very bad news?
  
Doctor:  I've been trying to reach you since yesterday.
  
         
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