Giving You The Finger

(I am admitting walk-in patients in an emergency room. A man walks to me, and he has a bloody handkerchief around his left middle finger. I deduce he has a cut on that finger. However, I am taught to always let the patient explain what has happened to avoid misunderstandings.)

Me: “Good afternoon, sir. What brings you into the emergency room?”

Patient: “This.”

(He drops a severed middle finger on the counter.)

Me: “Oo-kay, then…”