Hey, some doctors just like to go the extra distance - so to speak - for their male patients during a medical examination. It's dirty physician physical manhandling hilarity featured inside and outside on this hysterical Birthday card, perfect for prescribing to any adult you know who's fingering the calendar over on another year of living and aging. So, tickle their … funny bone, by selecting and sending them the mirthful medico mauling Birthday greeting. It's not much of a stretch for you to deliver on the goodtime Birthday yucks, cheer and fine feeling, without hardly lifting a hand or other bodily appendage.