Queen Elizabeth II was visiting one of New York's finest hospitals and during her tour of the wards she passed a room where one of the male patients was masturbating.
"Oh God," said the Queen, "that's disgraceful, what is the meaning of this?"
The doctor leading the tour explains, "I am sorry your Royal Highness, but this man has a very serious condition where his testicles fill up rapidly with semen. If he doesn't do what he is doing at least 5 times per day, he could swell up and he might die"
"Oh, I am sorry," said the Queen, "I was unaware that such a medical condition existed."
On the same floor they soon passed another room where a young, blonde nurse was performing oral sex on another patient.
"Oh my God," said the Queen, "What's happening here?"
The doctor replied, "Same problem, better health plan."