On a ward round, the surgeon is explaining why in certain situations, an absent family history may not be relevant (for example, in adopted patients or small families). He questions the elderly patient:
DOCTOR: Sir, how many brothers and sisters do you have?
PATIENT: counts on fingers Ten, Doctor.
DOCTOR: Ten siblings!
PATIENT: Yes, doctor. Those were the days before the tee-vee, you see.
DOCTOR: And how many children do you have?
PATIENT: Six, doctor.
DOCTOR: … you only had a small television?