A doctor was having an affair with his nurse and soon she told him she was pregnant. Not wanting his wife to know, he gave the nurse a sum of money and told her to go to Italy and have the baby there. "But how will I let you know the baby is born?" asked the nurse. "Just send me a postcard and write 'spaghetti, on the back." answered the doctor.
Six months later the doctor’s wife called him at the surgery and said that he had received a strange postcard from Italy. When the doctor arrived home that evening, he read the card and immediately collapsed to the floor with a heart attack. While the paramedics were preparing to rush him back to hospital, one asked the wife what had caused the cardiac arrest.
Still mystified, she picked up the card and read "Spaghetti, Spaghetti, Spaghetti, Spaghetti. Two with sausage and meatballs, two without."