Is your dad one that loves nothing more than resting in his easy chair, with the remote held tightly in his hand at all times, doing the popular channel surfing? If he is, then you should give him this funny card from NobleWorks to ensure he gets a good laugh on his Birthday. If he also uses the computer on a regular basis then he will definitely be able to relate to the question this guy's asking his Dr..... Obviously after years of performing the same act day after day, he's bound to get arthritis in his hand. He can blame it on spreading if he wants, but everyone else already knows it's from holding that damn remote every night until he falls asleep.