Sad trans girl goes to the doctor. Says; Doctor I'm depressed. Life seems harsh and cruel. Says she feels all alone in a threatening world.
Doctor says treatment is simple. The great clown Nocliacci is in town tonight, go and see her. That should pick you up.
Trans girl burst into tears and says; "But doctor! I am Nocliacci!"

In a world where the clown makes everyone laugh, who's there to make the clown laugh?

So the story goes. But the story actually continued.

Doctor says: "Have you tried cock?"

Sad trans girl goes to the doctor. Says; Doctor I'm depressed. Life seems harsh and cruel. Says she feels all alone in a threatening world.
Doctor says treatment is simple. The great clown Nocliacci is in town tonight, go and see her. That should pick you up.
Trans girl burst into tears and says; "But doctor! I am Nocliacci!"

In a world where the clown makes everyone laugh, who's there to make the clown laugh?

So the story goes. But the story actually continued.

Doctor says: "Have you tried cock?"