you ask someone who joe is, who candice is, or how they feel about how they were diagnosed with ligma
they're fake names and a fake disease
you lead them on a string into your response, when they ask who joe is, who candice is, or what ligma is. The answers are Joe Mama (Your Mama) Candice Cock Fit In Your Mouth (Can This Cock fit...) and Ligma Balls (Lick ma' Balls)