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What's the difference between mad cow disease and PMS?

Nothing.

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What is the difference between a fish and a piano?

A. You can't tuna fish.

What do you say to him?

Keep the change it doesn't really make a difference.

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What do mad cow disease and PMS have in common?

Angry heifers.

What's the difference between mad cow disease and PMS?

Nothing.

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Why do they call it PMS?

Because Mad Cow Disease was already taken.

What do mad cow disease and PMS have in common?

Angry heifers.