The One With The Triplets - S5-E3
Factual error: Joey always grabs his back when he gets his pain from his kidney stones. This is a classic referral pattern for pain when the stones are in the kidney. However, the doctor says that the kidney stones were too close to the bladder. Stones in the ureters classically refers the pain to the groin area. (00:02:40)
Answer: Usually by the seventh night of Hanukkah you don't know what to get the other person, and you will probably resort to getting the other person something insignificant. Chandler is basically saying that the pen is a stupid gift.