Michelle Meeks wrote:
 I tell them a card expressing their thanks to me and
a note to my supervisors are worth far more than anything of monetary value
even if I was allowed to accept those sorts of things. I just tell them I am
not allowed to take such things. 

Michelle (and others who've contributed this this topic):  I recently handled this issue from the other side of the fence, after being admitted to the emergency department with a severe fracture after an accident in October and having top-notch surgery and care, with great attention to detail, in one of our public hospitals.  I wrote to the (state) Minister for Health, mentioning the hospital and each department that had been involved in my care, and copying the letter to the hospital head.  I knew it would be copied and sent out to each department, and it was.  Where possible, I also verbally thanked individuals.
     I hope this perspective is useful.
      Virginia

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       (and the leg is now *better* than it was before!)