Glad you got the letter of thanks. I have only ever had one letter delivered to me, and that was because a paramedic in our station lives next door to the patient. My colleague and I were so glad to have received it, it was great to hear that our patient made a good recovery! Oh, and we were tracked down by the patient describing us to her neighbour - I dread to think what she said! What I do see a lot of the time are thank you notes - addressed to the ambulance crew and A&E - that have been sent to the hospital. So, no doubt there are many people who do send us thank you notes, it's just that we may not receive them due to the location they have been posted to. After all, how many of the general public know exactly where their ambulance stations are. I work in Glasgow and there are 8 stations - I didn't know where any of them were until I joined the service.