@contentandwell @colleenyoung

Probably.

Have you asked yourself what your motivation is for giving your doctor a somewhat extravagant gift? If it is being given because YOU are grateful for good service, perhaps a handwritten note of gratitude is better. One normally does not acknowledge the other's gratitude with gratitude. If the recipient is questioning your motive, that's another reason why you may not be receiving an acknowledgement. If the physician has a personal policy behind not acknowledging gifts (s/he wants to avoid the appearance of a conflict-of-interest, like favoring a patient in the eyes of staff), your doctor may be giving such things away to staff. It would be similar with gifts from pharmaceutical or medical device representatives... avoiding the appearance of a conflict-of-interest.