@hello1234 I used to say thank you to my team like you did (I am from the south where manners are important!) and finally my Boston transplant nurse practitioner said “what’s with the extraneous thank yous? We don’t have time for all of your thank yous!” Cultural divide. But I understand that they receive so many messages- increasingly I think related to COVID. I sent a snail mail note of gratitude in my one year anniversary date and will continue to do that. During my first ever visit to my team in Boston, I noted a gigantic wall with cards and pictures I assumed were gratitude cards which must make the team’s life especially rewarding.