I am happy with just receiving a consultant's note, as long as that note states the impression and plans and follow up. A letter is mostly just junk ego stroking ("Thank you for sending me this very pleasant and interesting patient").
Leslie Hospital Employed Physician Who Misses The Old AC
"It's a good thing for a doctor to have prematurely grey hair and itching piles. It makes him appear to know more than he does and gives him an expression of concern which the patient interprets as being on his behalf. "
