div class=trans-pagebuttonPage 1button div class=trans-image amp-img class=trans-thumb alt=Page 1: A letter of appreciation from a respected senior phycisian src=https:reader031fdocumentsusreader031viewer2022020323568c3a401a28ab0235a576e8html5thumbnails1jpg width=142 height=106 layout=responsive amp-img divdiv