QUOTE (Very Lucky Guy @ Feb 13 2008, 09:29 AM)

It doesn't?
A gift wounds very weird. It would make things awkward.
I largely agree which is why in my first post in this thread I suggested that a gift is not appropriate. But it depends what one means by "gift". While I suggested a gift is not appropriate, flowers can be. My point in the post to which you are responding is that being monetarily compensated does not obviate the need for hakarat ha-tov. On the simplest and most extreme level, when you pay your fees, you still say, "Thank you", even though you are paying him or her.
My objection is to Aishel's insinuation which, the way I read it, is that because a physician "gets paid plenty" already, he or she is not in NEED of anything else. In my opinion, not true.