Dear Dr. Keenan, It has been a year since you performed surgery on me and I wanted to say thank you again in remembrance of our anniversary! I was travelling and was referred to you. I am so grateful that you saw me immediately and operated, even though you were leaving later that week for your volunteer work in Haiti. It is a testament to your commitment to helping those in need. I could not get help near my home. Since your surgery, I am totally free of pain and I am forever grateful. J.M., Canada