<caption><image_86>The image is a screenshot of a text message from a website called Theme Hospital. The message is written in black text on a white background. At the top of the message, there is the website's logo, which is a black and white circle with the word "Theme Hospital" written in a bold, sans-serif font. Below the logo, there are two green checkboxes, one on the left side of the screen and the other on the right side. The checkboxes are labeled "X" and "X". 

The message appears to be a thank you note for the hospital's services, as indicated by the text at the bottom of the image. The text is in a simple, sans serif font and is centered on the screen.</caption> good dear D jolly good you have made excellent progress at your hospital we have found somewhere else for you to run if you fancy of change of scenery and a fresh set of challenges you don't have to accept it might be worthwhile if you do salary is
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