Hi Dr. Epstein,
First of all, thank you for all of your assistance with my repair work. I'm seeing signs of improvement from some of the disastrous work that other doctors did over the years. You have been a tremendous help and you're the only one in the industry who I trust anymore.
Again, thank you so much for your help thus far. As you can see, I'm still in need of improvement and I'd appreciate your recommendation on how to move forward from here.