Dear Miss L,
even a doctor like me who really cares about mon... moy patients, needs a holiday now and then. Of course I used the time to attend several important continuation courses, like "My penguin has been crushed by my IKEA - cupboard" and "The modern woman's brain in proportion to kinder chocolate family pack".
You see, as soon as I can find your last letter, I will try my best to find a place in the insane asylum for you as quickly as possible. Only this rebellious Englishman, WHB, creates some trouble at the moment, what with trying to escape and silly nonsense like that.
Sincerely,
Dr Freckles