Last year my DS broke his leg and his teacher and ta went to extreme lengths to make sure he was comfortable and happy and safe. I felt they'd really gone the extra mile and got each of them a gift card for a massage/facial. I wrote a nice note, too, of course. I got a thank you back that that was a teacher's fantasy gift, and wow, and thank you so much...so I know they really liked it. It was a splurge, though.