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February 17, 1999
Lucille M. Iacovelli
96 Bridge Street/P.O. Box 468
Osterville, MA 02655
Dear Lucille:
Here's my problem: if you do have body dysmorphic disorder and I go ahead and operate on you, there's a good possibffity that I might not make you feel better about things and possibly you may feel worse. If you go through the sessions recommended by Dr. Wilhelm, there is a chance that you at least might gain some insight, and also the people working with you wiil have a much better sense of what the problems really are. If you do not have body dismorphic syndrome, then I think waiting for you to go through this program can't really cause any harm, and I certainly would feel much better about things.
I have spoken with Dr. Johnson and he feels that having you go to the MGH for the program is the right thing to do at this point. There is absolutely no question in my mind, Lucille, that all of the physicians that you are involved with now, including: Dr. May, Dr. Driscoll, Dr. Wilhelm, Dr. Johnson, and myself, only want what is best for you. Therefore, I very much hope that you will go through the program and then be re-evaluated, so we can get a sense of how we should then proceed. I certainly understand that it is a big inconvenience for you to go each week from the Cape to the Mass. General Hospital, but I think it is the right thing to do. Let's take things in the proper order, so that we all feel comfortable with our next move. My concern is what's best for you.
Sincerely,
Joel J. Feldman
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