Arly, your letter was wonderful, so well-written and saying all
that needs to be said. That's why it saddens me to give you the
following advice (which a part of me hopes you'll ignore!!): I've
worked for many years for many different "types" of docs, both
in America and in Israel, and believe that one personality trait
seems to typify all: impatience (no pun intended). I am now
medical editor, fund-raising liaison and general dogsbody in
English to my present boss, a prof. of cardiology, and he is a
real lulu in this context. If you want the docs to read your
great letter, CUT IT TO THE BONE. Decide what you really want to
ask them for, and relate only to that. I would cut most of the
nipple problems, for example, and summarize in a sentence or
phrase. Your credentials are very important, but choose only the
most impressive and most relevant. I'm so afraid that they'll
just toss it in the good old circular file, and that would be a
great pity. Think about it, at any rate. Also, if you can xerox
any studies in medical literature to support your  points,
include in the envelope! Real good luck. Judy Knopf