I agree with crazyH Elless try and just concentrate on your forthcoming operation and taking care of yourself.
The problem with writing a letter is the anxiety of waiting and wondering if you'll get a response, and if so, what that response will be.
B9exchange's suggestion is a good one, if he is following you on twitter he'll know you're awaiting surgery and that may prompt him to get in touch. That said, will you be anxiously awaiting a response and be understandably hurt if you don't get one.
Mr. S. had health problems for 2 years before finally getting surgery at the beginning of last year. We know our ES would have known through his brother, but he never contacted his dad, which upset him greatly.
I hope everything goes well with your operation
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