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Kanye West has been on a bit of a Twitter bender ever since returning to the platform earlier in April. In addition to voicing his support for the current American president (for some reason), Kanye has been dropping hints and information about his upcoming album. It’s apparently coming June 1, features seven songs (including one that features the lyrics, “Poop-diddy, whoop-scoop”) and the album art will be Kanye’s late mother’s surgeon’s mug shot. What?

Over the weekend, Kanye tweeted a screenshot from a text conversation between himself and someone named Wes. In the conversation, Kanye sent a man’s mug shot accompanied with the message, “This is my album cover. This is plastic surgeon Jan Adams. The person who performed my mom’s final surgery . . . I want to forgive and stop hating.” According to TMZ, the mug shot is from a 2006 DUI.

In case you’re unfamiliar, Donda West died in 2007 the day after receiving liposuction, a tummy tuck and a breast reduction from cosmetic surgeon, Jan Adams. West suffered complications after returning home from the surgery – though she was advised to remain in post-op care — and after collapsing and being taken to the hospital, was pronounced dead. The coroner’s report was inconclusive about her cause of death, but did not implicate Adams and read, “there was no evidence of a surgical procedure problem.”

Donda West was a Kris Jenner-style “momager” for Kanye and the rapper has said he blames himself and moving to L.A. for her death. He’s talked at length about how close a relationship he and Donda had, leading to Kanye never forgiving the surgeon who performed that final operation.

After the Twitterverse exploded about Adams’ photo being Kanye’s album cover, the doctor reached out to Kanye in an open letter to kindly but firmly ask him not to use this picture or any picture of him on his new album. He was also encouraging about Kanye’s apparent commitment to forgiving and promoting love.

“Thank you for thinking of me for the cover of your next album. That is kind of you,” the letter begins, “Unfortunately, I have to decline at this time, and I ask that you cease and desist using my photo or any image of me to promote your album or any of your work. I don’t want to seem ungrateful . . . I just think that if in fact this conversion to love is genuine on your part . . . then it’s inappropriate to drag the negativity of the past with it.”

Adams also sought to clear up some misunderstandings surrounding Donda West’s death and particularly the press coverage of it. Adams pointed out that a lot of the information circulated about the details of the case were provided by TMZ’s Harvey Levin and were inconsistent with his own retelling of events including how long the surgery took and if there were complications at the time.

He also quoted directly from the coroner’s report to explain the detailed and official account of the last day of Donda’s life. Adams attributes the complications that ultimately killed her to a lack of professional care since the nurse who was hired to keep her comfortable was at a baby shower and Donda’s sisters were looking after her instead. Adams says that a nurse would have known to keep Donda’s head elevated — a main factor in her death. He also points out that the coroner’s report suggests some blame lies with Kanye’s cousin Stephan Scoggins who has a nursing license, and said he would be providing care but didn’t.

Kanye tweeted out Dr. Adams letter, commenting, “Thank you so much for this connection brother. I can’t wait to sit with you and start healing.”

So it looks like Kanye might be rethinking the album cover thing. All of this does seem like a positive development, but we’re sure whatever new direction Kanye goes in will be just as unpredictable as this one.