Our expert says:
I wonder why, if there was the chance that this would upset you, he bothered to forward this email to you ? That he did so surely shows that he had no idea that it would be seen by you as upsetting or sinister. And isn't it possible that the woman IS indeed his former Sunday-School teacher, ANd worked in some way in his doctor's office, AND is his ex's mom ?
As he apparently cheated on you before, clearly you have little confidence in his fidelity right now --- why not see a relationship counsellor together and work these things out ?
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