is timing important that the wound get looked at and surgery right away? if not, maybe it would be worth rescheduling the appointment for a later date so you have time to get in touch with your regular medical human and plan? we understand if it can't wait.
can you write some things out like you did here, so you can show them, that way they understand why you need the surgery if you get too scared to say anything?
you deserve treatment and proper care. we really hope they will be nice to you and agree to do the surgery.
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