Who is speaking up for you if you aren’t doing it? I believe most health care providers will recognize you are speaking up for yourself when you come to them for help. I also believe most health care providers want to help and appreciate the most direct and compete form of communication. And even if they don’t care as much as you would like them to... they still have to do their job so don’t worry about what they say or think. Write down what you need to tell them if you have to. Tell them you feel nervous coming to them. I hope the visit goes well and you feel better soon. ❤️