You can choose one of two different attitudes:
1. You can say: 'it's me, i am aggressive and i have symptoms' in some form or other.
or
2. You can knock, wait for invitation, and say message like this: 'Good day, i need help, would You Mrs Doctor give me a visit? I have (...) symptoms. Thanks in advance'.
latter option lets you behave somewhat curtly, keep dignity and receive help if it's available.
Eye contact, honesty and simplicity helps.
let's not forget about debt for such a visit, and do not abuse doctor's good will, that's why one should be thankful.
(i choose latter option).
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