@jamsie, I read your message with joy. What a lovely friend who seems to have been sent to you just at the right time of need.

You ask "How do you take that step when you need to?" You take it one step at a time. Like they say, you can eat a whole elephant, but only one bit at a time. Don't think about ALL the things that need to get done. Just make the first step and make an appointment with your family physician. That seems like a big step, but really it's only a phone call. You can do that. In fact, I'll wait right here while you do it. 🙂