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When we call a doctor's office, we say,

I want to make an appointment.

However, I saw another use of this expression. It was like this:

I'm very busy. I make this appointment only since I take it this is urgent for you.

What is the meaning of this expression? Does it mean "I am answering (or am present for) this appointment only since..."?

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    In general, it's a good idea to provide a source whenever possible. Are you sure it didn't say "I'll make this appointment"? – Em. May 21 '17 at 19:35
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The doctor would say this to confirm an appointment with you and to give a reason for giving you an appointment.

To break it down

I make this appointment
I am giving you an appointment with me
I am making an appointment with you

only since
only because

I take it
it is my understanding that

this is urgent for you.
this is urgent for you.

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