Deborah - thanks for the link about shrinking the mole! Definitely going to check that out.
Dh and I talked this over some more and we decided to go with the general. It feels like the best thing in this situation. Many years ago when my middle dd had an MRI they gave her basically twilight sleep because she needed to hold still for it. She was older than Anja is now and the procedure didn't involve having something cut off her head, inches from her eye. And really - Anja is soooo sensitive to pain (or rather her emotional perception of it) that I just can bear to think of her being cognizant of cutting something off of her.
Deborah - I may take you up on the phone session for my anxiety. I definately have anxiety about the whole thing on many levels (anesthesia, possible malignancy, etc,) that I need to clear. I am doing The Work on it (that is how we were able to come to the decision about general vs. local ) but it is still causing deep physical reaction in me to think of the situation in general. What is your schedule like? I am in the UK so depending where you are I am 5 hours ahead of EST/ 8 hours ahead of PST. PM me with details.
thanks so much!