How to Have a Successful Doctor's Appointment

In the course of my life I have seen more doctors and know more "medical lingo" than most people twice my age. Overtime I have learned what to expect at certain doctors offices; including which nurses will laugh and joke around and which ones will remain extremely serious, how many pounds my clothes add to the scale and which scales I will weigh more or less on, and I am always prepared with my little notebook and a fun magazine (or two!) when I go to the doctor because as we all know a "10am appointment" usually means "hello at 11am". *smiles*
So in this age of short doctor appointments (the average appointment is 18 min) how do you have a successful appointment? Here are some things I have learned!
Before the Appointment:(1) Don't forget to bring all of your paperwork with you (or an organized health notebook) and write down any questions or concerns that you want to talk over with your doctor so that you are prepared. 
First Impressions:(1) Always try to schedule one of the earliest appointments that is available. Less waiting time happens in the morning. Also doctors are at their "freshest" because they haven't seen 10-20 patients yet.

(2) Be on time. I know. It is frustrating when the doctors are not ready but still be on time. I have found that this makes the office staff much happier.
(3) Speaking of doctors offices: a key to every doctors office is the office nurses and the administrators. Get to know them. Get to know their names. Bring small gifts (it doesn't have to be big but just a little something). Write a thank you note. Express thanks to them. So often they are doing so many things and yet get overlooked.
The Appointment:(1)Make sure to inform the nurse (or the doctor) of any changes in medication (or vitamins or herbs) - this is also the case for any tests, labs, or procedures that you have had done at other doctor's offices. Make sure that your doctor is up-to-date. If possible bring a copy of the results for the tests or labs that you have done so that they have everything. 
(2) {This was actually in a doctors office that I just was in. I am not sure who said it, but I copied it off the wall!} When describing your symptoms, begin with the general picture and end with the specifics. Example: My stomach hurts. I feel nauseous in the morning.
(3) Don't be embarrassed. Tell your doctor details. Be honest.
(4) Listen to suggestions that your doctor has. If you have questions about a treatment option or make sure to discuss this with them but do have an open mind.
(5) If you are having tests done make sure to ask when the results will be back and follow up with the test results. 
After the Appointment:(1) Follow through on any calls that you said you would make.
(2) Follow the suggestions that the doctor mentioned. If you have any issues call the office to speak with the nurse.
(3) Don't forget to write and send thank you notes!
 What are ways that you have found to have a successful doctors appointment?