Good luck with your annual exam Sarah! I hate to admit that I usually come home pretty frustrated from mine -- it doesn't seem right to have to lower your expectations for a doctor visit, and the focus on a computer screen is maddening! I at least try and challenge mine over the important points -- I've gone to the same primary care physician for over 20 years and she's definitely not as thorough or interested as she used to be. I attribute much of that to the pressures/metrics put on her by being part of a large health care institution. I'm pretty sure she'd admit to that exact same thing but unfortunately, she seems powerless to do anything about it. Sad, but true.