I always take a list of important milestones, dates and data to doctor's appointments so I have it at hand to help us both. A friend's daughter works in orthopedics at the regional behemoth (UVA Health Systems), and they have Patient Throughput metrics that are monitored more closely than an Amazon Order Picker's performance. The little guys are subject to the same pressures. These guys grab your summary to get themselves back up to speed as they run to your exam room. They no more remember us than we recall what we had for breakfast on a given day 3 years ago, although it sucks that a doctor so close to you in the community who diagnosed your cancer forgot all about it. That's an overt statement. My prior GP overcame the volume issue the last several years of his practice by going to a retainer program. You pay a monthly fee to be his doctor. Part of the deal is that the doctor contractually limits himself to a maximum number of patients he'll carry, and he augments his income from the monthly fees. My doctor limited himself to 900 patients max. When he rolled out the program, he had 600 of us sign up. He had been carrying 2,400 patients. That's a big difference. At some point doctors get so overwhelmed that the decline in performance becomes exponential...but they gotta financially survive. I sometimes wonder how they drag themselves in to work every day.