If you've started an exercise program and improved your diet, pat yourself on the back. But did you realize that an equally important part of good health care is communicating with your physician? Whether you're visiting a longtime family doctor or someone you haven't met before, you can increase the quality of your care by actively participating in the process. 

  Before your office visit, write down your questions and concerns. After all, how many times have you walked out of your doctor's office, only to realize that you forgot to ask an important question?

  If you're going to have a specific symptom evaluated, document when it started, how often in happens, how long it lasts, and anything that makes it feel better or worse. If you have pain, pinpoint the location and describe the sensation. Is it sharp or dull? Does it feel like pins and needles, or more like a cramp? Plus, jot down a list of all the medications you take, including prescription and over-the-counter drugs. 

   Refer to your list to make sure you tell your physician everything. Share anything that may pertain to your health, even if it's embarrassing or difficult to discuss. No matter how intimate the subject may be, chances are your doctor has heard it before. And although it's tempting to say what you think he or she wants to hear — for example, that you exercise more often or drink less alcohol than you do — remember that your doctor isn't there to judge you. When you accurately describe your lifestyle, you can work together to achieve your health goals. 

  Listening is an important part of communication, also. If you're facing a serious illness, it may be difficult to concentrate on what your physician is saying — you may want to bring a relative or friend to take notes for you. If you don't understand the medical jargon or treatments your doctor mentions, don't be afraid to ask for clarification. If you don't ask questions, he or she may assume that you understand your condition and treatment. 

  Before you leave, ask your physician to recap what you've discussed and what your next steps will be. Or summarize them yourself — that way, you can check your understanding.

  If you leave your doctor's office with questions (or come up with new ones), don't dismiss them. Give the office a call right away. If your physician is not available, another staff member may be able to address your concerns, or you can leave a message. Remember that good communication is key, and it doesn't end with the office visit.