Doctors often have short segments of time (much too short in my opinion) to interview, examine and discuss treatment on follow-up visits which on average are 10 to 20 minute intervals. Many times your doctor has certain benchmarks she/he wants you to achieve (e.g. High peak flow rate or ACT score) but you may have your own desired goals that need to be communicated and addressed. When you and your doctor's expectations are not well aligned good asthma management may be difficult to achieve. So what can you do?