Christine and Maria,
I have my notebook from day 1. Christine, I do exactly the same thing with my team's business cards!
Annie,
First of all, congrats on your wonderful results!
A doctor will not walk out of a room when you pull out your notebook with your list of questions. He/she most likely will not leave until all of them are answered. Try to prioritize them in order of importance. Have your notebook on your lap before he/she walks in the door so you're not scrambling to pull it out and flip through pages as he tries to scurry out the door.
The routine I have with my doctor is that he examines me and talks about how things look and when he's finished, we go over my questions. After a while, you'll find that many of your questions/concerns will be answered during the exam. It also helps you and the doctor to stay on track and will make the appointment more efficient.
Best of luck,
Kerri