Needless to say, I was very motivated to do what I could to prevent the situation from happening again. The last thing I want is for my daughter to develop a fear and hatred for the doctor. I asked around for some advice and a friend suggested buying a book about visiting the doctor.
We went out the next day and bought a book about going to the doctor and started reading it on a regular basis. A few weeks later, Lilah's grandparents bought her a doctor's kit and we stared playing with kit while reading the book. Lilah quickly came to understand the names for the instruments and how to use them. We played with a stethoscope, thermometer, needle, and ear/eye/throat light to name but a few. We had also put a height chart on the wall and talked about it as we went through the story as well (even though the doctor does not yet measure her height on a chart).
Our 15 month appointment we much more successful that the previous visit. There were still a few tears and some fussing, but significantly less than before. We took the book and doctor's kit with us and pulled out the instruments and looked at the appropriate pages of the book before each step of the appointment. I really can't say for sure whether it was the 'practice' or simply that Lilah was having a better day and/or had matured since the last appointment that made the visit better. In my opinion, it doesn't really matter. Even if the book and the kit made no difference, we had a lot of fun playing with it (and still do) and I am positive that Lilah learned a thing or two along the way.
Some tips for making your appointments more successful:
1) Talk about the upcoming appointment the day before and/or on the day of the visit (talking about it any earlier could actually increase anxiety).
2) Read a book about what to expect at the visit.
3) Act out what to expect using a doll and/or a doctor's kit.
4) Let your child take something special to the appointment (toy/blanket) for comfort.
5) Ask the doctor to 'examine' you or your child's doll before examining your child.
6) Talk about the fun parts of the visit (toys in the waiting room, sticker/book prizes).
7) Be honest about the hard parts of the visit (ie. needles). Tell your child that it will hurt for a few seconds.
8) Distract your child while the needles are being given.
9) Provide a lot of praise after the appointment!
Good luck!