Agree,first time is the most difficult. It is really not hard to get all the information the AME will need.
http://www.faa.gov/about/office_org/...nsion/initial/ If all the test results look good, the AME can issue the certificate at the time of the physical. He/she just has to forward all of the documentation to the FAA with the 8500-8. You will then get a letter in about 6 weeks saying you can have a medical but you must provide certian information to the AME for each physical.
http://www.faa.gov/about/office_org/...sion/followup/ The AME then just needs to comment on the results from your family doc on the 8500-8.