Almost all of the medical professionals are able to penetrate into the essence of the disease in a single sentence, seemingly easy, but in fact, deep attainments. Practicing medicine for several years, although no great achievements, but also some experience! Often, patients do not understand diseases such as cerebral infarction thoroughly, or even completely wrong. Therefore, from the evidence-based medicine and personal experience in two aspects, some common misunderstandings to do a little explanation, such as inadequacies, please colleagues and patients to criticize and correct! 1.the most commonly encountered problems: doctor, I can still reply to recover to the original as well? Thousand Buddha Mountain Hospital in Shandong Province, Department of Neurology, Ma Gao Ting, although all cerebral infarction, but some people may be completely without sequelae, some people are left with limb paralysis. Why? Mainly related to the site of cerebral infarction, some people occur in the non-functional area, there may not be any symptoms; some in the cerebellum, the patient will be dizziness, nausea, vomiting, walking unsteady; some in the brainstem, the patient is speech, limb paralysis, confusion and even life-threatening; some people in the basal ganglia area, there may be hand and foot activities, etc.. In terms of treatment, if the condition permits, rehabilitation exercises should be carried out as early as possible (controversial), but personal experience encourages patients to exercise more and move more, which is very helpful for the later recovery.2. The most annoying question asked: Doctor, is it okay if I don’t check the cerebral blood vessels? With the progress of medicine, the treatment means of stroke is more and more effective, but the incidence of stroke in our country is increasing year by year, gradually becoming the first disease that causes death and disability, for many reasons, one of which is the prevention of recurrence of stroke is not in place. And all stroke patients, more than 80% are patients with cerebral infarction. Every patient I treat requires cerebrovascular screening. On the one hand, it is beneficial for acute treatment, such as blood pressure, volume control, etc. On the other hand, it is significant for cerebral infarction typing, which is completely different from the treatment plan for cerebral infarction caused by aortic stenosis and cardiogenic embolism, etc. The most important and the most trivial question is: Doctor, can you open the blood vessel for me? The reason why this question is important is that in the ultra-early stage of cerebral infarction (within 4 and a half hours), there is a chance that the thrombus can be lysed through rT-PA or urokinase, and beyond this time period, there is no way for the gods and goddesses to do anything about it. Therefore, every potential patient and family member should keep in mind to rush to the nearest hospital that is equipped for thrombolysis as soon as the patient develops symptoms such as dizziness, slurred speech, numbness of the limbs and lack of movement. Said the problem of white, an analogy, drought when the ground withered wheat seedlings, irrigation and more water is not alive, therefore, the core area of brain tissue once necrosis, even if the blood vessels through the value of the open is also limited. 4. the most important issue to pay attention to: after discharge from the hospital there are contraindications? In fact, in addition to oral medication prevention and treatment, many patients and their families are concerned about this issue. This does not mean that you can not eat eggs or meat, on the contrary, the patient should pay more attention to the adjustment of dietary structure, balanced nutrition. In short, it is to eat lean meat, white meat, less fat meat, red meat; eat more vegetables, less fruits, nuts, etc. 5. The most tangled problem: put the stent or not put the stent good? There is no uniform answer to this question. At present, the international recommendation for symptomatic carotid artery stenosis of moderate to severe degree is the need for stenting or stripping surgical intervention, and the status of intracranial stenting is still controversial. However, in many clinical cases, patients with recurrent cerebral infarctions in the same stenotic vessel, with uninterrupted oral medication, and with recurrent cerebral infarctions after intensive drug therapy, require stenting. Both options are available, with good and bad outcomes. Overall, patients with stenting have a high quality of life at follow-up. We must not forget the original intention. It is our duty to treat patients to save them, but patients are also the best teachers for doctors, and we should always hold a grateful heart to treat patients in our clinical work. Time and space is limited, today will write here, if you have questions, please leave a message. This article is authorized by Dr. Ma Gao Ting, please do not reprint without authorization.