Patients in the outpatient clinic have their own individual characteristics, and as soon as they sit down, they have different narratives to tell. Or they start with a meal, or talk about their wishes, or tell a story about themselves, or ask the odd question that overwhelms us. And they do have a thousand different doctors, with a uniform standard for the way they record their conditions. Every medical student, after a period of training, has a rather rigid mindset, and that is, ask the chief complaint first. What the chief complaint is, is the symptom that the patient is having the most difficulty with and how long it has lasted, for example, recurrent episodes of stomach pain for 3 months. It is important to record the chief complaint to help the doctor quickly grasp the main contradiction and think for the patient to solve the most uncomfortable symptom. Next is the medical history, before and after the occurrence of the disease, what factors occurred, what treatment was given, what was the effect of the treatment, followed by the present symptoms, which are the most important clues for thinking about the disease, grasping these, the doctor has to start making judgments from the traces of the narrative. The doctor’s treatment is in the communication with the patient, constantly doing numerous multiple choice questions, and to find the basis for the options, so, when there is no way to judge, the doctor has to do a test, including physical examination, such as stethoscope, their own visual touch percussion hearing, that is, the Chinese medicine of looking, smelling and asking. Sometimes auxiliary tests are needed, including various blood tests, X-rays, CT and other methods. Through these, the doctor will make a preliminary diagnosis and then, depending on the specific state of the patient, choose the appropriate treatment plan and medical advice. The purpose of describing this simple process is to make patients who come to the hospital understand that doctors want patients to tell their conditions in a certain order for good. Doctors are capable of judging what is the chief complaint and can do the best thinking, but it is better for the patient not to go around in circles in the narrative in order to judge the condition more accurately. I want to talk about this because the other day, at the clinic, I was so wrapped up in the clouds of Sister Liu’s narrative that I still want to laugh when I think about it, starting with the 10-year surgery and talking about the experience of sending my son to school, until later, I realized that, originally, Sister Liu mainly came to see constipation. So, at the clinic, I gave her a general introduction to the medical record book I was holding to record her condition and introduce my workflow. My medical record book clearly wrote: chief complaint – medical history – examination – diagnosis – treatment –Doctor’s orders and other words. I told Ms. Liu: This is the medical record, the format of the record, and the first and most important thing is to state your most difficult symptoms and how long they last. Other information may also be important, but if you want your doctor to understand your most difficult symptoms, then just tell him first what is most difficult and how long it has been bothering you. Sister Liu is understood, I wonder if my next patient will take this into account. From the experience of the clinic – introducing some doctors’ workflow may be twice as effective for older patients, which is also a kind of communication with patients, so that they gradually understand the process of medical treatment, participate in the process of medical treatment, follow the evidence-based This is also a way of communicating with patients, allowing them to gradually understand the medical process, participate in the medical process, follow the concept of evidence-based treatment, work together and face the disease. This will also make the patient more proactive, 50% of the disease treatment depends on medication, the other 50% requires their own efforts to recover health faster and more completely.