In recent years, the number of patients with chronic pharyngitis, chronic rhinitis, sinusitis, acute and chronic otitis media has increased due to the purchase of cold medicine from pharmacies, or incomplete treatment in pediatrics and internal medicine. Some of these patients have to be treated surgically. In fact, the cold is also acute rhinitis acute pharyngitis, went to pediatrics, internal medicine doctors are generally with a flashlight to shine the pharynx, flashlight light is often weak, dark yellow is difficult to see clearly the pharynx, but also can not check the nasal cavity, ear situation, more can not check the nasopharynx, laryngopharynx, so pediatrics, internal medicine doctors often tell patients pharyngeal red, tonsillitis, etc., often to The diagnosis of “upper respiratory tract infection” is often made, and some cold medicine and antibiotics are prescribed to control the symptoms. In fact, antibiotics are generally not used. The upper respiratory tract is the ear, nose, throat, throat parts, and the pharynx is divided into nasopharynx, mouth smoke, laryngopharynx three parts, pediatric internal medicine doctors can only see the mouth smoke parts. So now many experienced pediatric internists will let patients go to the otolaryngology examination, especially for pediatric colds, because it is easy to cause sinusitis and otitis media. Our people have long formed the habit of going to pediatrics for children and internal medicine for adults when they have a cold. In fact, if you have a “cold”, you should go to the ear, nose and throat for a specialist examination to see whether the onset is mainly in the nasal cavity, sinuses, or nasopharynx, oropharynx, laryngopharynx, etc., so that the treatment can be targeted and will have the best effect, and will not turn into sinusitis, otitis media, etc., because the earlier these diseases are detected and treated, the better, you should try to detect and treat them in the acute stage. The earlier these diseases are detected and treated, the better, and you should try to detect and treat them in the acute stage so that they do not turn into chronic diseases. We often encounter patients who do not get better in 1-2 weeks in pediatric internal medicine for colds and are getting heavier, and we also found several cases of nasopharyngeal and pharyngeal cancers since 1-2 months in internal medicine for patients treated as colds. Otitis media is often a complication of inflammatory conditions such as rhinitis and pharyngitis. Many patients with symptoms such as sneezing, coughing and runny nose think it is a cold and go to pediatrics or internal medicine. When in fact it is allergic rhinitis. Children with otitis media after a cold will not say that it leads to hearing loss, often found late in the physical examination for the entrance examinations, and many patients with otitis media, rhinitis, sinusitis who come to the ENT department are not well treated in pediatrics, internal medicine, before they are transferred to the ENT department, which delays the best treatment time, the cold to pediatrics internal medicine is a long-standing habit of people to go to the doctor, and the health department does not specify that they should go to that If you have a high fever and bronchitis, you can go to the pediatric internal medicine department first. So patients should have some medical knowledge in this area, it is very good for them.