I recently visited the Twin Cities Spine Surgery Center in the United States and gained some insight. This medical center is very famous, she is the world famous medical doctor John Howard Moe founded. 1, accept the concept of long-term coexistence with the disease As the saying goes, “there is no sand in the eye”, in medical terms, this can be the case for oncological diseases, but not for degenerative diseases such as herniated discs. We have to learn to live with the disease for a long time, as long as the pain caused by the disease is within the range we can tolerate. 2, accept the idea that a condition can be repeated With the gradual improvement of people’s living standards, more and more families are buying cars. We all know that cars have a life span, but many people do not know that the human body also has a life span. Why that? The car has to go into the repair shop, and the old car may have to go into the repair shop often. What about people? People are the same, young people less into the hospital, the elderly have to go into the hospital more. Which car repairer can guarantee that the machine repaired once can be repaired without having to go into the repair shop? Human diseases are the same, with the development of disc degeneration, some patients need multiple treatments. 3. Accept the concept of reasonable multiple surgeries. Cars can be repaired multiple times, and human diseases may sometimes require multiple surgeries. Just like Drs. Denis and Schwander, who were introduced earlier, they pursue the philosophy of treating only symptom-related pathological changes and choose surgical treatment methods. As a result, they choose smaller surgical approaches and, of course, less extensive surgeries. As a result, most patients recovered without the need for later, more extensive surgical treatment. However, there are still a few patients whose condition worsens later and who undergo further, more invasive and more definitive surgery. If we blindly perform and accept the concept and surgery to prevent recurrence and further development, it will definitely lead to excessive surgery, more functional loss and over-treatment. Therefore, we should accept the concept of “multiple surgeries are not the failure of the last surgery”. 4. Accept the concept of medical paradigm change Of course, we have seen individual patients who have received open surgery for many times, in addition to the reason that medical costs do not need to be paid by individuals, there is also a problem with the understanding of the disease by doctors and patients. In the past, we followed the “biomedical model”, which simply means that human diseases can be found in the human body. Now we should follow the “social-psychological-biomedical model”, which means that in addition to physical problems, we should also pay attention to other aspects of the patient’s problems. For example, if a person falls down by himself, the pain is one degree. If the person is knocked down by someone else, he or she will experience a different level of pain with the same degree of injury. For a patient with multiple surgeries and no obvious problems on imaging and clinical examinations, both the doctor and the patient should shift their treatment in time. Because people are not biological people, people have thoughts, emotions, education, social class and other non-biological behavior, nature and so on in addition to the body. 5, accept the idea that the disease can not be cured The ability to treat and ensure that there is no recurrence are two concepts, can treat herniated discs more doctors, but can guarantee that the relevant problems do not occur again doctor, has not yet been born. Otherwise, the doctor is a fake doctor or the patient’s awareness is faulty. One’s awareness should not be so simple that one blindly believes in advertising, especially for the medical market. Not to be without their own, rational judgment ability. 6, accept the idea that there is no best but better Doctors are human beings not gods, confined to one study in order to develop, patients can enjoy better medical services. If there was the best treatment, medicine would not need to develop. 7. Accept treatment from new and young doctors Medicine is to a certain extent empirical medicine. The more practical experience you have, the higher the level. Older doctors certainly see better, but doctors are human beings who also live, grow old and die. In order to ensure that our future generations have new old doctors to serve them, we should allow old doctors to train new doctors, and we should allow new doctors to make non-principled mistakes, non-fatal errors, etc.