I was out in the clinic today, and although I helped a patient with an emergency, I couldn’t be happy? I couldn’t help but ask myself, why is this so? This patient had open-heart pancreatic cancer surgery in a hospital in Beijing in June last year and did not have chemotherapy once after the surgery. In April this year, the patient had abdominal discomfort, irregular stools, abdominal pain and poor appetite, so he went to the gastroenterology department of our hospital and was treated according to intestinal obstruction. One day after discharge, he was unable to pass stool and had difficulty in exhaustion. He used glycerin enema several times at home, but although it was effective and stool came out, he was always uncomfortable at the anus. The results were very sad, as the rectum about 6 cm from the anus had become stenosed and was very fixed with a stiff rectal wall, and the finger sleeve was not stained with blood. In view of the fact that the patient and the family knew their original disease very well, I told them frankly that it was likely to be metastasis and pelvic metastasis, and that the metastatic lesion had invaded the rectum, causing poor rectal defecation and discomfort in the anus, and so on. Looking at the anxious patients and their families, I thought about what words to say to make them aware of the seriousness of the disease. I also tried to get them into a hospital bed. They finally chose to be hospitalized for chemotherapy first (because they had never had chemotherapy before), and later, depending on their condition, they would decide whether to have a colostomy to prevent stool obstruction. I am happy and joyful today because I helped a patient who needed help so much, medically, and also helped him to be hospitalized in time when the beds were so tight, and I hope he will be in remission and less sick as soon as possible in his future treatment. But today I am still torn in my heart. Why can’t doctors tell patients the importance and necessity of chemotherapy, especially for a patient with very late stage pathology after surgical resection? Surgery is only part of the treatment, without chemotherapy follow-up, recurrence will come soon, and this patient has already recurred less than a year after surgery. 2. Why was the patient not told what to review and what is the significance of the reviewed labs and test results during the patient’s subsequent review? A word or two from the doctor is likely to play a key role.3 Perhaps we as doctors, even if we are more attentive, more carefully explained, and more caring, cannot stop the development and aggravation of the disease, or even the arrival of death, but I still want to repeat what a medical predecessor said: occasionally to heal, often to help, always to comfort.