A. Difficult to see a doctor Nowadays, many people talk about the difficulty of seeing a doctor, basically about the following problems: difficult to register, difficult to wait for a hospital bed, difficult to queue, difficult to get medicine. In my opinion, the difficulty is not only these, the difficulty is to be able to see a professional doctor who can really solve the problem for you. The difficulty is that when the doctor has the method and basis to alleviate or cure the disease, but the patient believes in other treatments, and when they come back to you, you are helpless. Therefore, it is also difficult for doctors to see patients. Tumor patients and their families are very concerned about the cure of the patients, they often ask: How much is the value of treatment? This kind of question, I understand very well, each tumor patient’s situation is different: different type of disease, different time of disease, different gender, different age, different molecular phenotype, different cognitive ability, different economic condition, different medical research and control of the disease. Therefore, the answer to this question must be different. Over the past 20 years, I don’t know how many times I have answered this question, but I would like to summarize it as follows: 1. early stage patients – standardized, treatment methods should be followed, and only most early stage tumors are cured here after systematic treatment. 2, medium-term patients – personalized, according to the patient’s complex situation, the development of individual treatment plan, can be multidisciplinary consultation for a long and good life. We should understand the phrase “we can’t only think of how to cure the tumor on the patient, we are treating the patient with tumor”. 3, advanced patients – humane, as far as possible to reduce pain to live well, live long. There are some conditions that cannot be abandoned in advanced stage patients, such as bone metastasis, painful but not like other complications that threaten patients’ lives quickly, and the treatment should pursue the efficiency to price ratio. In addition, the evaluation of cancer treatment should not only be about tumor shrinkage and survival prolongation, but should pay attention to evaluating whether the quality of life has been improved as agreed by the patients themselves. I hope this will enlighten the visitors a little. Bye! The significance of testing These days I always think I know the significance of testing EGFR,Her-2.Krs.RRm.ERCC1 and so on. But in person for patients in the grassroots and poor areas, do you introduce to them. Not introduce them to have the right to know, introduce most people will feel sorry that there is a method that they did not apply because of economic problems. Even if the economic problem is solved, these methods are not 100% effective, so how far are we from targeted therapy and when will these methods be available to more patients? How long is the distance between the ideal and the reality? 1. Patients should see a specialist. 2. Doctors should not practice beyond the scope of practice and should have a standardized mindset. 3, and economic security. The above three, the second most important, the hospital consultation system is to emphasize the scientific nature and importance of specialized treatment, the doctor’s knowledge and ideas to determine the health of patients and the way out.