Medical service is a special kind of professional service. This special characteristic requires the creation of a good social environment in which the public trusts doctors in general, and also requires the establishment of a sound internal professional self-regulatory management mechanism for doctors. Only in a relatively relaxed social environment and a relatively strict professional management mechanism can doctors better provide medical services to patients. If China’s new health care reform neglects to continuously improve the practice environment for doctors, it will be unknown whether the health care reform will finally reach its goal? Recently, a mother posted online about how she felt when she took her three-year-old daughter to the hospital. The story was actually quite simple: her daughter’s heel was abraded with about 1×1 cm of skin, and after describing her condition, the mother said to the doctor, “I wonder if I hurt the bone.” The doctor replied, “We need to take a film to find out if we have hurt the bone.” “The child is still so young, the radiation is very high, it is not good for the child, right?” The mother said. After treating the wound the doctor said to the mother, “A tetanus shot is needed.” In the end the mother that did not take the film nor give the child a tetanus shot. However, she complained online, “Doctor you look like you should have 20 or 30 years of experience too. What I mean by this is doctor can you check and use your naked eye and your years of experience in the medical field to determine if you have hurt the bone and you have to take a film to determine?” “In addition, just broke a little skin, when the socks and shoes are well worn, the injury is only worn, tetanus injection must be played?” In response to the child’s condition and the family’s concerns, this doctor’s treatment was not wrong in principle. However, this near-routine case is a true reflection of our current medical environment and medical atmosphere. Not only can you see a certain desire of the patient, but it may reflect the helplessness of the doctor! It may be worthwhile to look at a breast surgery case many years ago: a patient with a lump on the breast, more than half a year ago, she initially went to see a breast surgery specialist with extensive clinical experience in the 70s. This specialist told her, “It’s okay, breast enlargement, go back and take the medicine I prescribed and come for follow-up once every three months.” After six months, she visited the old professor’s clinic once more in the middle, and he still said the same thing: “It’s fine, go back and keep taking the medicine.” However, one day, this patient was suddenly shocked by the test report in front of her! She had just gone for an ultrasound, and the report sheet read, “Breast mass with indistinct margins and abundant blood flow, suspected malignant tumor.” She marveled, “Did the old horse really lose its footing and let the old specialist delay the disease! A farmer from Panggezhuang, Daxing, Beijing, who has been growing watermelons for two years, can tell whether a melon is raw or ripe with a casual pat. You say that a breast surgery specialist who has been touching breasts for decades can’t feel whether they are benign or malignant?” She took the ultrasound results and went to see the old expert again, who still insisted, “It’s hard to say it’s malignant at the moment, so trust my hands and go find a master to do the ultrasound again.” So she found an ultrasound expert to do it again, and the second ultrasound result was actually: “Margins are not clear, blood flow is not abundant, breast hyperplasia, follow-up is recommended.” The two ultrasound results were diametrically opposed, making her laugh and cry, and she was at a loss as to whom to trust. Under the torture of these two results, she seemed to turn into an obsessive Qiu Ju, and went to see many other expert doctors in Beijing without stopping. However, without exception, the advice of all these doctors was: cut out and see, once the pathology results come out, everything is clear. She went back to ask the old specialist, but the old specialist still said, “Don’t just operate, trust my hands.” In fact, reports on medical services do not have to be simple negative subjects of doctors coldly treating patients and patients complaining about them, nor do they have to be positive hymns singing about doctors loving and caring for patients and patients appreciating them, nor do they have to be negative medical reports talking about those inevitably exaggerated news points. The core value of reporting should be to build a bridge of communication between doctors and patients, so that both sides can have a channel and a way to express their true thoughts, so that patients can understand doctors better and doctors can get closer to patients. For this breast surgery case, what would today’s good doctor say? ”In your case, the results of several tests are currently inconsistent, so to be on the safe side, we recommend that you have surgery and wait for the pathology results to come back to determine the nature of the lump. Pathology results are the gold standard.” Is this the standard statement for all doctors today who are responsible for their patients? Are there any other doctors who would say, as the old specialist did many years ago, “I’ve felt your lump, and I think it’s a breast enlargement. Don’t take surgery lightly, after all, surgery is also a blow to you, physically and psychologically. Please trust me with these hands and come for regular follow-up.” If you were a doctor, how would you feel? Because if, many years ago, there was still a space for the old specialist to have the courage to risk being provoked, complained about, and misunderstood, to tell the patient what seemed to him the most appropriate choice, today it seems that the door to understanding and communication between doctor and patient that could have existed is closing, or has disappeared! In the context of legal involvement in the doctor-patient relationship, has the influence of negative social medical reports filled patients with complaints, wariness and even hostility towards doctors? Do doctors still get humane feedback from the patients for whom they have worked so hard? Is there any reason to ask doctors to take the risk of a “choice” for their patients when they help them make decisions? As we all know, medicine is still an unknown science in many cases, even for physicians. If patients cannot understand that “medicine is powerless, not doctors,” will doctors be faced with the only choice they can make – to gradually learn to protect themselves and give patients as clear, definitive, and measurable an outcome as possible? If you were a patient, how would you feel? The mother was complaining about not having the opportunity to hear advice like, “Please trust my hands.” That mother is complaining that she didn’t have the opportunity to hear advice like, “Trust my hands. However, if such advice were available today, I wonder how many of those patients who come in with wariness and caution would be willing to trust a sincere doctor in front of them? Would they later find out that the fracture or lump was really malignant and turn around and sue the doctor in court? If the patient can really understand that the kind doctor is considering the patient’s unfamiliarity with medical knowledge, and only based on his medical practice to provide the patient with the “most suitable” reference advice, then should you still sue him? As a patient, of course, you have the right to choose not to take the doctor’s advice and to trust the results of further tests. But no matter how you choose, are you prepared to take responsibility for the consequences of your “own choice”? This includes the damage of “radiation” and the risk of “not getting a tetanus shot”. If the doctor must be responsible for any harm or risk, what do you think the doctor wants? Only when they need to provide professional advice do they ask the doctor as their “family”, and once the “family” judgment is different, they immediately become “enemies”! Is this common phenomenon normal? In today’s society, is there an overemphasis on the inequality of professional knowledge between doctors and patients, as well as various negative medical incidents? Is this so misleading that many patients, especially those with low levels of education, are sensitive to the fact that they are at a “disadvantage” when they enter a hospital? Combined with the impact of the civil rights and consumer rights movements, patients may increasingly want to be assured of their vulnerable position in an unequal situation and to receive services that they feel are respectful and fair. Even if a physician can be professional without losing the warm, welcoming human caring side, will this cold, highly guarded state be ignored or even perceived as ulterior motives by the patient! Once medical care has deviated from what patients themselves perceive, they may begin to look for powerful means to “defend their rights.” Some of these tactics may be to sue the medical department, some may be to take the case to court, and some may be more direct, more reckless, and more chilling to the doctor, such as: verbal abuse and violent assault on the doctor. One doctor wrote in his blog: “In the face of the media and the people’s abuse and misunderstanding, I and the doctors around me are silent; in the face of the thousands of outpatients who come from all over the country every day, I am still doing my medical work seriously, hoping that those patriarchs and sisters who have moved around several hospitals and are full of expectations will get the best diagnosis because of our labor and excellent medical skills. The best diagnosis, the limited life-saving money spent on the edge of the knife.” ”I don’t dare to expect to get the understanding of the whole society, let alone the same pay as my foreign counterparts, but I hope to be respected!” ”I can understand the complexity and difficulties of the national health care reform, and I am willing and working to dedicate my labor for the day when everyone in the society will have health insurance! But while I’m giving, please pay attention to me! Please respect me! Recognize me! I am proud, don’t hurt us too much!!!” In fact, society is asking “What do you say, doctor?” Can society not consider trying to care for and understand doctors more deeply? If the realistic living environment of doctors can not be gradually improved, can not form a relatively relaxed social environment and relatively strict professional management mechanism, then, medical reform can let the people get real benefits?