If you open a search for “prostatitis”, at least hundreds of hospitals pop up, and the words “frequent, urgent, painful urination, impotence, premature ejaculation” under their entries are particularly eye-catching, and the impact is strong for young and middle-aged male patients who lack medical knowledge. You can imagine. In the academic world, there is the National Institutes of Health (NIH) classification of the four types of prostatitis, and then there is the seemingly more “noble” “UPOINT” assessment system, so that specialists are at a loss as to what to do. The core of the problem is: prostatitis, is it “something” or “nothing”? The actual “something” in the mind of the patient? The actual “three big mountains” are the “big things” that cause them to worry. The most important thing is that it is not just a question of whether or not it is curable, but also whether or not it is a sexually transmitted disease. According to the NIH classification of prostatitis, type I is an acute bacterial prostatitis with a rapid onset, often with fever and significant difficulty urinating or frequent urination, and significantly elevated blood and prostate-specific antigens, and I have only seen three cases in my medical career with a clear diagnosis, which is very rare. Type IV is asymptomatic and is only found during visits for other reasons and has little impact on the patient. It is mainly Type II and Type III, chronic bacterial prostatitis (CBP) and chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), that cause the most problems for patients, and because formal bacterial cultures (four-cup or two-cup methods) are rarely done, these two types of patients are often managed together. The study concluded that there is insufficient evidence that chronic prostatitis can evolve into prostate cancer; there is also no direct basis for prostatitis causing infertility, although changes in the physicochemical properties of prostatic fluid may affect semen parameters; the direct relationship between decreased libido, erectile dysfunction and premature ejaculation and prostatitis is not clear, but mostly related to psychosomatic factors such as lack of health knowledge and anxiety generated by inappropriate propaganda misinformation. ”The actual fact is that you can find a lot of people who are not able to get a good deal on this. The actual fact is that the actual “something” that patients often worry about with regard to “prostatitis” is basically not a thing, and the guidelines for treatment are based on the principle of “symptom control and quality of life”, which is not complicated. The actual fact is that you can find a lot of people who have been in the market for a long time, and they’ve been in the market for a long time. The actual fact is that you can’t be a good person. The actual fact is that you can’t be able to hurt the girl, and besides, you’ll always be recognized for a while, and you’ll end up with no money. Mao Zedong said: whatever the enemy opposes, we must embrace; whatever the enemy embraces, we must oppose. This context-specific black-or-white assertion often fails to work in the complex reality of society because the “gray area” is the most complex and difficult part to navigate. When “ethical” doctors follow the idea of “opposing everything the enemy does” to the other extreme of black clinics, patting patients on the shoulder, smiling and saying in a relaxed tone “boy, it’s okay, don’t worry, go home! ” When the time comes, will you gladly give him a nod of approval? Wait a minute! In my opinion, he may be right in most cases, but sometimes he may not only be disapproved by the patient for not paying attention to the “symptoms + psychology”, but he may also make a big mistake! O’Henry’s novel “The Witch’s Bread” is a typical example of good intentions gone awry. In the story, the single bakery owner takes a middle-aged man who often comes to buy cheap old bread for granted as a down-and-out painter, and one day generously and quietly put butter inside, resulting in the destruction of his painstaking design drawings, which turned out to be the role of the old bread is actually a rubber eraser rather than a hunger. So, is there really a risk that the “good doctor’s” good intentions can do bad things? Good intentions can do bad things: Beware of wolves in sheep’s clothing Despite the many posts on the Internet attacking Mr. Yang’s morality, Mr. Yang’s contribution to the world and China is undeniable, not only in physics itself, but also in scientific research and thinking habits and concepts. Regarding the difference between Eastern and Western thinking, he believed that we are good at “deduction” and the West is good at “induction”, thus the West is more creative. Likewise, clinical thinking is to “generalize” disease diagnosis through symptoms and manifestations, which is called “diagnosis and differential diagnosis” in medical terms. It is important to have a common sense that the “cluster of prostate symptoms” described by the patient is not necessarily unique to “prostatitis”, as abnormal urination and discomfort in the pelvic perineal area can also be a manifestation of many other diseases. The actual “plum” is often more harmful than the simple “prostatitis”. “I have encountered all kinds of “wolves” in the garb of “prostatitis” in my clinical work: 1 case of intestinal tumor, 1 case of bladder tumor, 2 cases of bladder The rate of misdiagnosis is even higher for atypical interstitial cystitis and adenocystitis. A colleague once reported a case of 37-year-old prostate cancer being chronically misdiagnosed as prostatitis, while prostate sarcoma tends to develop at an even younger age. Whenever I think about this, I can’t help but sigh at the complexity of the disease, the fear of medicine and life, often as if walking on thin ice, like the fear of the abyss, in case these patients are hastily allowed to “go home with confidence”, the consequences can be imagined. The “bad egg” and “faint egg” Professor Qiu Fazu, a great surgeon, once wrote: In my 65 years of surgical career, there are mistakes, mistakes, late at night when I can not sleep often make me ashamed and uneasy. Even if a master is like this, it is impossible for a general surgeon to have no mistakes, but to do his best to avoid them. If a patient or colleague asks me now whether prostatitis is “something” or “nothing”, my answer is usually: simple prostatitis is basically “nothing”, provided that it has undergone The first thing you need to do is to take a closer look at the patient’s body and see if there is anything else you can do. In a country where there is a lack of faith and the practice of medicine is rampant, the risk of practicing medicine has increased dramatically. If you cannot travel to Mr. Jin Yong’s martial arts stories and become a master of both the apricot and martial arts worlds, you can only pray that your peers will be careful in their practice. “, but also to be careful with their words, to avoid becoming a good intention to do bad things “faint egg”.