At present, through the online message of rheumatism patients are increasing, found that there are many problems, is summarized as follows: Xinxiang City Central Hospital, Henan Province, rheumatism and immunology department of the side of Caiyue 1. message simple, fragmented and not systematic: in order to make the doctor a comprehensive understanding of the disease, the message should include at least the following aspects: age, gender, disease duration, the main pain, the development of the process, laboratory indicators, the consultation process, the use of drugs and efficacy and purpose of consultation. 2. Repeated questions: Many questions have been answered in previous messages or blog posts, but there are still many patients who ask the same questions. Patients are advised to look at other people’s comments, or look for blogs written on the topic. 3. Inaccurate messages: Many patients’ messages have very many typos, sometimes not reflecting the information correctly and easily misunderstood. I hope that before sending the message, read and check carefully for wrong words and phrases. 4. Expectations are too high: messages are messages after all, and cannot replace consultation, especially for patients who are more complicated and cannot be clearly diagnosed in several hospitals, they should go to a major hospital rheumatology and immunology department to find a specialist for consultation or even hospitalization for observation, because doctors can be more sure of diagnosis and treatment only when they see the patient personally and conduct some necessary physical examination or observe the condition closely. In addition, many patients propose that the doctor use QQ video dialogue, which is also unrealistic, because the doctor does not have so much time to one-on-one dialogue, I hope to understand.