In the process of seeing a doctor, there are often certain “misconceptions” that cause patients to take many wrong turns. Here I would like to remind you of this. This common misunderstanding is: for example, a patient who has some kind of physical “discomfort”, goes to the doctor, does some tests, and finds some kind of problem, which we call “problem A”. So, he started to treat “Problem A” with medication, and found that it didn’t work very well. So, we went back to the doctor (or maybe a different doctor), did some more tests, and found “Problem B”, so we started treating “Problem B” again (or maybe we treated Problem A at the same time). Unfortunately, the effect is still not satisfactory, so the examination again, and found the “problem C”, the final result is likely to be, problem A, B, C are treated, how come the effect is still not good? In fact, the most crucial question here, that is, the core point, is what is the “discomfort” of the patient’s initial visit to the doctor, and what is the potential cause of it? Can the “problems A, B, and C” detected really explain this “discomfort”? Is there any clinical significance to the “problems A, B, and C” detected, and do they need to be addressed? If it is not clinically significant and may not be the cause of the patient’s “discomfort”, can we take a calm and observant attitude and not deal with it for the time being, and see how it develops before making a decision? People are an extremely complex whole, there is always the possibility of this “discomfort”, that “discomfort”, in fact, it may not necessarily be a disease. If this “discomfort” is a phenomenon that may occur in many people, and if, after proper examination, no particularly clear cause can be found for a while, then is there any potential harm or more serious consequences of this “discomfort”? If it is judged that there is no such thing, can we adopt a rational attitude of “stop the examination and continue to observe and follow up” for this “discomfort”? Can the doctor remind or advise the patient, and can the patient be “rational and calm” enough to accept such advice? It is true that some “diseases” may suddenly appear unexpectedly and have serious consequences if the cause is not clearly identified and actively treated. The point is, there are clues to this “disease”. There are also some “discomfort”, not necessarily a disease, just a “discomfort” of the body, often without any substantial harm. Experienced doctors, through careful consultation, can summarize the patient’s existing test results to determine whether there is a need for further examination, so as to help patients to develop a more appropriate “medical” strategy: there are some really suspicious, then it is worth the cost of in-depth examination, as far as possible to clarify the cause, and actively treat; and In some cases, there is really no need to investigate further, because further investigation may not lead to any substantial results. Most of the symptoms of real heart disease are related to exercise and exertion. As long as exercise or physical labor is performed, symptoms (chest pain, chest tightness, weakness, lack of energy, blackness in front of the eyes, etc.) will easily appear, and when you stop to rest, the symptoms will often improve, and then exercise again, they will appear again, and such symptoms can last for a few minutes, more than ten minutes, or less than half an hour. There are also unhealthy lifestyle, such as long-term smoking (a pack a day, 15 years on), drinking, or long years of high blood pressure, diabetes and not properly controlled and other cases, then this case, to pay great attention, must pay attention, even if there are no symptoms, but also pay attention! If you don’t feel anything when you are active, but feel uncomfortable in a quiet state (especially when you are alone), and if you feel uncomfortable for a few hours or half a day, you can go out and move around, but your symptoms may get better. Therefore, the so-called “doctor” or see the body “discomfort”, sometimes also pay attention to the “appropriate stop”. Not all “discomfort” must be “disease”, are sure to find out a reason, even if the detection of some problems, may not be the real cause, but probably just “scapegoat Even if some problems are found, they may not be the real cause, but may just be a “scapegoat”, “because of the examination, so the examination of the problem” (the problem found, probably not clinically significant, is not the cause of the patient “to see the doctor”). For example, like a car, after 10 years of driving, even if it can still drive normally, just feel as if driving is not very smooth, take it to the 4S store to do maintenance, there is always some small problems can be found, as long as these problems do not affect the normal, safe driving, there is no need to make too much effort to repair, maybe continue to drive, the car is smooth again. Therefore, if the patient repeatedly visits the doctor for a long time, the test has done a lot, then, in the subsequent consultation process, the doctor and the patient to “review, summarize” the “medical” history, as far as possible, the next step to take a reasonable, rational. In many cases, it is possible to “stop here” and there is no need to continue “trekking” along the path of seeing a doctor. Helping patients to “get their thinking straight” is a very important, yet easily overlooked, task. These are the most common “minor problems” in cardiology clinics that do not require much treatment and usually do not require special treatment. However, they are really common in outpatient clinics, and even cause many people to visit the clinic for unnecessary treatment for a long time, bringing unnecessary trouble. 1, young people, teenagers to more than 30 years old, especially women, especially women nearing menopause, because the ECG “slight ST-T changes, ST-segment slight depression, T-wave low flat, shallow inverted” and so on and so forth, because the ECG has abnormalities, and then “really feel as if the chest is a little bit I feel like my chest is a little tight, my heart is a little panicky, I have some vague pain here and there, and I feel a little pressure there” and so on and so forth. Then, they repeatedly visit the doctor and see him again and again. In fact, it’s really not worth doing this. Careful consultation, combined with the characteristics and evolution of the ECG, the patient’s ultrasound results, etc., can help determine if there is a real problem. In fact, the vast majority of such cases, which are not clinically significant, are almost always not true myocardial ischemia. 2. Suddenly waking up at night or suddenly waking up in the morning, having panic attacks for a while and then getting better after a while; feeling panicky at night when you can’t sleep, having a heavy heartbeat, being able to hear your own heartbeat, being able to feel that your bed seems to be jumping along with it. And so on and so forth. 3, in the house, feel that the air is not enough, to open the window, do not open the window will feel the gas is not enough, hold ah, to suffocate the past. Others in the room do not need to open the window, you have to open the window. 4, body discomfort, it seems that the specific can not say too clearly. Sometimes the chest pain, and activity, force does not have any relationship, the location is variable, a moment in the front chest, a moment in the back, a moment in the left chest, a moment in the right chest. Or, there is a point in front of the chest, a very sure point, a point that can be pointed out with a finger, hidden pain, stabbing pain, jumping pain. And so on similar sensations. Like big breaths, big gasps, sighs, and then after the sigh, you feel better.