The story is too long, segmented narrative, a patient’s real treatment process One weekend in the countryside clinic, just a little free time at about 9:00 a.m., suddenly (unregistered) came two women and one man, claiming to be my distant neighbors, came to me, want to ask me to see a patient. I asked them where the patient was. They said they were still in their hometown. Where is my hometown? Fuyang. Then took out a thick stack of medical records. I asked them to sit down, while reading the medical records to the woman who claimed to be the patient’s sister to ask about the condition, so I know the general situation. Patient female, thirty-something years old, married, years ago due to acute intestinal obstruction in the local treatment, but what causes intestinal obstruction is not clear. For some reason, she was transferred to a provincial hospital, where she underwent emergency surgery for intestinal obstruction and had part of her small intestine removed. After the operation, he was operated again for intestinal leakage and underwent small bowel fistula. The patient was discharged from the hospital, and was instructed to undergo an intestinal fistula re-instatement operation six months later. Six months later, the patient was hospitalized in the provincial hospital where the original surgery was performed, but the doctors in the provincial hospital replied that the patient’s current condition was too poor for surgery and turned her away. The patient’s family felt desperate and sought medical advice. The patient’s family was desperate to find a doctor, but it was fate that they came to us. After understanding the initial situation, I knew that there must be some complicated hidden reasons, but I was too embarrassed to reject them out of hand. I promised to invite the patient to come over on the following Monday morning so that I could take a look at him. Monday morning is not yet time for the morning shift, the ward corridor is already standing a large group of people, two of which I have seen on Saturday. Beside them was a pale, bone-thin woman who looked to be in her early thirties, and this was the patient, right? She was about 1.55 meters tall, and next to her were probably her parents and husband, all of whom looked grave and anxious. From the patient’s tired demeanor and trance in the eyes can be roughly guessed, they are overnight from their hometown, just arrived at the hospital soon. After simple greetings and courtesies, I invited them to my office. Doctor, the first step of the first step of the first step of the first step of the first step of the first step. The patient, already weak and frail, experienced a two-and-a-half-hour bumpy road, making his frail body look even more emaciated. Only asked a few simple questions about the routine, the patient was coughing dramatically, shortness of breath, obviously feel a serious chronic lung disease. I vaguely felt the reason why the provincial hospital did not admit this patient. Although the impotence retraction is not difficult from the point of view of surgical procedures, but for this patient is a problem, the heart does not have any certainty. I wanted to say the same thing to the provincial hospital, politely push the rest. But think about the patient has been at home for half a year, into this state, and now asked her to go back to the result will be how? Compassion and side of the hidden heart from the rise, because the heart is not bottom, just with the patient and the family said that the first stay down while checking the nutritional support to see, and then decide whether there is a chance of surgery. The family should have sensed from the tone of my conversation that there was not much hope, but it was better than no hope at all, so they decided to stay in the hospital immediately!