Remember the main reasons for pain medical disputes 1. poor service attitude Poor service attitude is a common cause of pain medical disputes. Pain physicians must understand the special nature of pain patients. Pain patients have a history of multiple visits to multiple locations, poor outcomes are common, there is distrust of doctors, or impatience, and in some severe cases, there are psychological and psychiatric disorders secondary to pain, and personality disorders in some individuals. Pain patients have higher demands on the service attitude of doctors than patients in other departments. As a pain doctor, Zhang Ge of the Acupuncture Department of Qi Fei Studio, Neck, Shoulder, Back and Leg Pain Department, Laiwu Central Hospital of Xinwen Mining Group should always remember that every patient you receive may become your friend or plaintiff. Without patients, there is no doctor, and patients and doctors are the relationship between water and fish. In the pain treatment work, “but do good deeds, do not ask the future”, full of kindness, sincere service to patients, treat patients as friends, is the first condition to avoid medical disputes. 2. too much explanation to patients, too detailed: patients do not understand, feel more confused, will be more words will lose. Inconsistent explanations: The inconsistent statements of various doctors in a department will lead to misunderstandings and should be unified by the specific doctor in charge. Too coarse and too simple explanation: Patients are dissatisfied and think that doctors are irresponsible and disrespectful to them. The explanation is too academic: The patient feels that the doctor is showing himself/herself, but he/she does not understand and is not satisfied. The explanation is too absolute: for example, “guarantee to remove the root of the disease”, “guarantee no more pain in the future”. “Guaranteed not to recur”, etc. Many medical disputes originate from family members or visitors, who make excessive demands on the hospital to show their concern for the patient, and the patient is dissatisfied when the demands are not met because the patient’s psychological expectations are raised. For example, the visitor thinks he or she has a lot of access and proposes to give the patient a new doctor, adjust to a single room, etc., and can cure the pain without surgery with massage, etc. Visitors often provide patients with untrue information, such as: “to you such pain is a minor problem, a hospital a doctor a few times massage will be cured, there is no need for hospitalization, let alone surgery”. “To you such pain, a hospital spend a few dollars to get well, simply do not need to be hospitalized, let alone spend so much money”. “A hospital treats pain like yours with better results”. “A certain hospital treats pain like yours and is number one in the country”. The bedside doctor should introduce the patient prophylactically after hospitalization to guard against visitors’ interference. Strictly control the time and number of accompanying family members or visitors. Information about visitors is given and verified in person. 4. Medical record problems: You must write a good medical record and should remember: everything you write wrong can be used against you in court. Records should be detailed and accurate. The reason and purpose of each treatment and test should be noted. Medical records should not be erased after a doctor-patient problem arises. Write your check-ups, discussions and records carefully and in detail; from a legal point of view, only what has been recorded has happened. 5. Be anticipatory Be proactive in briefing patients and families several times after hospitalization.