Play the joke, women cure all diseases. However, when there is really a clear clinical disease, “package” cure for all diseases, can be believed? Every time I see patients have eaten the so-called prescription package, can be adjusted well, the silver also cost a lot, the whole of their own condition can not stand to see, the heart is filled with immense sadness. Chronic disease regulation, chronic disease management, patient education, there is a long way to go. Recently, I met a patient who visited the hospital for skin purpura with arthralgia, and routine blood suggested single-digit platelet count, and was admitted to the hospital numbly because the platelet count was too low. After being discharged from the hospital, I listened to the local so-called conditioning center and took the so-called miracle drug as shown below orally, which was said to be good for a lot of thrombocytopenia, and stopped taking methylprednisolone 28mg nimbly, as a result, within two weeks, skin purpura appeared again and platelets fell to single digits before liberation. In order to reduce unnecessary trouble, the picture is mosaic processing. I don’t want to point out anything. I just feel sorry and full of helplessness in my heart. The merchants take advantage of the psychology of patients who want to completely cure the disease and exaggerate the efficacy of the goods they sell, plus there is no shortage of hormone adverse reactions around the patients who can’t use the guide, leading to the patients’ herd mentality and blind trust, and the final consequences can only be borne by themselves. For the treatment of SLE, hormone-free era, is also the goal of current treatment. However, in clinical practice, only a small percentage of patients are able to stop glucocorticoids completely. It is not the hormone dependence that the people talk about, but the need of the disease itself. What we can do now is to use the smallest possible dose to keep the disease under control and stable. To put it another way, most of the adverse drug reactions are currently preventable and predictable. However, if one refuses to do the standard treatment of the disease for fear of adverse drug reactions, the consequences can be unimaginable. As in the case of “Repeated miscarriages, what is the culprit? In those two cases, the patients had seven or eight repeated miscarriages and ended up with the organ damage that their condition was able to show. Of course the reason for them is the lack of clarity of the disease, but also indirectly gives us a warning that if we are afraid of adverse drug reactions, and do not effectively control the primary disease, and let it develop freely, the final result is also a systemic disease can be affected by the organs, all will be reflected. Autoimmune diseases such as common systemic lupus erythematosus, rheumatoid arthritis, dry syndrome, ankylosing spondylitis, aortitis, leukoarthritis, vasculitis, recurrent polychondritis, gout, osteoporosis, osteoarthritis, juvenile arthritis …… Just because we were relatively new to him before, the essence is like common diseases such as hypertension and diabetes, we need to treat it with care and treat it like a friend, and it will give us a big hug. We often say that the cure for all diseases, can not really go, most of the current pathogenesis of chronic diseases are in an unknown state, and how can we talk about a complete cure. I hope not to be delayed by the partial prescription package cure for all diseases. Use your sanity to manage your disease well. In the journey of managing the disease, take less detours. Every doctor wants his or her patients to have a stable condition. Treat everyone you meet well, and whether or not you have the fate to continue to serve them depends on the shallowness of the fate.