王帅

[{"body":{"content":"您好，我是泌尿外科的顾炜医生，您的咨询问题已收到，接下来我需要再了解一下您现在的整体情况，以便给您合理专业的建议。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050272121},{"body":{"content":"之前说是肾结石，然后去医院排出来了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050303453},{"body":{"content":"您能看出来，这是属于什么肾结石么？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050320713},{"body":{"content":"这个是今天复查的报告","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050390424},{"body":{"content":"已经排出来了。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051743583},{"body":{"content":"这个是今天复查的。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051754394},{"body":{"content":"是什么意思呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051760278},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052002327}]

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049784718},{"body":{"content":"您好，我是泌尿外科医生，非常高兴可以帮到您，为了确保本次问诊顺利进行，请您始终保持在线，谢谢配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049805910},{"body":{"content":"为了更好地了解您的情况，我先收集一下病情信息，感谢您的配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049813520},{"body":{"content":"请问是否有以下症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049816521},{"body":{"content":"睾丸胀痛 / 会阴胀痛 / 尿急","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049855278},{"body":{"content":"您这种情况出现多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049859268},{"body":{"content":"7—30天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049868365},{"body":{"content":"是否做过相关检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049871360},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049875732},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049879746},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049885094},{"body":{"content":"治疗效果是否满意？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049888174},{"body":{"content":"不满意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049891962},{"body":{"content":"是否方便上传检查报告？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049895997},{"body":{"content":"检查结果已上传","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050001310},{"body":{"content":"现在收集的信息来看，您的症状初步诊断为：前列腺炎。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050063493},{"body":{"content":"在日常生活中导致前列腺炎的原因，比如性生活过于频繁，过多的手淫、久坐、骑车、骑马、酗酒、喜欢吃辛辣，刺激生冷性的食物，感冒着凉等，都有可能诱发前列腺炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050067212},{"body":{"content":"怎么治疗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050084886},{"body":{"content":"为了更好更安全的为您提供用药指导，请问您是否有药物过敏史？是否有严重的肝肾功能不全？严重的心脏病、高血压、糖尿病等病史？是否备育期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050096134},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050104156},{"body":{"content":"******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050190366},{"body":{"content":"医院开了这个吃了感觉没什么效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050207492},{"body":{"content":"针对您的情况，建议您可以使用************+******治疗一下，可以先使用1周的看看效果，1周后线上复诊，我帮您看一下治疗的效果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050361192},{"body":{"content":"我自己买了*****在吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050396402},{"body":{"content":"吃了几天了，今天骑车后又开始疼痛起来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050418472},{"body":{"content":"减少骑车等不良刺激","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050520374},{"body":{"content":"上面给您推荐的药物为处方药，我可以给您开一张电子处方，以供线上购买使用，或者作为线下购买及用药参考。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050524354},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050548370},{"body":{"content":"已经开好了，处方内药品由京东质保，京东物流配送（保密发货，送药到家）.用量处方上帮您备注上，用药前建议您仔细阅读说明书，注意药物的不良反应，副作用及用法用量，如果用药后出现不适症状或症状得不到缓解，建议及时线上咨询或去医院就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050554150},{"body":{"content":"您可以点击处方，预约购买，药师审核通过后，即可发药的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050554946},{"body":{"content":"买哪种？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050576940},{"body":{"content":"处方已经审核通过了，您点击处方，按流程即可购买的，后续用药问题，可以上线找我复诊，祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050592772},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050620295},{"body":{"content":"这个药都是一起吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050631854},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050708421},{"body":{"content":"这是一周量？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050821465},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050832572},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050902240},{"body":{"content":"能治疗好吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050929919},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050940339},{"body":{"content":"用药1周后，可以线上找我复诊，便于掌握您的病情变化，更好调整治疗用药，指导康复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050944237},{"body":{"content":"嗯嗯，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050995886},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051008112},{"body":{"content":"给您些生活建议，希望能够帮助到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051015212},{"body":{"content":"生活建议您：保持良好的心态，减轻心理压力，多喝水，勤排尿，忌烟酒、别熬夜，不吃辛辣刺激性食物。忌久坐，避免长时间骑车，避免剧烈运动。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051029529},{"body":{"content":"希望我的建议能够帮助到您，后续您如果还有需要咨询的问题，可以打开京东APP，点击“我的”，再点击“问医生”，在搜索栏中搜索“泌尿外科**”，即可找到我。祝您生活愉快","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051551069}]

[{"body":{"content":"您好，我是内科医生蔡磊，非常高兴由我为您提供医疗咨询服务，请稍等，我正在详细阅读您的病情描述。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049917851},{"body":{"content":"你好，有什么医学问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049919788},{"body":{"content":"目前主要有哪些不适症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049921495},{"body":{"content":"就是眼皮跳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049934341},{"body":{"content":"这个严重吗？什么原因造成的呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049974485},{"body":{"content":"多长时间了呢？！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050015192},{"body":{"content":"眼皮跳了一个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050041978},{"body":{"content":"眼睑再调吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050047932},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050052563},{"body":{"content":"这个脑白质缺血严重吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050066006},{"body":{"content":"左眼睑？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050069552},{"body":{"content":"有什么基础病吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050074298},{"body":{"content":"右边","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050080571},{"body":{"content":"没有什么基础病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050087563},{"body":{"content":"这个情况建议您做一个血管成像。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050199381},{"body":{"content":"考虑有动眼神经的问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050205514},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050442855},{"body":{"content":"要做血管成像检查缺血灶？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050490741},{"body":{"content":"看看血管有没有问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050508104},{"body":{"content":"因为您这个年龄不应该出现有缺血灶的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050515216},{"body":{"content":"然后规律治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050524826},{"body":{"content":"查血管挂什么科室？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050591840},{"body":{"content":"去神经内科就诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050612249},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050618015},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050621679}]

[{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务，请稍等，我正在详细阅读您的病情描述。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050650020},{"body":{"content":"您报告提示iGE很高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050696794},{"body":{"content":"对，您知道怎么回事儿吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050707033},{"body":{"content":"这个反映过敏的状况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050716319},{"body":{"content":"周一我们检查确诊是哮喘了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050720453},{"body":{"content":"查了****还有肺功能","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050729040},{"body":{"content":"哮喘常常合并过敏性体质","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050744283},{"body":{"content":"比较常见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050751184},{"body":{"content":"他这个这么高和哮喘有关系吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050760791},{"body":{"content":"多数哮喘有过敏的影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050788699},{"body":{"content":"因为他哮喘所以这个高也正常是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050807472},{"body":{"content":"查那个****检查也是65ppb显示过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050826707},{"body":{"content":"经过治疗之后可以下降","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050828153},{"body":{"content":"主要是哮喘引起的高？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050846815},{"body":{"content":"****也是提示嗜酸性粒细胞性炎症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050866604},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050880780},{"body":{"content":"不是有别的病吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050887617},{"body":{"content":"我百度说除了过敏可能还有别的问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050898310},{"body":{"content":"iGE最常见就是过敏引起","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050928658},{"body":{"content":"他这个哮喘属于过敏性哮喘吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050941317},{"body":{"content":"有一部分是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050962997},{"body":{"content":"之前问诊也是您，然后我们去医院查了肺功能检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050967081},{"body":{"content":"有一部分跟过敏没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050975600},{"body":{"content":"确实医生说是哮喘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050978586},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050993358},{"body":{"content":"哮喘的确诊依据主要是肺功能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050998138},{"body":{"content":"我们周一去的医院，查的这个结果，一个月后复查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051013744},{"body":{"content":"我们有必要再去医院专门看这个过敏源检查吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051041936},{"body":{"content":"有部分哮喘发作就是接触过敏诱发的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051047039},{"body":{"content":"这个过敏原不急着复查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051069203},{"body":{"content":"哦哦，那就是我们一个月以后复查也行？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051086461},{"body":{"content":"可以抽血复查iGE","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051110184},{"body":{"content":"皮肤过敏性检测可以暂时不用测","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051123899},{"body":{"content":"如果用药有效，我们一般建议三个月再复查相关指标即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051169273},{"body":{"content":"不用急","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051173657},{"body":{"content":"肺功能，****检测有点贵","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051206773},{"body":{"content":"过敏源这个着急查吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051241982},{"body":{"content":"我们很少复查这个过敏源","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268494},{"body":{"content":"确诊之后，主要看治疗的反应","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051293402},{"body":{"content":"****还有肺功能检查三百多还可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051299491},{"body":{"content":"那我们现在就等着用药一个月复查就可以了吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051317896},{"body":{"content":"过敏源抽血那个三百多我觉得还挺贵的，哈哈","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051339338},{"body":{"content":"症状明显好转，不用急着复查，当然也看您当时确诊的情况，如果比较严重，可以早点复查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051344514},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051356049},{"body":{"content":"我现在就是担心那个总ige浓度太高了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051366235},{"body":{"content":"平时有过敏源鼻炎吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051376792},{"body":{"content":"平时他就爱咳嗽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051400333},{"body":{"content":"以为抽烟抽的没当回事儿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051407745},{"body":{"content":"也打喷嚏，但是没那么严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051418061},{"body":{"content":"有不少哮喘都是接触过敏源诱发的，平时要尽快避免接触这些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051425841},{"body":{"content":"治疗有效的话，iGE会明显下降的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051463008},{"body":{"content":"因为吃的喝的都没过敏，就没想着他会过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051470827},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051485690},{"body":{"content":"那我们就一个月以后复查就行了，是吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051497311},{"body":{"content":"不用太担心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051498684},{"body":{"content":"对，不急的话，用药三个月之后","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051520955},{"body":{"content":"请问您是否还有其他医药问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051564147},{"body":{"content":"没有了，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051688729},{"body":{"content":"感谢感谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051707361},{"body":{"content":"若您无其他问题，我将结束本次咨询。希望我的建议能够帮助到您，非常感谢您的信任！还得麻烦您在对话结束后对我的服务作出评价，祝您和家人生活愉快，身体健康，工作顺利！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051713502}]

[{"body":{"content":"您好，京东大药房药师工号0081，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050473597},{"body":{"content":"您好，请问您有什么用药问题需要咨询","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050475311},{"body":{"content":"生脉饮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050495419},{"body":{"content":"为了您的用药安全，方便药师指导用药，请问患者的性别和年龄？特殊情况请提前告知，如：（糖尿病、肝肾等其他病史、备孕期、孕期、哺乳期、是否有过敏史）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050515389},{"body":{"content":"贫血，血压低，的人适合喝生脉饮吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050524592},{"body":{"content":"女，五十岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050540845},{"body":{"content":"功能主治】 *****生津。用于气阴两亏，心悸气短，自汗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050553036},{"body":{"content":"凡脾胃虚弱，呕吐泄泻，腹胀便溏、咳嗽痰多者慎用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050585427},{"body":{"content":"我想买可以买吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050616232},{"body":{"content":"生脉饮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050621880},{"body":{"content":"还有别的疾病吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050632075},{"body":{"content":"我刚说的症状，可以购买生脉饮吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050638744},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645681},{"body":{"content":"就是贫血，血压低","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050657659},{"body":{"content":"买给我妈妈喝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050665191},{"body":{"content":"好的 可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050665410},{"body":{"content":"是不是可以**胃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050682433},{"body":{"content":"生脉饮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050687697},{"body":{"content":"脾胃虚弱是不能喝的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050696650},{"body":{"content":"那有没有其他药可以推荐呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050717858},{"body":{"content":"我刚说的症状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050726246},{"body":{"content":"黄芪精","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050742008},{"body":{"content":"我的理解是，**胃了就会感到饿，就可以多吃饭，吃饭多了贫血就会好些了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050790409},{"body":{"content":"贫血严重 是需要 治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050815574},{"body":{"content":"食补效果不好就要吃治疗贫血的药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050831813},{"body":{"content":"缺铁性贫血需要喝些什么好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050865017},{"body":{"content":"这是另外一个问题哈","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050874784},{"body":{"content":"稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050905756},{"body":{"content":"一次喝几粒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051092336},{"body":{"content":"两粒吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051098093},{"body":{"content":"最多是2粒 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需要煎服喝的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051294326},{"body":{"content":"貌似感觉比以前好点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051320719},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051328431},{"body":{"content":"贫血是需要坚持用药的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051354880},{"body":{"content":"服用药物一个月 检查下血常规的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051383479},{"body":{"content":"嗯，大概喝药的话需要治疗多久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051386016},{"body":{"content":"一个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051416853},{"body":{"content":"服用一个月复查血常规，有上升的话，还需要继续用药治疗是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051475467},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051490829},{"body":{"content":"上升到多少克就可以不需要药物治疗了？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051532093},{"body":{"content":"稍等下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051545450},{"body":{"content":"女性患者血红蛋白<110g/L通常也提示出现贫血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051572914},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051590386},{"body":{"content":"您好，您看还有其他药理问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051596888},{"body":{"content":"嗯，好的，我明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051641137},{"body":{"content":"您好，您看还有其他药理问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051670889},{"body":{"content":"对了，你刚才说的***效果好吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051694619},{"body":{"content":"功能主治是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051710435},{"body":{"content":"黄芪精也是有一定的作用 稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051714914},{"body":{"content":"补血养气，**止汗。用于气虚血亏，表虚自汗，四肢乏力，精神不足或久病衰弱，脾胃不壮。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051800714},{"body":{"content":"贫血就会血压低","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051852173},{"body":{"content":"是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051857288},{"body":{"content":"有影响的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051871753},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051890428},{"body":{"content":"好的 我知道了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051895261},{"body":{"content":"您好，您看还有其他药理问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051900407},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051900796},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051906017},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051908294},{"body":{"content":"很高兴为您服务，感谢您对京东大药房的支持，祝您生活愉快，谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051910664}]

[{"body":{"content":"您好，我是京东健康互联网医院专业育儿师，非常高兴由我为您提供育儿咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050193734},{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，如果您有儿童常备药、儿童生长发育、科学备孕相关问题的需要，京东平台为您准备了儿科、妇产科专家一对一服务及专属福利！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050197476},{"body":{"content":"您好！引起婴儿吐奶的原因有很多，主要考虑是以下几种原因导致的：一，喂奶量过多。婴儿胃容量比较小，吃奶比较频繁。如果婴儿吃奶太多，就会出现吐奶的情况。二，喂养不当。在喂奶时如果大量的空气被孩子吞入胃内，家长没有及时拍嗝，后期就可能出现吐奶的情况。三，消化功能异常。如果孩子受凉导致胃肠功能出现问题，导致进食的乳汁不能及时被消化吸收，就会出现吐奶的情况。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050226732},{"body":{"content":"那跟室内温度较高没关系是么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050258128},{"body":{"content":"对","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050320102},{"body":{"content":"您好现在我们是奶粉喂养，这个喂养姿势有影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050339866},{"body":{"content":"有影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050393005},{"body":{"content":"正确的喂养姿势也会减少宝宝吐奶。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050413184},{"body":{"content":"您那边方便介绍一下喂奶姿势吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050495555},{"body":{"content":"还有现阶段针对吐奶呛奶有什么办法吗，大约多少周会好一些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050536135},{"body":{"content":"喂养姿势，宝宝的嘴巴跟奶粉呈45度角。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050675473},{"body":{"content":"根据宝宝体质，最早也得三个月以后吐奶情况才会缓解。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050707330},{"body":{"content":"那宝宝怎么抱","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050864955},{"body":{"content":"现在孩子不到满月可以这样坐着吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050925888},{"body":{"content":"可以。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050970806},{"body":{"content":"还想咨询您一下，孩子喂奶粉的时候是让孩子一次性喝饱还是手动给她暂停一下呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050981326},{"body":{"content":"孩子每次吃奶粉都咕咚咕咚的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050994566},{"body":{"content":"感觉他很着急","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051002925},{"body":{"content":"宝宝吐奶的可以给宝宝拍拍嗝。宝宝吃完奶以后右侧位躺着。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051008061},{"body":{"content":"像夏天宝宝屋里需要开风扇或者空调给她调节一下温度维持在26度吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051068856},{"body":{"content":"这会儿晚上睡觉孩子盖多厚呀一般","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051091059},{"body":{"content":"嗯感谢啦，那现在室内温度27.5还算可以是么？不用一直稳定在26度左右是嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051301606},{"body":{"content":"我们现在晚上给她盖两层纱布","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051316707},{"body":{"content":"还有一个问题麻烦您，白天有时候看孩子头发有点汗汲汲的，头发有点揪揪在一起，需要物理降温用毛巾擦擦吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051455052},{"body":{"content":"感谢您的咨询，祝您和宝宝健康快乐每一天。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051897666},{"body":{"content":"您好！感谢您的咨询，如果我的回复您还满意的话，请您在百忙之中抽出时间在我们的对话框的右上角，点开“表扬”给我个五星⭐好评呗！谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051910364},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任！请对话结束后对我的服务作出评价，祝您生活愉快，宝宝健康快乐！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051919631}]

[{"body":{"content":"您好，我是京东互联网医院于主任，很高兴为您提供医学服务，请问您想解决什么问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965523399},{"body":{"content":"我想问问泰州第二人民医院有没有男科？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965623125},{"body":{"content":"一般三甲医院都有的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965641704},{"body":{"content":"想做男科检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965642412},{"body":{"content":"做什么检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965650781},{"body":{"content":"那是三乙医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965749403},{"body":{"content":"建议去正规三甲医院检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965774713},{"body":{"content":"有手淫习惯，想检查一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965799208},{"body":{"content":"精液量少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965847936},{"body":{"content":"没有晨勃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965865323},{"body":{"content":"做精液的检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965872468},{"body":{"content":"要不要做阴茎充血检查？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965973149},{"body":{"content":"听说要看充血情况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965999319},{"body":{"content":"可以检查的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966051855},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966170724},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966185790}]

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050394644},{"body":{"content":"胃间质瘤，晚期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050422226},{"body":{"content":"你发一下报告吧，你这样子拿着拍片子，我一点都看不见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050434568},{"body":{"content":"发现半年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050434790},{"body":{"content":"要什么样的报告","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050448111},{"body":{"content":" CT报告。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050502699},{"body":{"content":"发一下病理报告。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050518452},{"body":{"content":"没做病理，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050546380},{"body":{"content":"大夫没让做","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050562605},{"body":{"content":"没做病理怎么知道是胃间质瘤？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050568380},{"body":{"content":"沈阳肿瘤大夫根据加强ct给的结果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050589143},{"body":{"content":"建议你第1个是取病理明确病理诊断，只有病理诊断才能够确诊恶性肿瘤，第二如果是胃肠间质瘤，如果有CD117阳性的话，可以进行靶向治疗，效果还是挺好的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050618619},{"body":{"content":"光影像没有办法确诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050626187},{"body":{"content":"之前寇有为大夫给开的****，吃了之后效果不好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050676700},{"body":{"content":"除了这个药还有别的药好用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050689817},{"body":{"content":"因为你没明确，也不知道你到底适合不适合吃这个药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050705748},{"body":{"content":"就是做个胃镜取一块东西就能确诊的事儿，怎么那么麻烦呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050719225},{"body":{"content":"你首先不明确诊断让大夫怎么跟你说怎么治疗。现在要求治疗恶性肿瘤，必须有病的诊断。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050739267},{"body":{"content":"如果确诊是恶性肿瘤，胃间质瘤，那怎么治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050817617},{"body":{"content":"得看CD117和CD34的表达水平。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050844452},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050848684},{"body":{"content":"大夫没让做病理的原因是，现在肚子里全是肿瘤，怕破裂，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050968254},{"body":{"content":"这么这边的底线是病理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051000334},{"body":{"content":"没有病理不能按恶性肿瘤治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051018839},{"body":{"content":"明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051045812},{"body":{"content":"因为不知道到底是间质瘤还是胃癌，怕方向错了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051051392},{"body":{"content":"希望您可以理解，都是家里人带老人去治疗的，我这边也是想多一个方向","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051105127},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051117743}]

[{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务，请稍等，我正在详细阅读您的病情描述。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049777045},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049787966},{"body":{"content":"什么时候发生的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049808161},{"body":{"content":"前天磕的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049811656},{"body":{"content":"之前老人喷的****、**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049840682},{"body":{"content":"碘伏消毒消毒，一天三次，再用点***********涂一涂促进表皮生长","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049852694},{"body":{"content":"**+**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049874198},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049883447},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049897666},{"body":{"content":"不用谢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049920524}]

[{"body":{"content":"您好，请问这种情况出现多久了？有哪些症状呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965495127},{"body":{"content":"男性的阴茎头有hpv病毒吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965534199},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965551730},{"body":{"content":"请问有过高危性行为吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965559609}]