刘继帅

[{"body":{"content":"您好，我是副主任医师常瑜，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049563276},{"body":{"content":"你好，我是京东医生，请问有什么可以帮助你吗？\n请实名，实名后提供更完整的诊疗服务，然后开始问诊！\n是否有药物过敏史，肝肾功能是否正常？是否备孕期？女性的话是否在哺乳期，孕期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049566003}]

女

2022.05.20

[{"body":{"content":"您好！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050145900},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050155471},{"body":{"content":"非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050169129},{"body":{"content":"低血糖跑步会心脏疼吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050172782},{"body":{"content":"?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221224},{"body":{"content":"低血糖跑步与心脏疼痛没有必然的关系。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050222903},{"body":{"content":"您哪里不舒服吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050242074},{"body":{"content":"近期是否做过相关检查？请发给我看看！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309724},{"body":{"content":"没做过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050372145},{"body":{"content":"之前一直都没事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050382100},{"body":{"content":"是不是最近有氧做多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050403364},{"body":{"content":"请您描述一下心脏疼痛的特点。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050429076},{"body":{"content":"疼痛部位？疼痛诱因？每次疼痛持续时间？疼痛缓解方式？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050550482},{"body":{"content":"咳嗽？咳痰？发热？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050831856},{"body":{"content":"您心脏疼痛，建议您去医院看看，做心脏彩超、心电图，化验肌钙蛋白**常规等，明确原因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051734452},{"body":{"content":"欢迎您随时咨询！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051748962},{"body":{"content":"祝您早日康复！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051876337},{"body":{"content":"与最近有氧做多了无关。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051936307}]

男22岁

2022.05.20

[{"body":{"content":"您好，我是主治医师连爱琴，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050393753},{"body":{"content":"买化妆品的，客服怎么说医生？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050439788},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050442897},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050488080},{"body":{"content":"说明书有吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050489119}]

女

2022.05.20

[{"body":{"content":"您好。我是全科医生任佳，非常高兴由我为您提供医疗咨询服务，请问您有哪些医药问题需要咨询的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050159423},{"body":{"content":"上述问题怎么回事？如何解决","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050180476},{"body":{"content":"哺乳2个多月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050199051},{"body":{"content":"请问您您爱人母亲啊有发热疼痛不适表现吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050204392},{"body":{"content":"爱人","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050211456},{"body":{"content":"平时哺乳吸奶及时吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050219553},{"body":{"content":"没有固定规律","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050241815},{"body":{"content":"请问您爱人哺乳有发热疼痛不适表现吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050244170},{"body":{"content":"昨天洗了洗头有点小感冒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050286215},{"body":{"content":"您爱人有明显涨奶感觉吗？乳汁吸出有颜色异常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050289841},{"body":{"content":"上述情况是单侧还是双侧，乳房排空后上述情况是否缓解或者消失？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050333339},{"body":{"content":"乳汁是清水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050415625},{"body":{"content":"吃完也没消失还有块","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050471114},{"body":{"content":"好的了解，结合您的上述情况描述，目前是考虑您爱人存在堵奶情况导致的乳房出现肿块的可能性比较大的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050559387},{"body":{"content":"但不完全除外可能存在的乳腺炎的可能，我可为您做出初步对症的用药建议，您看可以吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050593163},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050642478},{"body":{"content":"为了您的用药安全，推荐用药前需要和您确认一下：没有药物过敏史，没有肝肾功能异常？------------对吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050657825},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050669537},{"body":{"content":"然后呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050758235},{"body":{"content":"没有药物过敏，肝肾功能正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050793484},{"body":{"content":"好的了解，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050839777},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050856077},{"body":{"content":"口服 蒲公英颗粒，不影响哺乳 联合外敷*****治疗的，一次20-30分钟，一天2-3次的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050863461},{"body":{"content":"*****外敷乳房，蒲公英颗粒口服。喂奶前热敷乳房硬块，宝宝吸吮时手法轻轻按摩，从乳房周围轻推至乳头根部。按需哺乳，保证双乳通畅。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050883044},{"body":{"content":"口服 蒲公英颗粒 一日3次 一次1袋**对症缓解乳腺炎症不适","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050934619},{"body":{"content":"以上药物均是非处方用药，您可直接点击链接购药使用即可，付费后如您附近药店支持药急送，购药您可以选择药急送，就近药店配送一般1小时左右可以到达。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051000267},{"body":{"content":"需要先将乳房疏通，建议增加哺乳次数，宝宝吸不完的奶可以用吸奶器吸出，建议减少汤水摄入，如果疏通不了，可以请**师按摩疏通或线下医院就诊；体温超过38.5度建议线下公立医院急诊外科就诊，根据查体检查进一步评估，调整治疗方案","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051074955},{"body":{"content":"好的??谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051132340},{"body":{"content":"您客气了，希望我的建议能够帮助到您，望您在百忙中，右上角表扬医生评价一个\"5星\"好评，感谢您支持。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051224156},{"body":{"content":"温馨提示：您爱人在用药后如果病情缓解不佳后出现发热局部明显红肿热痛的表现，建议您及时线上复诊或者线下公立医院急诊外科就诊，根据查体检查，指导治疗方案的调整。不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051270408},{"body":{"content":"您之后有任何其他问题，可以在京东APP搜索“京东医生任佳”就可以找到我。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051274372},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051404626},{"body":{"content":"希望我的建议对您有所帮助，请问您是否还有其他医药问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051421732},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051429009},{"body":{"content":"如果您没有其他问题的话我这边就先结束问诊了，希望我的建议能够帮助到您，感谢您的关注与信任。请在对话结束后给予五星好评，您的好评是对我工作最好的肯定和鼓励，欢迎您再次咨询。祝您和家人生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051446589}]

女33岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653045633847},{"body":{"content":"确诊了什么病的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653046093492},{"body":{"content":"骨穿报告","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653048721849},{"body":{"content":"血小板减少，血小板23","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653048750085},{"body":{"content":"吃什么药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653048800412},{"body":{"content":"白细胞**红蛋白都正常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653048810692},{"body":{"content":"没有吃药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653048920341},{"body":{"content":"这个需要怎么治疗呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653048948738},{"body":{"content":"结合骨穿结果，他们诊断什么病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653048960537},{"body":{"content":"医生说是血小板再生障碍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653048968545},{"body":{"content":"再生障碍性贫血！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653048982217},{"body":{"content":"可以吃****的药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049069254},{"body":{"content":"像****，****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049079400},{"body":{"content":"你提供的信息实在有限","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049109512},{"body":{"content":"如果诊断再生障碍性贫血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049120893},{"body":{"content":"如果考虑免疫性血小板减少症，可以吃**治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049509354},{"body":{"content":"也可以用*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049520523},{"body":{"content":"当然，现在有23，可以考虑反复吃****的药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049539422},{"body":{"content":"**治疗后对身体有没有啥影响","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049568799},{"body":{"content":"副作用不少","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049583073},{"body":{"content":"有啥副作用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049608260},{"body":{"content":"长期吃可能引起高血压，糖尿病，骨质疏松，感染增多等等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049651611},{"body":{"content":"四年前治疗过，应该也是用的***，升上去了，一段时间又降下去了。也吃过****，一直都保持在三十以上，一年多没吃完就降到二十多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049725655},{"body":{"content":"如果是这样，干脆就别理它","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049757682},{"body":{"content":"有20以上，相对安全","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049770708},{"body":{"content":"如果不考虑经济问题，可以吃****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049782385},{"body":{"content":"一个月可能八千块左右吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049792829},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049892088},{"body":{"content":"确实有点贵","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049900409},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049904480},{"body":{"content":"或者间断吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049910403},{"body":{"content":"控制费用的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049915871},{"body":{"content":"尝试一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049997767}]

女75岁

2022.05.20

[{"body":{"content":"您好，我是中医科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050438341},{"body":{"content":"结石多大呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050445469},{"body":{"content":"这个是我前两天拍的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050468280},{"body":{"content":"激光也打不掉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050501784},{"body":{"content":"0.3cm","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050518189},{"body":{"content":"去年10月份查的时候是0.7","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050521891},{"body":{"content":"然后今年上半年军检查的事0.4","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050537136},{"body":{"content":"吃点中药排","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050545341},{"body":{"content":"现在变成2个最大的事0.3","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050555114},{"body":{"content":"尿酸查过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050558628},{"body":{"content":"0.3的一般可以排出去的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050565359},{"body":{"content":"没有检查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050569046},{"body":{"content":"我这个时间挺长了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050576313},{"body":{"content":"可以么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050580210},{"body":{"content":"还是可以排出去的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050592461},{"body":{"content":"我看看您的舌象","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050595863},{"body":{"content":"舌淡白，苔白腻","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050636302},{"body":{"content":"请问您有怕冷，性欲减退，畏寒肢冷，腰膝以下尤甚，腰膝酸软，头晕耳鸣，小便清长，夜尿多的症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050644700},{"body":{"content":"夜尿没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050659213},{"body":{"content":"怕冷","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050663830},{"body":{"content":"腰疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050674690},{"body":{"content":"去年有过耳鸣","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050681785},{"body":{"content":"小便黄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050687416},{"body":{"content":"根据您提供的信息及症状，目前初步考虑肾阳虚，寒湿证。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050690288},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史吗？请问您在备育期吗？以便我给您用药建议，如果以上都没有，可以回答“都没有”","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050698266},{"body":{"content":"水喝多了就白色","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050699418},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050702091},{"body":{"content":"那这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050710165},{"body":{"content":"肾结石","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050719687},{"body":{"content":"吃什么药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050723319},{"body":{"content":"以上用药禁忌可以排除吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050754429},{"body":{"content":"没有过敏史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050769135},{"body":{"content":"肝肾功能异常及其他慢性病史吗？请问您在备育期吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050779472},{"body":{"content":"没有任何疾病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050785391},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050793304},{"body":{"content":"您看是选择中成药还是中药配方（自煎、代煎、**剂）？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050796934},{"body":{"content":"我有手淫史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050816113},{"body":{"content":"好多年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050819252},{"body":{"content":"代煎吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050837265},{"body":{"content":"请您稍等，给您开具中药，估计需要3-5分钟。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050857175},{"body":{"content":"肾结石？？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050906187},{"body":{"content":"是一起调理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050922215},{"body":{"content":"还有手淫史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050965427},{"body":{"content":"了解了，您目前考虑肾阳不足了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050982718},{"body":{"content":"您稍等我一下，我给您开方，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051045843},{"body":{"content":"退出来要重新点处方，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051053600},{"body":{"content":"给您开的是代煎好的中药，一日3次，一次1袋，服用前温一下，剩余冰箱冷藏。服用7日，观察疗效，再上线复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051440434},{"body":{"content":"中药反应：如您在用药过程中出现不适如皮疹、皮肤瘙痒、发热等，请您及时上线咨询或去医院就诊。 不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051445550},{"body":{"content":"建议您宜选用甘温补脾阳、温肾阳为主的食物，如**、韭菜、红茶、**等。少食生冷、苦寒、黏腻食物，如螃蟹、绿茶、冷冻饮料等。平时1、注意休息，保持良好情绪，规律作息。2.保持室内空气湿润，清淡饮食易消化。3.多饮水，少食辛辣刺激、油炸的食物。4.忌烟酒。5.避风寒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051449857},{"body":{"content":"平时多喝温水，生冷、油腻的不能吃，平时多运动。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051675069},{"body":{"content":"这个肾结石慢慢就没有了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051682329},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051698758},{"body":{"content":"生冷、油腻的不能吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051709844},{"body":{"content":"您看这样下去肾阳会被伤的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051718197},{"body":{"content":"肾阳不足，就容易再继续长结石","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051737082},{"body":{"content":"感谢您的咨询和耐心回答，请问您是否还有其他医药问题需要我为您解答？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051883055},{"body":{"content":"没有了。。谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051921956},{"body":{"content":"您客气了。如果您没有其他问题，我将结束您的问诊，希望我的建议能够帮助到您，请点击对话框右上角“ 表扬医生“对我的服务作出评价，您的五星好评，就是对我工作最大的鼓励和支持。欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051930848},{"body":{"content":"石清茶平时可以代茶饮喝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051974400}]

男23岁

2022.05.20

[{"body":{"content":"几天了？痒不痒？之前治疗过吗？有没有照片？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050355050},{"body":{"content":"痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050369853},{"body":{"content":"治疗过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050379953},{"body":{"content":"以前是后背上有，治疗了后面前又有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050453311},{"body":{"content":"没有照片，老年人在老家","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050500622},{"body":{"content":"以前诊断过什么病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050543374},{"body":{"content":"用过什么药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050547447},{"body":{"content":"医生说是湿疹子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050576141},{"body":{"content":"用了什么药就不知道了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050600228},{"body":{"content":"首先没有照片我没办法判断病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050758640},{"body":{"content":"第二您没法提供药物 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050768521},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050858961},{"body":{"content":"麻烦您了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050863657},{"body":{"content":"不麻烦 下次您最好拍个照片 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050880674},{"body":{"content":"病历和用药都拍一下 这样好判断","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050898686},{"body":{"content":"嗯，我人没在家所以没有这些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050942882},{"body":{"content":"好的 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050959696}]

男75岁

2022.05.20

[{"body":{"content":"您好，我是儿科副主任医师石莉医生，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":1653050391072},{"body":{"content":"医生你好这个是我小孩最近化验单我看不明白有什么问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050422667},{"body":{"content":"上面有上传的九张照片","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050449626},{"body":{"content":"稍等，我给您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050512692},{"body":{"content":"麻烦你了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050519171},{"body":{"content":"缺维生素d","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050581539},{"body":{"content":"过敏体质","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050585165},{"body":{"content":"主要是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050588813},{"body":{"content":"有什么症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050705872},{"body":{"content":"没有太大问题吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051846786},{"body":{"content":"是的小孩脸上长东西","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051857288},{"body":{"content":"孩子的情况主要是需要及时的补充维生素D，然后针对症状做必要的抗过敏治疗，增强免疫力。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051865618},{"body":{"content":"比如用******，然后规避容易过敏的食物和接触物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051881759},{"body":{"content":"需要去医院找出过敏源吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051890871},{"body":{"content":"他比较挑食不怎么吃肉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051902441},{"body":{"content":"上面那个就是过敏原，但是过敏原好多指标不是太高，但是总的过敏的指标高。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051916532},{"body":{"content":"医生我有点不明白","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051933090},{"body":{"content":"一般来说就是牛奶鸡蛋，海鲜，牛**，这些高蛋白的要控制量，然后就是少接触这些螨虫啊，或者是一些植物类的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051945639},{"body":{"content":"好的谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051962316},{"body":{"content":"麻烦你了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051966312},{"body":{"content":"就是有一点过敏，有一点维生素D缺乏，然后上面我给您讲的就是注意事项。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051967103},{"body":{"content":"您别太着急，可以参考上面给您的指导，结束后麻烦您可以给我一个评价，如果后续还有问题，欢迎您随时找我咨询，后期可以直接平台搜索我的名字：**,如果期间有过敏等不良反应，症状持续加重等，建议尽快去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051971356},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052012185},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052023205}]

男9岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965641659},{"body":{"content":"腰椎不舒服吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965658928},{"body":{"content":"左脚大脚趾会肿吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965688501},{"body":{"content":"您好方医生。我儿子14周岁，近来一周感觉左大脚趾外侧到脚后跟麻木，大脚趾没有肿痛。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965762867},{"body":{"content":"还有就是：左外侧小腿处麻木。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965855422},{"body":{"content":"可能要查下腰！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965897856},{"body":{"content":"先拍张片，如果经济允许，查腰椎ct","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965927037},{"body":{"content":"什么情况？请问。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965927313},{"body":{"content":"问孩子了，孩子说腰不疼。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965957256},{"body":{"content":"小腿外侧，是坐骨神经支配","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966019887},{"body":{"content":"因为年龄尚年轻，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966042568},{"body":{"content":"哦。请问，问题严重吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966048381},{"body":{"content":"必须查下才能诊断是怎么回事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966064530},{"body":{"content":"也就是说，孩子的问题是出在腰部？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966120653},{"body":{"content":"我们**目前封控，骨科医院都不上班。怎么办好？谢谢您。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966181104},{"body":{"content":"可能，医学发达，需要排除，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966183076},{"body":{"content":"小孩这个情况，多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966208663},{"body":{"content":"平时坐姿怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966223155},{"body":{"content":"现在很多小孩，脊柱侧弯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966248270},{"body":{"content":"大概有两周左右。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966284921},{"body":{"content":"目前孩子14岁。身高178，体重136","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966318172},{"body":{"content":"常饮饮粒吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966325299},{"body":{"content":"坐姿不太规范","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966342966},{"body":{"content":"饮料","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966349100},{"body":{"content":"有时喝饮料","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966360777},{"body":{"content":"先查下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966380884},{"body":{"content":"必要还可以抽血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966394645},{"body":{"content":"请问，抽血化验哪一方面？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966417080},{"body":{"content":"有没有什么药物可以暂时治疗一下？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966458608},{"body":{"content":"一三六","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966533038},{"body":{"content":"一四零四","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966556849},{"body":{"content":"**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966573531},{"body":{"content":"七二","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966582454},{"body":{"content":"请假","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966602700},{"body":{"content":"查血沉，血常规，尿酸，风湿三项","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966756713},{"body":{"content":"可以用点药，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966773637},{"body":{"content":"医生，请帮我开药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966830787},{"body":{"content":"请问，多久能到货？目前不知道**能不能收到货。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967390347},{"body":{"content":"我真不知什么时候，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967426157},{"body":{"content":"京东快递能去吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967438513},{"body":{"content":"你问客服","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967445548},{"body":{"content":"谢谢您。这药多少钱？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967468913},{"body":{"content":"你才知道多少钱，我只开处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967516989},{"body":{"content":"抱歉，您本次购买的部分商品因无货、下架等原因暂不支持购买，请稍后再试我知道了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967550466},{"body":{"content":"这是怎么回事？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967559829},{"body":{"content":"什么药没货？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967584113},{"body":{"content":"或因疫情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967592956},{"body":{"content":"我看不到。我点击时，就是这么说的。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967615071},{"body":{"content":"您加我吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967781009},{"body":{"content":"怎么给您打赏？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967824178},{"body":{"content":"不能买到吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968237042},{"body":{"content":"您好。京东没有货。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968272834},{"body":{"content":"哦，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968284111},{"body":{"content":"抱歉，您本次购买的部分商品因无货、下架等原因暂不支持购买，请稍后再试我知道了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968294436},{"body":{"content":"重新开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968296491},{"body":{"content":"有没说什么药没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968311580},{"body":{"content":"***********","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968320075},{"body":{"content":"v","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968324836},{"body":{"content":"没有说。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968345392},{"body":{"content":"要不要重新开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968365427}]

男26岁

2022.05.20

[{"body":{"content":"请问类似症状出现多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965494521},{"body":{"content":"就是这一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965595244},{"body":{"content":"平时还挺正常的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965617283},{"body":{"content":"考虑是异常子宫出血，异常子宫出血是妇科常见的症状和体征，是指与正常月经的周期频率、规律性、经期长度、经期出血量任何一项不符的、源自子宫腔的异常出血。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966251973},{"body":{"content":"一般三天出结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966260541},{"body":{"content":"请问末次月经来潮时间？平常月经规律吗？月经多长时间来潮一次？怀孕过几次？宝宝多大了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966280109}]

女42岁

2022.05.20