刘继帅

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965468505},{"body":{"content":"有什么咨询的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965478411},{"body":{"content":"可以麻烦医生看一下这个病理结果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965516714},{"body":{"content":"是恶性的吗 原发性的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965531653},{"body":{"content":"可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965595472},{"body":{"content":"可能性较大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965633477},{"body":{"content":"您可以简单解释一下这个检查结果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965644223},{"body":{"content":"是直肠息肉吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965649684},{"body":{"content":"异性增生就提示恶性肿瘤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965698858},{"body":{"content":"病理活检已经比较明确考虑恶性肿瘤了，建议进一步做免疫组化等，具体看你主治医生的意见较好，他比较了解具体情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965756329},{"body":{"content":"看到明显的肿物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965794243},{"body":{"content":"那高级别上级内瘤是代表什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965799805},{"body":{"content":"提示恶性程度可能没那么高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966022000},{"body":{"content":"就是可能是恶性的 但是要进行进一步的检查确认","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966092014},{"body":{"content":"那这样的情况容易转移吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966130964},{"body":{"content":"只能看个人情况咯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966172955},{"body":{"content":"医生会帮你评估的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966187979},{"body":{"content":"好的 谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966201795},{"body":{"content":"不用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966213005}]

女49岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051116485},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051120149},{"body":{"content":"你好，手指植皮手术需要用皮钉吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051205479},{"body":{"content":"可以不用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051257964},{"body":{"content":"直接缝合，然后等拆线就可以了吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051302239},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051371494},{"body":{"content":"好的，植皮手术后，偶尔可以吸一根烟吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051433635},{"body":{"content":"加压包扎或者植皮打包，或者VSD都可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051439251},{"body":{"content":"禁止吸烟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051449122},{"body":{"content":"两三天吸一根也有影响吗，关键病房里有人吸烟","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051582113},{"body":{"content":"不要吸烟，禁止吸烟，您明白吗？影响植皮部位血运","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051633403},{"body":{"content":"好的，拆线过后，多长时间可以正常工作呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051816013},{"body":{"content":"根据恢复情况，一般还是得一个月以后吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051855557},{"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":1653051896594},{"body":{"content":"哦哦，麻烦您了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051896990},{"body":{"content":"您不必客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051911569},{"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，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051917422}]

男25岁

2022.05.20

[{"body":{"content":"您好，仝（tong）医生为您提供医疗咨询服务。不是AI智能机器人。我正在详细阅读您的病情描述。点击我的头像，可以看到有关信息。回复您慢了，请不要着急，还有其他人也在咨询。多谢理解*******。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049918043},{"body":{"content":"消毒**蘸温****，或者双氧水清洗局部。方法是将消毒**朝这个方向轻轻转动。或者用3%******，在药师指导下清洗局部。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049941703},{"body":{"content":"局部清洗后可用氧化锌软膏，或者*****轻轻涂抹，也可以口服******，或者******，抗过敏，缓解症状。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049950195},{"body":{"content":"尽可能不要频繁掏耳朵，洗头洗澡时不要让耳朵进水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049981180},{"body":{"content":"不抽烟，不喝酒，对恢复健康有帮助。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049985696},{"body":{"content":"饮食清淡，少吃辛辣油腻食物和肉类，少吃油炸食品，少吃奶制品和甜食，少吃咸菜，少吃海鲜类食品。不吃零食，不吃泡面。尽可能不要熬夜，多喝温水，多吃蔬菜，对恢复健康有帮助。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049989183},{"body":{"content":"现在有炎症","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050015406},{"body":{"content":"右耳耳鸣已经几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050046843},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050102605},{"body":{"content":"上医院不方便，这个月去过两次，都是清洗耳道换药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050154441},{"body":{"content":"**的能用吗？感觉这个******没什么作用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050205123},{"body":{"content":"耳朵里面晚上回有点痒，白天就没什么感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050241170},{"body":{"content":"嗯，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050272606},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050281101},{"body":{"content":"根据您目前症状，结合我的临床经验，特此推荐上述产品信息。都属于非处方药，无需医生开处方，您直接下单订购，即可寄到自己手中。请按照说明书使用1周左右，对恢复健康有帮助。请自由选择。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309288},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050319826},{"body":{"content":"上述综合措施，对恢复健康有帮助。您是否已经理解了？还有其他健康问题需要帮助咨询吗？结束本次问诊后，请留下墨宝，简单给予评价。祝健康。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050361877},{"body":{"content":"不建议随意使用***，譬如****，**等。需要根据医院血液检查结果，判断是否需要***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050366313},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050391898},{"body":{"content":"自己用双氧水洗方便吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050421915},{"body":{"content":"双氧水耳浴办法~在医生或者药师指导下，将患侧耳朵朝上，把双氧水滴满耳道静置10分钟左右，这时可能会有气泡，属于正常现象，等**与耳道内脓性分泌物充分混合反应后坐起来，再将患侧耳朵朝下，让**从外耳道流出来即可。当然，可以用**轻轻将外耳道残留**擦净。每天两次，连续清洗3天即可。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050464730},{"body":{"content":"右耳真菌感染也可以用双氧水洗吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050498415},{"body":{"content":"外耳道霉菌、真菌感染时，可以用双氧水清洗外耳道后，再用********，或者******耳浴，或者******进行外耳道冲洗，抑制真菌，缓解症状。在药师指导下，按照说明书使用，滴耳或者涂擦外耳道。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050838529},{"body":{"content":"明白了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051006204},{"body":{"content":"希望我的建议能够帮助到您，感谢您的信任！本次问诊结束后，请留下您的墨宝，简单给予留言评价。假如还有其他问题，可再次发起问诊，祝健康。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051044309}]

男32岁

2022.05.20

[{"body":{"content":"你好，我是京东吴医生，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":1653049905593},{"body":{"content":"请问你这样的症状有多久了？还有其他的不舒服吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049908115},{"body":{"content":"5天左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049922262},{"body":{"content":"感觉像是感冒或是支气管炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049935562},{"body":{"content":"嗯，除了乏力还有什么症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049950082},{"body":{"content":"好像有点发热","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049955156},{"body":{"content":"前几天流鼻涕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049962340},{"body":{"content":"现在鼻涕好些了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049973424},{"body":{"content":"咳嗽有痰，深黄色","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049988360},{"body":{"content":"本周核酸检测三次，都是阴性","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050006290},{"body":{"content":"嗯，你这种情况考虑是感冒合并了支气管炎的可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050039649},{"body":{"content":"请问您是否有药物过敏史？肝肾功能是否正常？是否有其他疾病史?是否正在服用药品？是否在备育期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050046109},{"body":{"content":"都正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050091420},{"body":{"content":"嗯，那你吃了什么药吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050106425},{"body":{"content":"无病史，无服药史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050114306},{"body":{"content":"一直没吃药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050121545},{"body":{"content":"嗯，现在咽喉痛吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050129152},{"body":{"content":"平常抽烟喝酒吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050132813},{"body":{"content":"前两天痛过，现在不痛了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050330584},{"body":{"content":"不抽烟不喝酒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050335609},{"body":{"content":"嗯，建议你口服******缓解感冒，口服********，口服*********","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050367090},{"body":{"content":"有没有可能恶化成肺炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050447343},{"body":{"content":"如果没有控制好，是有可能的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050475824},{"body":{"content":"目前的症状需不需要去医院做个检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050494249},{"body":{"content":"当然能去检查一下肯定更好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050531788},{"body":{"content":"能不能加一些防止恶化成肺炎的药，因为我以前得过肺炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050559282},{"body":{"content":"**就是****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050578596},{"body":{"content":"好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050610865},{"body":{"content":"不用谢，还有什么问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050622633},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050706108},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050709042},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050721128},{"body":{"content":"处方已开具，用药前请您仔细阅读药品说明书，如您在用药过程中出现不适，建议及时线上咨询或去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050791787},{"body":{"content":"处方已经给你开好了，点击处方可以查看药品具体信息和用法，以免买错了，如果需要线上购买，可以等药师审核通过后点击处方按提示操作就可以购药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050798481},{"body":{"content":"治疗期间注意饮食清淡，不要吃生冷、辛辣及刺激性食品，保持室内空气流通，注意多喝温开水，不要饮酒抽烟，避免接触烟尘以及刺激性气体。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050802655},{"body":{"content":"好的，谢谢医生。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051049503},{"body":{"content":"不用谢，还有什么问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051116593}]

男32岁

2022.05.20

[{"body":{"content":"您好，我是泌尿外科的医生，非常高兴由我为您提供医疗咨询服务，为了保证本次问诊顺利进行，请您保持在线。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051055014},{"body":{"content":"你好我平时做一次就很难硬起来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051079166},{"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":1653051088695},{"body":{"content":"请问您近6个月内有无性生活？（仅指阴道内性交，不包含手淫、飞机杯等）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051090936},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051103421},{"body":{"content":"性生活一周几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051106429},{"body":{"content":"3—7次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051116329},{"body":{"content":"您近期的晨勃情况如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051120367},{"body":{"content":"每周1-3次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051125326},{"body":{"content":"勃起后，按照豆腐、剥了皮的香蕉、香蕉、黄瓜，四个硬度分级的话，您感觉属于哪个级别？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051139358},{"body":{"content":"剥了皮的香蕉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051151422},{"body":{"content":"性生活过程中是否有未射精就疲软的情况？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051158449},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051168179},{"body":{"content":"您这个情况多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051171220},{"body":{"content":"近期出现","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051174528},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051178552},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051181015},{"body":{"content":"还有别的慢性疾病吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051185023},{"body":{"content":"以上都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051192333},{"body":{"content":"为了排除用药禁忌，请问您平时有没有慢性病病史或心脑血管疾病的病史或者药物过敏史呢？或者肝肾功能不全的情况呢？是否处于备育期呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051212726},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051234887},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051238412},{"body":{"content":"首先，您这个硬度不够，中途疲软的症状属于勃起功能障碍的表现的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051246625},{"body":{"content":"这种情况影响因素还是很多的，压力，身体状况，情绪，烟酒，熬夜，手淫过度，性生活过多等，都可能会导致性能力的下降。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051255153},{"body":{"content":"性生活建议一周不要超过2-3次，也不建议一晚多次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051260266},{"body":{"content":"您多次性生活，是会影响勃起功能的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268430},{"body":{"content":"医生，请您帮我开具检验单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051317310},{"body":{"content":"药物的话， 可以使用******看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051330926},{"body":{"content":"***物，针对治疗勃起功能障碍，辅助勃起增加硬度的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051337176},{"body":{"content":"*******，初次使用推荐50mg，推荐性生活前1小时左右服用，但在性活动前0.5～ 4小时内的任何时候服用均可。基于药效和耐受性，剂量可减至25毫克或增加至100毫克。每日最多服用1次。有性刺激起效。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051340180},{"body":{"content":"主要是需要控制性生活频率","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051350979},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051356627},{"body":{"content":"药物没有依赖性","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051371842},{"body":{"content":"******主要副作用头痛、面部潮红、消化不良和肌肉疼痛，其次为鼻塞、腹泻、头晕和皮疹等，一般症状较轻，且是一过性的，安全可控的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051376243},{"body":{"content":"不是用药就一定会有副作用，也没有什么永久性副作用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051378776},{"body":{"content":"备孕如果吃这个药物有什么影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051379441},{"body":{"content":"药物说明书中表示，药物一般不影响精子质量的，优生优育角度来说，建议停药2-3个月再备孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051389032},{"body":{"content":"但是这个药物本身是不会影响备孕精子质量的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051399581},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051401361},{"body":{"content":"我可以帮您先开一盒25mg7片装的小剂量的看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051422888},{"body":{"content":"这个25mg和50mg什么区别啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051469495},{"body":{"content":"*******，初次使用推荐50mg，推荐性生活前1小时左右服用，但在性活动前0.5～ 4小时内的任何时候服用均可。基于药效和耐受性，剂量可减至25毫克或增加至100毫克。每日最多服用1次。有性刺激起效。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051475807},{"body":{"content":"2片25mg就等于50mg","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051486820},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051494390},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051496322},{"body":{"content":"您现在点击这个“处方单”添加购买就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051559812},{"body":{"content":"用药前请您仔细阅读药品说明书，尤其重点关注禁忌及注意事项，如没有任何禁忌，可正常使用药物治疗，如您在用药过程中出现任何不适或疑问，请您及时上线咨询或附近医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051563907},{"body":{"content":"建议您平时多运动，注意个人生活习惯，避免熬夜，放松心情，避免辛辣刺激食物，规律性生活，减少手淫次数。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051565403},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051574679},{"body":{"content":"备孕建议您常规口服*** ，具有补充锌硒、***等作用，提高精子活力和存活率，增加受孕几率，男性精液的重要组成部分就是锌。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051584906},{"body":{"content":"用药期间有问题，可以随时按上述的流程找我复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051636650},{"body":{"content":"希望我的建议能够帮助到您，感谢您的信任。如果您对此次问诊满意，还请您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。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051751732}]

男28岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965025702},{"body":{"content":"能拍个照片看一下吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965047862},{"body":{"content":"身体右侧肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965053284},{"body":{"content":"颜面部肿吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965055421},{"body":{"content":"右侧是上肢和下肢吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965072607},{"body":{"content":"既往有什么基础疾病吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965083725},{"body":{"content":"上肢不肿对吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965143453},{"body":{"content":"按压肿得地方有凹陷吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965163733},{"body":{"content":"从图上看您左侧下肢及脚面是肿的，而不是右侧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965225387},{"body":{"content":"整个右边都是肿的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965257392},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965272777},{"body":{"content":"心脏和肾脏都查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965285570},{"body":{"content":"没有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965292020},{"body":{"content":"我自己拍不到全身","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965311743},{"body":{"content":"单侧水肿考虑血管的问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965318746},{"body":{"content":"哪的血管呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965364390},{"body":{"content":"建议您查下腔静脉及下肢动静脉超声或血管核磁","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965384820},{"body":{"content":"都查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965401080},{"body":{"content":"血管核磁可能更清楚一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965409087},{"body":{"content":"有问题吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965420435},{"body":{"content":"有点静脉曲张。但不足以导致整个右侧的肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965429488},{"body":{"content":"脸的肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965459714},{"body":{"content":"如果水肿部位比较的应该考虑上面血管的问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965459845},{"body":{"content":"胳膊没法拍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965468281},{"body":{"content":"自身免疫抗体谱有没有查过？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965476117},{"body":{"content":"没","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965488092},{"body":{"content":"属于内分泌么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965498738},{"body":{"content":"主要考虑血管的问题，就是全身血管的问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965501139},{"body":{"content":"属于风湿免疫科。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965509879},{"body":{"content":"腰脱或颈椎问题会导致这种问题么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965534492},{"body":{"content":"需要做个全身的血管检查么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965569183},{"body":{"content":"ct或核磁么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965592431},{"body":{"content":"不会的，颈椎和腰椎的问题，它不会引起单侧的颜面的问题，除非是脑神经脑血管堵塞，但是会伴行运动障碍。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965614130},{"body":{"content":"核磁看血管比较清楚。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965625364},{"body":{"content":"需要挂什么科室呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965659792},{"body":{"content":"风湿免疫科么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965671643},{"body":{"content":"可以的，可以挂风湿免疫科，考虑全身血管病变。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965682508},{"body":{"content":"早晨起来手抓不严","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965712402},{"body":{"content":"这就是晨僵现象。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965728966},{"body":{"content":"活动一会才会好一些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965729784},{"body":{"content":"建议到上级比较好的风湿免疫专科就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965746669},{"body":{"content":"就是血管的病变引起的是么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965766140},{"body":{"content":"对血管病变引起的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965788618},{"body":{"content":"好的。我去查查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965807547},{"body":{"content":"一定要到上级最好的风湿免疫专科就诊，这样的话查的比较全面，不延误您的病情。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965838817},{"body":{"content":"之前做了心脏肾脏。。。。好多检查。。都没有解决问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965844364},{"body":{"content":"这种能治不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965855891},{"body":{"content":"目前考虑大血管的病变，具体还要等检查结果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965862258},{"body":{"content":"不要紧张，根据病情制定方案就行了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965874445},{"body":{"content":"一般情况会是做手术还是吃药调理呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965902348},{"body":{"content":"嗯，不会做手术的，主要是内科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965918896},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965935466},{"body":{"content":"等下。我拍个手和胳膊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965999057},{"body":{"content":"手指没有变形，但是皮肤颜色有变化，所以仍考虑风湿免疫类问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966146725},{"body":{"content":"感谢您的回复","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966159379},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966167409},{"body":{"content":"最近会安排做个检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966172223},{"body":{"content":"因为已经折磨我几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966186522},{"body":{"content":"找不到病因","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966198089},{"body":{"content":"放宽心情，积极面对，尽早的明确病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966288526},{"body":{"content":"应该是手机镜像的原因你看着是左边。其实是右边","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966360372},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966380243},{"body":{"content":"有凹陷","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966382190},{"body":{"content":"按下去不回来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966406626},{"body":{"content":"静脉的水肿一般就为凹陷性水肿，血管炎会有这样的表现，血管炎呢，它一般情况下属于也是属于风湿免疫结缔组织病的一种，所以建议您尽快的行，专科检查，专科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966444186},{"body":{"content":"但不回弹的地方只在膝盖以下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966459709},{"body":{"content":"我是做整身的血管检查么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966495949},{"body":{"content":"还是只做右侧呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966515102},{"body":{"content":"我建议您不要只做单项检查，我建议您先走风湿免疫科的专科医院，然后由专科医生给您开一系列的检查，您再去做，检查结果，方便医生进行总体病情评估。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966555759},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966570901},{"body":{"content":"您自己不要再去单独的开检查了，必须让专科医生进行专科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966574409},{"body":{"content":"我明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966577447},{"body":{"content":"感谢您的帮助","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966585320},{"body":{"content":"这就是所谓的一叶障目不见泰山，所以不要自作主张，及时的进行专科诊疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966627887},{"body":{"content":"明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966643652},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966676573},{"body":{"content":"您早点休息。我尽快安排检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966736986},{"body":{"content":"嗯嗯，加油","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966760292}]

女40岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0082号，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050433022},{"body":{"content":"请您稍等，我马上为您查询一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050436181},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050514963},{"body":{"content":"在的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050530809},{"body":{"content":"左腿腿弯疼 蹲下得时候厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050556783},{"body":{"content":"左腿腿弯蹲着一跪疼得更厉害 请问用什么药呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050616500},{"body":{"content":"请问您这样多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050624627},{"body":{"content":"十天八天了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050644537},{"body":{"content":"差不多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050661805},{"body":{"content":"近期是否就医诊疗过，近期是否服用过*西药物缓解症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050683461},{"body":{"content":"昨天刚拿的*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050722743},{"body":{"content":"用了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050734321},{"body":{"content":"还没开始用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050787754},{"body":{"content":"去诊所拿的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050798236},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050804497},{"body":{"content":"请问这个药可以用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050817435},{"body":{"content":"可以用的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050836660},{"body":{"content":"有****的效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050844868},{"body":{"content":"您先用药三至五天看看效果，如果没有缓解，建议您及时去医院检查和治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050936238},{"body":{"content":"好的 谢谢药师","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050957172},{"body":{"content":"还有**********有吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050969312},{"body":{"content":"请您稍等，我马上为您查询一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050987265},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051012891},{"body":{"content":"暂时没有喷剂哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051049895},{"body":{"content":"哦哦 喷剂得好用 **不方便啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051087945},{"body":{"content":"**效果持久些哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051120633},{"body":{"content":"哦哦 效果比喷剂好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051143308},{"body":{"content":"喷剂使用方便些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051154525},{"body":{"content":"药物都是一样的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051158036},{"body":{"content":"我想着鞋子里也喷点 脚也喷 不是更好嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051176328},{"body":{"content":"可以用其他的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051190603},{"body":{"content":"需要推荐吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051193761},{"body":{"content":"那是一样的嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051202918},{"body":{"content":"药物是一样的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051231231},{"body":{"content":"我之前用的**********得 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051233643},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051236909},{"body":{"content":"都一样用的 一样的效果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051253277},{"body":{"content":"药品的效果与药品的吸收、分布、代谢、排泄等有关。另外患者年龄、性别、体质、以及联合用药情况等 都对药效的体现有影响。所以药效视具体情况而定噢。由于个体差异，不同的人对药物的吸收会有差异，大多数患者见效快，少数患者见效可能会慢一些，一般对症就会有效果的呢。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051267056},{"body":{"content":"效果相似的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051275628},{"body":{"content":"效果相似","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051302795},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051307810},{"body":{"content":"药物成份是相 同的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051324057},{"body":{"content":"我就是手心脚上 水泡氧 完了之后开始褪皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051351724},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051363866},{"body":{"content":"嗯 用****可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051423958},{"body":{"content":"可以用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051429241},{"body":{"content":"可以用洛芙联苯苄唑溶液治疗如手、足癣，体、股癣，花斑癣。\n用法用量：外用，一日1次，2～4周为一疗程。用脱脂棉蘸取少量涂擦局部。\n注意事项\n\n1.避免接触眼睛和其他黏膜(如口、鼻等)。\n\n2.用药部位如有烧灼感、红肿等情况应停药，并局部药物洗净，必要时向医生咨询。\n\n3.对本品过敏者禁用，过敏体质者慎用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051436076},{"body":{"content":"喷剂好还**得","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051441492},{"body":{"content":"足癣（脚气）是要按疗程用药的，一般二到四周为一个疗程，不能吃牛**、*****，另外建议您穿宽松透气的鞋袜，勤换鞋袜，保持脚部干燥。治愈后，条件允许的，建议全部换过新的鞋袜。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051444545},{"body":{"content":"可以两种搭配使用的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051452938},{"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":1653051493460},{"body":{"content":"**跟喷剂？搭配吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051505329},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051518201},{"body":{"content":"喷剂白天 用，**晚上用哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051526106},{"body":{"content":"那怎么搭配","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551276},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051558719},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051562291},{"body":{"content":"嗯 行 那不是不一个牌子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051574161},{"body":{"content":"不影响的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051583294},{"body":{"content":"**是**** 喷剂是***啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051593077},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051606057},{"body":{"content":"没有影响嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051622941},{"body":{"content":"不影响的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051642522},{"body":{"content":"好 那你都推给我看我看看去","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051661558},{"body":{"content":"**** 跟这个喷剂**喝酒可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051699984},{"body":{"content":"不建议喝酒的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051706159},{"body":{"content":"好的 谢谢 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051714980},{"body":{"content":"那可以把喷剂喷**推给我嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051733426},{"body":{"content":"好的 谢谢药师","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051762031},{"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":1653051825432},{"body":{"content":"嗯 没有了 谢谢哈","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051835464},{"body":{"content":"很高兴为您服务，请对我本次的服务做出评价，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":1653051841789},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051857505}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049655968},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049673944},{"body":{"content":"家里老人，身上一到夏天就痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049690746},{"body":{"content":"其他季节没有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049704566},{"body":{"content":"这次几天了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049736451},{"body":{"content":"有一个月左右了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049759393},{"body":{"content":"和季节有关","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049784806},{"body":{"content":"过敏导致的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049790056},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049790428},{"body":{"content":"可以口服*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049808166},{"body":{"content":"过敏？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049811885},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049849017},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049857953},{"body":{"content":"平时应该注意什么啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049878705},{"body":{"content":"没有什么注意的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049890619},{"body":{"content":"有没有外用的药呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049929274},{"body":{"content":"可以用*******兑水洗澡","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049967391},{"body":{"content":"好，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049987578},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050009781},{"body":{"content":"为了您的用药安全，请问您是否有药物过敏史？肝肾功能是否正常？是否有其他疾病史?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050025628},{"body":{"content":"肝肾功能正常，只有皮肤痒的历史。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050081103},{"body":{"content":"开了两盒，可以兑水洗澡","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050137337},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050156673},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050182245}]

男80岁

2022.05.20

[{"body":{"content":"您好，我是主治医师谭久志，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050283685},{"body":{"content":"您好，我是中医科医生，只能从中医角度跟您讲一下您咨询产品的性、味、归经，以及食用建议，具体产品相关的问题，辛苦您 点击加入购物车左边的“客服”按钮，直接联系商家的客服，他们会为您进行详细解答","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050288283},{"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":1653050290737},{"body":{"content":"希望我的建议能够帮到您！非常感谢您的信任！对话结束后麻烦您点击右上角表扬医生，您的好评是对我最好的肯定和鼓励，以后您遇到任何健康方面的问题都可以找我咨询，直接在京东主页搜索（我的名字谭久志医生）就可以很方便的找到我。祝您生活愉快，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050292599}]

女

2022.05.20

[{"body":{"content":"我是中医内科主任医师张玲军医生，请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965571258},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965579051},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965596256},{"body":{"content":"指甲发生这种情况是啥原因","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965624189},{"body":{"content":"需不需要去医院挂科看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965644714},{"body":{"content":"去医院看看吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965680552},{"body":{"content":"应该挂啥科室","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965694530},{"body":{"content":"皮肤科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965702052},{"body":{"content":"好的谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965804374},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965813884}]

女24岁

2022.05.20