刘继帅

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965022875},{"body":{"content":"一般是咽炎的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965029033},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965034102},{"body":{"content":"吃饭的时候疼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965076952},{"body":{"content":"吃饭时候没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965106188},{"body":{"content":"可以口服治疗咽炎的药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965121358},{"body":{"content":"说话时痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965131692},{"body":{"content":"有点痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965151557},{"body":{"content":"需要给您开药吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965197217},{"body":{"content":"你说","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965255849},{"body":{"content":"您说","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965282804},{"body":{"content":"咽炎药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965345911},{"body":{"content":"****就可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965398674},{"body":{"content":"行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965473486},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965605746},{"body":{"content":"是这个吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965616326},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965634015},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965646291},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965650482}]

男17岁

2022.05.20

[{"body":{"content":"需要购药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878292042}]

女11岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965409242},{"body":{"content":"有什么需要帮助的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965411629}]

男6个月19天

2022.05.20

[{"body":{"content":"你好，我是三级甲等医院神经内科中级医师，***，请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050400673},{"body":{"content":"血糖高多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050409326},{"body":{"content":"好长时间了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050439010},{"body":{"content":"有10年了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050520345},{"body":{"content":"你这种情况预防和早期诊断是防止糖尿病神经病变造成严重后悔的基本措施。\n\n1、严格控制血糖，戒烟，纠正血脂异常，控制高血压。\n\n2、加强足部**：选择透气性良好质软的合脚的鞋袜，经常检查并取出鞋内异物。患者应每日洗脚，水温不宜过高。秋冬季节足部易干裂，可用中性润肤霜均匀涂擦，汗脚可撒些***。\n\n3、定期进行筛查及病情评价：\n\n","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050533052},{"body":{"content":"差不多吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050590876},{"body":{"content":"**，那你需要注意一下了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050615418},{"body":{"content":"我把上面的注意事项也发给你了，预防非常关键。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050623422},{"body":{"content":"预防糖尿病周围神经病变。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050630880},{"body":{"content":"这吃什么药，好的快点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050683754},{"body":{"content":"可以试试****，早中晚各一粒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050805140},{"body":{"content":"那个厂家的药会好些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050946956},{"body":{"content":"***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050956406},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050977650},{"body":{"content":"试试吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051024582}]

男33岁

2022.05.20

[{"body":{"content":"上次吃了一顿这个没吃了两天后又拉了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049986448},{"body":{"content":"这个是需要连续吃几天的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050011577},{"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":1653050014234},{"body":{"content":"建议一疗程 3-5天奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050025288},{"body":{"content":"吃了一顿没拉了还继续吃，，要吃够三天吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050055100},{"body":{"content":"建议不拉了之后 巩固 1-2天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050078609},{"body":{"content":"用法用量\n口服。一次6片，一日3次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050095602},{"body":{"content":"发错了 抱歉奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050102848},{"body":{"content":"？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050162685},{"body":{"content":"用法发错了 抱歉奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050183040},{"body":{"content":"这个建议空腹 服用奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050192939}]

女

2022.05.20

[{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050107629},{"body":{"content":"在哪里透析的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050120901},{"body":{"content":"**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050132320},{"body":{"content":"新桥医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050137368},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050141485},{"body":{"content":"哪里人啊？**的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050163289},{"body":{"content":"今天刚出院，但是回来换了一袋以后，阴囊肿起来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050165096},{"body":{"content":"**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050176915},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050181228},{"body":{"content":"腹膜透析做了几天？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050211048},{"body":{"content":"11号做的手术","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221306},{"body":{"content":"一周多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050245610},{"body":{"content":"腹腔镜手术吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050250567},{"body":{"content":"插管这种，不是腹腔镜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050268185},{"body":{"content":"哦，几号还是腹透的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050290276},{"body":{"content":"哦，几号开始腹透的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050313532},{"body":{"content":"12","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050321076},{"body":{"content":"下面什么时候开始肿的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050357542},{"body":{"content":"下午","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050362073},{"body":{"content":"今天刚出院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050373880},{"body":{"content":"哦，尿量怎么样啊？应该还可以吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050398629},{"body":{"content":"出院前是2000每次，一天四次，今天出院耽误了，到目前，换了两次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050401571},{"body":{"content":"1000+基本上都是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050412267},{"body":{"content":"有几个建议:暂停几天腹透，观察一下，下次半袋留腹看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050489704},{"body":{"content":"好，那我等会儿换的时候，不放完看看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050531231},{"body":{"content":"若还是不行，可能你有隐匿性的疝气，需要手术修补","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050551082},{"body":{"content":"我放出来的时候，感觉飘管了，有点慢，躺着的时候很顺畅","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050597231},{"body":{"content":"等一下都放完啊，空腹几天看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050597358},{"body":{"content":"放进去是很通畅的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050617701},{"body":{"content":"多走走，保持大**畅，没有都有大便","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050638849},{"body":{"content":"多走走，保持大**畅，每天都有大便","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050651857},{"body":{"content":"在这期间有任何不适，及时去新桥医院看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050686563},{"body":{"content":"大**畅的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050714562},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050727053},{"body":{"content":"那我这个，***肿起来，先不管吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050747921},{"body":{"content":"把腹透液都放出来，一般情况，空腹几天，会**消退的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050780249},{"body":{"content":"下次半袋留腹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050795841},{"body":{"content":"若还是不行，建议去医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050809964},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050875955},{"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":1653051607757}]

男32岁

2022.05.20

[{"body":{"content":"您好，我是主任医师谷丽梅，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049883184},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049887093},{"body":{"content":"你运动锻炼吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049916218},{"body":{"content":"请问您是擅长哪方面","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049936797},{"body":{"content":"我想咨询其他的可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049945613},{"body":{"content":"你不是咨询***吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049974367},{"body":{"content":"可以咨询其他的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049988305},{"body":{"content":"咨询哪方面？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050006005},{"body":{"content":"脚趾甲盖","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050026842},{"body":{"content":"甲沟炎？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050048464},{"body":{"content":"怎么处理啊之前各种原因，有指甲有白的，后来受伤了有点淤血，然后就空了，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050094532},{"body":{"content":"我可以发图片吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050100610},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050104706},{"body":{"content":"这叫什么我也不知道，我踢足球会伤到指甲","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050268275},{"body":{"content":"是开始先变白然后才这样的是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050420920},{"body":{"content":"还是受伤之后这样的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050436855},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050469538},{"body":{"content":"差不多吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050471739},{"body":{"content":"什么差不多？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050492097},{"body":{"content":"先变白","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050496573},{"body":{"content":"本来可能也不太好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050504141},{"body":{"content":"然后踢球⚽️会伤到指甲","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050517295},{"body":{"content":"那这可能是真菌感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050556071},{"body":{"content":"也就是所说的灰指甲的原因导致的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050614573},{"body":{"content":"那怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050663057},{"body":{"content":"不是甲沟炎是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050674979},{"body":{"content":"我这样真菌感染的怎么处理","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050688924},{"body":{"content":"医生?‍⚕️","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050764203},{"body":{"content":"有好的建议吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050769497},{"body":{"content":"可以口服****试试","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050780561},{"body":{"content":"还要保证个人卫生，经常进行洗、更换**以及鞋子，保证透气。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050816851},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050889708},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050892487},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050899169}]

女

2022.05.20

[{"body":{"content":"您好，我是医生助理，工作时间早10：00—晚22：00，我会收集您的资料，整理好后发给医生，由医生亲自为您分析诊断。请问您有什么医学问题需要咨询的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878986677},{"body":{"content":"能不能加个工作微信？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878990958},{"body":{"content":"话还没问完又要付费","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879010543},{"body":{"content":"抱歉，平台不允许加个人联系方式","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879016363},{"body":{"content":"那这样买药了，咨询详情都要付钱，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879065836},{"body":{"content":"这样患者怎么受得了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879082474},{"body":{"content":"回复信息都要花钱买","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879095523},{"body":{"content":"用药中途如果有问题也不能咨询，想问个问题还得付钱，复诊找医**信息又要付钱，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879159694},{"body":{"content":"如果没有买药，仅仅是咨询，那样收费能理解，我已经购买药品了在这里治疗了，后续肯定还会很多事要沟通，这样一条信息都要付钱，是不是有点不合适呢？不加个人联系方式，那像我这样的咨询问题是不是可以不用收费了呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879279075},{"body":{"content":"您好，今天会打电话加您微信，用于用药过程中的问题咨询，以及提醒您复诊，后续开药诊疗还是要挂号复诊，但是再有其他问题，届时可以微信咨询！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652922472649}]

男36岁

2022.05.20

[{"body":{"content":"您好，我是住院医师曹众辰，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049672688},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049697863}]

女

2022.05.20

[{"body":{"content":"您好，我是消化内科医生，您的问题已经收到，我正在详细阅读您的病情描述。感谢您对我的信任！请理解线上诊疗的局限性，因为缺乏查体环节！我向您提出以下问题，请尽可能逐一回答！为了您的健康！同时便于我尽可能多的掌握足够有效信息，从而更准确有效的做出回答，给予合理的意见和最大的帮助！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050779902},{"body":{"content":"报告已阅。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050783802},{"body":{"content":"大夫你好，患者身体乏力，厌食，去两个医院，一个让住院，一个说不用住院，回家吃药就行。请问一下，她这种情况应该怎么治疗比较妥当？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050947915},{"body":{"content":"你这个是药物性肝损伤吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051026285},{"body":{"content":"怀疑是这个，因为患者4个月前注射过***，然后出现这个症状，而且尿液茶色。前天去检查然后医院得出的结论","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051099658},{"body":{"content":"这个最好住院治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051146487},{"body":{"content":"转氨酶有点高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051250827},{"body":{"content":"我们这市医院检查说不需要住院，那不住院吃药可以治疗吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051283923},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051296846},{"body":{"content":"但有风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051306094},{"body":{"content":"医院开的药是这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051316433},{"body":{"content":"单吃这个不行的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051319673},{"body":{"content":"好的，我知道了，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051453200},{"body":{"content":"您还有什么问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051507384},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551089},{"body":{"content":"感谢你的信任，祝您**！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051561414}]

女59岁

2022.05.20