刘继帅

[{"body":{"content":"请问有什么症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049990642},{"body":{"content":"喘不上气","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049999803},{"body":{"content":"以前在煤矿工作4.5年","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050020517},{"body":{"content":"要注意尘肺病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050028086},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050034131},{"body":{"content":"现在用什么药物治疗呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050096189},{"body":{"content":"一直是口吸的这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050123908},{"body":{"content":"药品名称是什么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050180673},{"body":{"content":"？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050201502},{"body":{"content":"就是什么**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050230708},{"body":{"content":"****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050261965},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050266533},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050267286},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050327226},{"body":{"content":"要开****吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050342758},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050347366},{"body":{"content":"请问有没有食物或者药物过敏史？有没有什么基础疾病？是否怀孕或者在哺乳期？肝功能，肾功能等是否正常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050357383},{"body":{"content":"没有过敏史，只是有肺气肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050396511}]

男57岁

2022.05.20

[{"body":{"content":"您好，可以治愈，功能性高血压。治疗焦虑就行，**就好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965496859},{"body":{"content":"那怎么控制血压？体检的时候血压会高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965541135},{"body":{"content":"****一片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965694683},{"body":{"content":"是***吗？普通的***降不下来的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965735980},{"body":{"content":"****可以降压，可以抗焦虑","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965765866},{"body":{"content":"像****就没有效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965776098},{"body":{"content":"2片效果有没有比较好一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965793237},{"body":{"content":"是，所以不用他，可以吃两片，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965820666},{"body":{"content":"好像这种也有开过来吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965915355},{"body":{"content":"这个相对是最好的，可以配点****抗焦虑的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965970173},{"body":{"content":"哪一种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966074006},{"body":{"content":"**就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966092386},{"body":{"content":"有镇静的药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966160035},{"body":{"content":"我容易比较紧张","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966168512},{"body":{"content":"****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966173977},{"body":{"content":"可以跟那两种一起吃？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966228325},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966254618},{"body":{"content":"****买不了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966302394},{"body":{"content":"一吃血压就能降吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966324708},{"body":{"content":"医院开的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966324707},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966332208},{"body":{"content":"****，****，****？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966578031},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966588378},{"body":{"content":"还有强效药吗？麻烦给我开点强效药，我怕到时又高了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966633250},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966647651},{"body":{"content":"再说您是外部单，开不成药的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966665507},{"body":{"content":"去别的医院一般都是开这种是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966709781},{"body":{"content":"不一定，你可以给医生说，开一些就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966734209},{"body":{"content":"好的吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966811782},{"body":{"content":"一般去心理医院就可以开的吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966827107},{"body":{"content":"嗯，可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966847612},{"body":{"content":"好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966861455},{"body":{"content":"不客气，放松先，早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966890002},{"body":{"content":"感谢啦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966903442},{"body":{"content":"没事儿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966914128},{"body":{"content":"嗯嗯，那就不麻烦您了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966935327},{"body":{"content":"嗯哪，晚安","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966947779}]

男24岁

2022.05.20

[{"body":{"content":"您好，一天的体重变化没有意义的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964981124},{"body":{"content":"要一周以上变化才有意义","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964990367},{"body":{"content":"哦哦，好的，我知道了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965020351},{"body":{"content":"体脂较高怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965052880},{"body":{"content":"采用调整饮食结构，增加运动量的方式。调整饮食不是控制饮食，而是调整为高蛋白（鸡胸，**，鱼，虾，豆制品等）低碳水（粗粮为主）低脂肪（少食肥肉，烧菜时少放油等）这种饮食模式。另外运动是为了增加基础代谢率的，这样减肥才能持续，不容易反弹。运动方式比较多，跑步，跳绳，仰卧起坐，爬楼梯，游泳等都是可以的，可以根据自己平时的生活习惯选择。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965234553}]

女21岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049739231},{"body":{"content":"不建议吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049793860},{"body":{"content":"那吃什么***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049829733},{"body":{"content":"目前有什么不舒服的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050210129},{"body":{"content":"可以吃*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050362300}]

女15岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965317234},{"body":{"content":"您想预约什么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965326892}]

男45岁

2022.05.20

[{"body":{"content":"冷敷抬高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049760432},{"body":{"content":"必须下地活动，避免长时间走路","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049765719},{"body":{"content":"先冷敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049771413},{"body":{"content":"嗯好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049814288},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049829195},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049839550},{"body":{"content":"祝早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049841186},{"body":{"content":"48小时后热敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049851954},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049863238},{"body":{"content":"不用客气，有问题就给我留言。也感谢您的咨询，如果您对我的服务满意，请帮忙评价一下满意请打五星，您的鼓励对我很重要。谢谢您对我工作的支持和鼓励。祝您健康！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050069083}]

女37岁

2022.05.20

[{"body":{"content":"你好你的阴道内环境检查结果显示是细菌性阴道炎症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878869106},{"body":{"content":"彩超检查结果应该是有子宫内膜息肉及宫颈纳囊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878916080},{"body":{"content":"我月经是4月27日来的，这些报告是5月15日去检查的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879046288},{"body":{"content":"这个生殖道支原体衣原体感染检查结果显示是正常的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879066593},{"body":{"content":"现在在备孕中，这个月排卵期同房了，不知道成功了没有。结合报告我需要吃点什么药治疗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879101414},{"body":{"content":"宫颈纳囊是什么来的？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879118068},{"body":{"content":"宫颈**又叫纳氏囊肿、宫颈囊肿，是发生于宫颈部位的一种良性病变，与宫颈息肉、宫颈糜烂、宫颈肥大等，都是慢性宫颈炎的一种类型。宫颈**的形成，是由于在宫颈糜烂愈合的过程中，新生的鳞状上皮覆盖宫颈腺管口或伸入腺管，将宫颈腺管口堵塞，管口内的分泌物不能排出，滞留后形成的一种病变。在进行妇科常规检查时，可以看到宫颈表面有大小不一，单个或者是多发的青白色的囊泡，突出于宫颈表面，宫颈部位的组织充血水肿，炎性分泌物附着。小的的宫颈**，没有明显临床症状时一般不需要进行治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879274966},{"body":{"content":"目前这个月如果没有怀孕需要用药治疗一下阴道炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879300664},{"body":{"content":"我的阴道炎严重吗？是霉菌性阴道炎？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879706598},{"body":{"content":"细菌性阴道炎症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879745114},{"body":{"content":"检查前同房了，有影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882073958},{"body":{"content":"精子里面是没有细菌的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882657301},{"body":{"content":"医生，细菌性阴道炎建议吃点什么药呢？短期内想要孩子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652925563923},{"body":{"content":"对了，子宫内膜息肉大吗，影响受孕不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652925587611},{"body":{"content":"建议给予*****或者******按照1：10的比例稀释冲洗阴道，冲洗完后每天晚上阴道放置******治疗一下。严重时还可以口服****/****2G顿服一次，也可以****400mg一日两次连服7天，全身用药治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652925878266},{"body":{"content":"你的子宫内膜比较小一般不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652925890503},{"body":{"content":"用药塞阴和口服药，复检指标正常后，要隔多久才能要小孩？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652933206303},{"body":{"content":"排卵期之后不要用药就可以正常备孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652933639385}]

女32岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018710983},{"body":{"content":"抱歉，平台最新规定，必须有原来当地医院纸质处方，才能开药！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018758185},{"body":{"content":"贺医生最近有反复医院医生把我***加量了但是医生开的量不够","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653018778069},{"body":{"content":"纸质处方在医院就诊药诊单可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653018821521},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653019125134},{"body":{"content":"您可以去当地的医院下次就诊时，留着病例，处方（必须有姓名，诊断，医院，用药情况）。这样下次就可以网上买药了，京东软件，搜索 {***} 就可以找到我了！价格便宜！感谢配合！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653019133190},{"body":{"content":"这个可以吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653021670247},{"body":{"content":"这个不行的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653021729356},{"body":{"content":"不可开方情况：\n１.　用药指导不可以\n２.　门诊缴费凭证不可以\n３.　互联网平台处方凭证不可以\n 4. 取药单不可以\n 5. 发票单不可以\n 6. 非精神心理科提供的凭证不可以！（神经内科规范处方除外）\n以上均缺乏专业认证！！！！！！！\n\n可开方情况（满足一种即可)：\n特别说明：以下可开方情况的专业认证与本次问诊的患者姓名、诊断、药品名称三者必须全部一致，否则不可开方！！！！！！！\n\n１．门诊病历（可无盖章，必须有医生签名）\n２.　住院病历（必须有医院公章）\n３.　出院小结（纸质手写必须有医院公章，电子版可无公章）\n４.　诊断证明（必须有医院公章）\n５.　处方单（必须有医生签名）\n 6· 线下实体医院自有互联网医院处方单（必须有医生签名）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653021731887}]

女33岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878987744},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878999596},{"body":{"content":"医生劳烦您 按照之前的量 帮开一下 处方吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879016958},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879098866},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879273106},{"body":{"content":"给您开完了，您看看，对不对？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879499099},{"body":{"content":"对的哈","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652961784227},{"body":{"content":"谢谢啦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652961786370},{"body":{"content":"不谢不谢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652961897521}]

男56岁

2022.05.20

[{"body":{"content":"您好，我是京东互联网医院医生，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。\n什么情况？是否有其他疾病？\n近期有没有什么用药史，\n或药物过敏史？\n请说","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384421},{"body":{"content":"摸下什么感觉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050404051},{"body":{"content":"皮肤下面有一粒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050433657},{"body":{"content":"腱鞘囊肿？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050531141}]

男3岁

2022.05.20