金淳民

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653045289778},{"body":{"content":"都有什么症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653045296201},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653045297914},{"body":{"content":"都有什么症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653045333005},{"body":{"content":"抑郁症的症状：情绪低落，兴趣减退，精力下降，自卑，自杀，反应迟钝，不爱吃饭，不睡觉或者睡眠多！ 这些症状有几点？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653045336609},{"body":{"content":"除了那个睡眠多和反应迟钝其他都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653045399616},{"body":{"content":"通过您的介绍，您这个情况很可能是焦虑抑郁情绪了！建议去精神专科医院【医生面诊】检查一下，网上不能确诊，给您对症开点药物治疗一下，联合心理治疗效果更好！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653045411373},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653045425177},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653045566531}]

男16岁

2022.05.20

[{"body":{"content":"可有照片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965594642},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965629815},{"body":{"content":"只是囊肿已经扩散成好几小个，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965683865},{"body":{"content":"请问我挂什么科","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965801742},{"body":{"content":"在哪地方囊肿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965816745},{"body":{"content":"小腿上面头","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965891516},{"body":{"content":"我这种情况该挂什么科","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965962758},{"body":{"content":"在皮下吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966056380}]

男71岁

2022.05.20

[{"body":{"content":"几点磕的，有恶心呕吐等症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879280990},{"body":{"content":"刚刚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879290159},{"body":{"content":"目前看没有不良反应","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879301171},{"body":{"content":"脑门那么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879303640},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879317512},{"body":{"content":"目前没有做任何治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879338232},{"body":{"content":"前额的额骨是最硬的骨头之一，一般磕到前额不会伤到骨头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879344832},{"body":{"content":"怕弄严重了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879347941},{"body":{"content":"但孩子头面部组织疏松","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879361751},{"body":{"content":"所以磕碰后容易出包或者青紫","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879377947},{"body":{"content":"建议观察3天，期间如果出现呕吐、昏迷、抽搐等症状则需要去医院做头部Ct","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879410238},{"body":{"content":"今明两天局部可以冷敷，后天起热敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879424584},{"body":{"content":"该吃吃该玩玩，这方面不用特别注意。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879442303},{"body":{"content":"冷敷？用***可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879556542},{"body":{"content":"不一样 建议用毛巾裹冰块","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879592462},{"body":{"content":"明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879599390}]

女4岁

2022.05.20

[{"body":{"content":"马主任，孩子现在一直吃的是每天一粒六毫克的**，情绪等方面都很好，今天他说傍晚头蒙，他想把**换成前年吃过的***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652873194510},{"body":{"content":"孩子说就是去年初把***换成**后才会出现头蒙的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652873262258},{"body":{"content":"国内外研究结果******副反应少，对认知功能影响小，安全性和耐受性良好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878960337},{"body":{"content":"哦！刚吃**时，天天头蒙，现在隔很长时间头蒙一次（人愣着），这种吃了不舒服的感觉怎么解决？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879389242},{"body":{"content":"若不适，就服用之前的药物，一切依据患者的感受为主。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964303603},{"body":{"content":"前天和昨天都是傍晚出现了头蒙，人有点发呆，感觉有人跟踪的幻觉。傍晚出现这现情况后，他加吃了一粒3毫克**后，症状就好些.平时都只是中午吃一粒6毫克**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015955713},{"body":{"content":"这说明出现症状还是病情的原因吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653036897716},{"body":{"content":"有症状原因","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051297412}]

男15岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050314704},{"body":{"content":"尊敬的PLUS会员您好，我是普通外科张医生，很高兴为您提供医疗咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050317985},{"body":{"content":"您好，请问您有什么不适症状？有多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050320262},{"body":{"content":"7天了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050326854},{"body":{"content":"主要不适症状是什么呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050343687},{"body":{"content":"左乳房有点胀痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050346870},{"body":{"content":"也做血的化验","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050368779},{"body":{"content":"说没有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050375096},{"body":{"content":"彩超和抽血都做过了对吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050377071},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050381877},{"body":{"content":"把结果上传我看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050382121},{"body":{"content":"图片没有拍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050394934},{"body":{"content":"有外观改变明显，或摸到明显硬块么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050410775},{"body":{"content":"彩超显示有腺体8MM","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050417421},{"body":{"content":"抽血检查的雌性那些指标都是正常的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050444844},{"body":{"content":"那确实是偏大了，这个情况，外观改变明显，首先考虑是手术治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050519922},{"body":{"content":"那个医生说建议我吃下******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050595303},{"body":{"content":"但是医院没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050603546},{"body":{"content":"但医生说**指标正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050632504},{"body":{"content":"只有左胸最近才感觉到痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050657120},{"body":{"content":"可以吃 3周看看效果 但是 个人经验 止痛效果好，变小腺体的可能性不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050659617},{"body":{"content":"这个****医生也推荐了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050702938},{"body":{"content":"这两个药哪个疗效会好点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050721296},{"body":{"content":"可以试试 但个人认为不要抱有太大希望","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050722690},{"body":{"content":"一定有这个症状就要做手术吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050756265},{"body":{"content":"这个会一直增长吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050771859},{"body":{"content":"增长的可能性也不大，是否需要手术 要看您对外观的要求 如果很在意 手术是最直接的方法，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050798220},{"body":{"content":"另外如果有发现男性乳房有硬块 那要及时手术切除","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050809738},{"body":{"content":"他说给我饮食和身体肥胖有很大关系","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050821531},{"body":{"content":"对，跟这个有关系的，如果没有硬块 疼痛不明显外观改变不明显 也不用特别在意","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050851148},{"body":{"content":"硬块没有，就是乳头按压会有胀痛感","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050905293},{"body":{"content":"****和******看下开那个好点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050961339},{"body":{"content":"麻烦给推荐一下，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050970966},{"body":{"content":"外观改变不明显 可以先口服药物看看效果，******临床反馈效果更好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050978994},{"body":{"content":"好的，那就给我开下******2盒，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051007701},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051036573},{"body":{"content":"为了用药安全，系统需要先排除用药禁忌，请问您既往是否有基础疾病？近期是否有发现肝肾功能异常？是否有药物过敏史？是否处于男性备孕状态呢？您回答有或者没有就可以了。谢谢。（例行询问，请您配合 谢谢）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051076149},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051118425},{"body":{"content":"用药前请您仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用我为您开具的药品，如您在用药过程中出现不适，请您及时上线咨询或去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051196208},{"body":{"content":"处方已经开好，您可以点击处方，预约购买，药师审核通过后，即可发药,京东物流会配送到您指定的**。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051198032},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051381470},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051450938}]

男33岁

2022.05.20

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

男38岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878954453},{"body":{"content":"您好，有清楚的皮疹照片么？我看看目前皮疹什么情况？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879001158},{"body":{"content":"这就是刚拍的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879152636},{"body":{"content":"患处的头破了，有点流水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879375974},{"body":{"content":"现在就是这样的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879557700},{"body":{"content":"在吗医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880084219},{"body":{"content":"*******湿敷，用*******和*****掺起来抹，早晚用药。如果痒明显口服*******或者*********。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652963426939}]

女2岁4个月

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":1653050037218},{"body":{"content":"这个表不适合女性，有什么问题可以直接咨询","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050212394}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049614592},{"body":{"content":"图片看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049615889},{"body":{"content":"没事，这个考虑是白色糠疹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049661853},{"body":{"content":"小孩多见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049664887},{"body":{"content":"哦哦哦是不是营养不良","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049729445},{"body":{"content":"不是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049757197},{"body":{"content":"可以外用***一天二次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049762361},{"body":{"content":"不影响健康的，放心吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049768463},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049849528},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049852968}]

男5岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0049，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051480572},{"body":{"content":"什么原因引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051489741},{"body":{"content":"不知道，早上还好好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051522302},{"body":{"content":"眼皮肿了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051547461},{"body":{"content":"孩子几岁了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051708329},{"body":{"content":"为了您的用药安全，请您在用药前仔细阅读说明书注意事项、禁忌等内容，严格按照说明书或药师指导的用法用量使用，若用药无效果或病情加重，请及时咨询医生师或立即线下就医","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051779059},{"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":1653051780973},{"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":1653051969425}]

女

2022.05.20