刘继帅

[{"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":1653049608443}]

男37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":1653050070187},{"body":{"content":"你好，过敏史不详","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050093869},{"body":{"content":"这样变多趋势？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050100693},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050111178},{"body":{"content":"周一去皮肤病医院开了些药摸的，最近开始结痂了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050140451},{"body":{"content":"啥药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050149464},{"body":{"content":"上次***喷？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050155285},{"body":{"content":"也不痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050183664},{"body":{"content":"没有喷***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050199144},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050223627},{"body":{"content":"这个考虑是什么呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050233006},{"body":{"content":"这含有**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050280677},{"body":{"content":"摸的这个然后还有自己配的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050281030},{"body":{"content":"啥药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050286390},{"body":{"content":"破皮别涂","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050339251},{"body":{"content":"破皮别涂哪个？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050363618},{"body":{"content":"******喷喷啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050366502},{"body":{"content":"别涂***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050378377},{"body":{"content":"这个是怎么了呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050381258},{"body":{"content":"感染可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050416631},{"body":{"content":"小孩子怎么这么严重呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050446477},{"body":{"content":"您给开点药？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050453479},{"body":{"content":"这是病毒感染吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050463769},{"body":{"content":"目前买的这些药正常用就行吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050479036},{"body":{"content":"我考虑这个可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050493781},{"body":{"content":"之前起水痘，抹上药这两天开始结痂了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050498091},{"body":{"content":"所以建议喷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050506992},{"body":{"content":"喷***吗？然后破皮了不要喷是嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050556210},{"body":{"content":"***啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050564974},{"body":{"content":"******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050575349},{"body":{"content":"行，您给推荐下药物吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050618661},{"body":{"content":"这个不是猴痘病毒吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050790429},{"body":{"content":"无法明确","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050869931},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050942967},{"body":{"content":"就用这一个药就行吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050952801},{"body":{"content":"变处理边观察","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051017523}]

男1岁11个月

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，宝宝这种情况多长时间了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883692362},{"body":{"content":"三个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883716091},{"body":{"content":"目前一天大便几次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883732879},{"body":{"content":"有时候正常的话一天一次，如果喝奶就拉的话一天三次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883777823},{"body":{"content":"体重增长好不好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883799553},{"body":{"content":"也不是每次喝奶**，就是经常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883800016},{"body":{"content":"目前九个月，75cm 10kg","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883830874},{"body":{"content":"九个半月了，不好意思，刚刚说错了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883847838},{"body":{"content":"体重还可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883856013},{"body":{"content":"大便稀不稀","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883862892},{"body":{"content":"如果一天一次的话就不稀，喝奶拉那种就稀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883896837},{"body":{"content":"不爱吃辅食","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883909998},{"body":{"content":"吃两口就不张嘴了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883933382},{"body":{"content":"这种情况需要查查乳糖不耐受","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883949199},{"body":{"content":"或者蛋白过敏","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883956387},{"body":{"content":"这检查需要怎么做的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883979664},{"body":{"content":"乳糖不耐受化验大便","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883995233},{"body":{"content":"过敏需要抽血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884001048},{"body":{"content":"先查乳糖不耐受吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884018602},{"body":{"content":"比较容易","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884022725},{"body":{"content":"好的。还有没有可能是奶粉不合适导致的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884025928},{"body":{"content":"奶粉不合适就是考虑过敏了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884044963},{"body":{"content":"那我就先去做乳糖不耐受吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884068907},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884082997},{"body":{"content":"先查乳糖不耐受吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884087518},{"body":{"content":"刘医生，化验大便得去医院拿试管回来取大便吗，还是得带宝宝一起去医院呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884190364},{"body":{"content":"这需要咨询当地儿童医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884241519},{"body":{"content":"看如何开展","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884246959},{"body":{"content":"一般带标本即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884253326},{"body":{"content":"好的，非常感谢你！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884364001},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884376115}]

男9个月16天

2022.05.20

[{"body":{"content":"您好，我是精神科吴医生！请问有什么能帮您呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049659473},{"body":{"content":"您****，我想开点*****和****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049988560},{"body":{"content":"可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050066059},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050107989},{"body":{"content":"请问：1，目前病情是否稳定？\n 2，最近服药有严重的副反应吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050109671},{"body":{"content":"目前病情稳定，无不良反应","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050173004},{"body":{"content":"1，具体想开哪个药？\n请发一下要开的药的照片或图片，以确定厂家、剂型、规格。\n2，几盒？（限开4周用量）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050230757},{"body":{"content":"***的，75mg的****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050301305},{"body":{"content":"**的，******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050339532},{"body":{"content":"各几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050385855},{"body":{"content":"******开3盒，*****开2盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050388268},{"body":{"content":"您诊断是什么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050428474},{"body":{"content":"抑郁症，外加神经衰弱","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050458205},{"body":{"content":"等下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050534856},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050573507},{"body":{"content":"购药处方已为您开好。 等药师审核后，请点进上面的处方，点“查看详情”，再点“预约药品”购买药品。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050591158},{"body":{"content":"感谢大夫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050685716},{"body":{"content":"别客气，为了用药安全，请定期1到3个月去线下门诊就诊复查。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050697275},{"body":{"content":"如果可以，请给一下五星好评，非常感谢您！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050700146},{"body":{"content":"已好评，十分感谢。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050759069},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050775797}]

女58岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965067075},{"body":{"content":"可以提问了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965076085},{"body":{"content":"这个情况会不会是受孕时间太短 所以没有心管搏动","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965168551},{"body":{"content":"末次月经哪天的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965249143},{"body":{"content":"4月6号","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965276632},{"body":{"content":"平时月经规律吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965354765},{"body":{"content":"推迟的话也是一两天的样子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965390834},{"body":{"content":"它这个hcg可以看出受孕周期吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965468282},{"body":{"content":"看不出来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965519811},{"body":{"content":"因为我们这边的医生说我这个hcg也蛮高 B超显示没有心管搏动 考虑胎停 要住院 可是我什么症状都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965531891},{"body":{"content":"建议一个星期后再复查看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965576929},{"body":{"content":"我还想问一下 如果按实际同房时间来算的话 是4月16号之后的受卵 按这个时间推算可以吗 因为之前没有同房过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965694712},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965770595},{"body":{"content":"那综合hcg来看的话 这个B超没有心管搏动是不是可能是正常的 因为月份太小了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965842765},{"body":{"content":"正常的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965880520}]

女24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":"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":1653049670118},{"body":{"content":"请问有咽喉痛，发烧吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049682953},{"body":{"content":"不痛，不发烧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049694060},{"body":{"content":"嗯，前几天有没有着凉？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049717441},{"body":{"content":"估计是有着凉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049730640},{"body":{"content":"嗯，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":1653049740896},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049847592},{"body":{"content":"有吃****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049860179},{"body":{"content":"嗯，就吃了这一种吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049875238},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049886462},{"body":{"content":"嗯，需要加点药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049899211},{"body":{"content":"你吃了几天，效果怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049923406},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049939999},{"body":{"content":"嗯，建议你口服*******缓解感冒，口服********，口服*********","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049984091},{"body":{"content":"我这边给你开处方，你看看具体药品信息和用法吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050063026},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050143571},{"body":{"content":"好的，我现在就给你开处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050156552},{"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":1653050226733},{"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":1653050237245}]

男26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":"\n您好，麻烦您给开一下药吧，跟上次的一样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051262054},{"body":{"content":"跟上次开一样的吗？最近病情平稳吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051274742},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051369752},{"body":{"content":"上次一样的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051375177},{"body":{"content":"最近病情平稳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051415870},{"body":{"content":"好的，稍等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051515588},{"body":{"content":"能多开几盒吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051620003},{"body":{"content":"可以多开一盒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051693908}]

女57岁

2022.05.20