刘继帅

[{"body":{"content":"您好，我是住院医师狄华，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049850568},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049853742},{"body":{"content":"近日期生产的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049859313}]

女

2022.05.20

[{"body":{"content":"您好，我是陈嵩医生，感谢您对我的信任。现在开始为您接诊。需要提醒您注意的是：由于我是利用业余时间为您服务，所以不能保证您每一次的提问都能第一时间答复，也请您耐心等待！但我一定会在规定时间内早点答复您，感谢您的理解并配合！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965694923},{"body":{"content":"去年六月份做的膝关节置换，然后过年那段时间就感觉不对劲，前段时间去拍了片子，发现螺丝松了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965771972},{"body":{"content":"我想问下这种螺丝松动是属于正常的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965799648},{"body":{"content":"这肯定是不正常的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965903233},{"body":{"content":"我觉得这种植入身体里的不应该这么轻易松动的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965912577},{"body":{"content":"那会是事故吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965951317},{"body":{"content":"这个不好说的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965983561},{"body":{"content":"我是做机械的，像那种震动频繁的地方还有专业的螺丝去防止时间久了松动，这种植入身体里的应该也会吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966060750},{"body":{"content":"我知道一般情况下不会出现医疗事故，但是这时间间隔太短了，还不到一年，也就差不多病人身体刚刚恢复好适应了，现在又要开刀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966167179},{"body":{"content":"如果想弄清楚这个原因应该咨询哪些方面呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966205065},{"body":{"content":"这种情况我不太好说，平台规定是不允许评论的，如果你觉得手术有问题，可以向卫健委或者有关领导部门反映。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966266981},{"body":{"content":"好的，明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966298890},{"body":{"content":"多谢您了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966305931},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966311400}]

女50岁

2022.05.20

[{"body":{"content":"您好，我是京东健康互联网医院专业育儿师***，很高兴为您提供育儿咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050348252},{"body":{"content":"5个月宝宝可以用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050427954},{"body":{"content":"这款蚊香液采用温和配方，不含***，驱蚊不杀蚊，婴儿孕妇皆可使用的 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050433654},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050493804},{"body":{"content":"感谢您的信任，希望下次为您服务，祝您生活愉快，宝宝健康成长！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051273230}]

女

2022.05.20

[{"body":{"content":"您好，我是副主任医师常瑜，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049563276},{"body":{"content":"你好，我是京东医生，请问有什么可以帮助你吗？\n请实名，实名后提供更完整的诊疗服务，然后开始问诊！\n是否有药物过敏史，肝肾功能是否正常？是否备孕期？女性的话是否在哺乳期，孕期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049566003}]

女

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0364，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050927735},{"body":{"content":"请问这个血丝是用药前没有的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050956551},{"body":{"content":"没注意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050970492},{"body":{"content":"最近是不是用眼过度了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050996944},{"body":{"content":"就是使用完后无意中看到镜子发现的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050997888},{"body":{"content":"有点，所以买了***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051008576},{"body":{"content":"用了这个***以后还有别的不舒服吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051012747},{"body":{"content":"有点凉凉的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051027231},{"body":{"content":"目前就没了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051037928},{"body":{"content":"有点凉是正常的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051047387},{"body":{"content":"为了您的用药安全，方便药师指导用药，请问患者的性别和年龄？是为本人用药咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051051938},{"body":{"content":"年龄21男，本人","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051097178},{"body":{"content":"为了您的用药安全，我们需要了解您的既往病史和过敏史，请您先回复以下问题：是否有食物/药物过敏史或慢性疾病史，肝肾功能是否正常，若有以上情况请如实告知，如果没有，可回复“无","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051117022},{"body":{"content":"滴2滴的有血丝，一滴无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051136703},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051139789},{"body":{"content":"您的这种情况也有可能 是眼疲劳引起的血丝，建议您再观察一下看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051173359},{"body":{"content":"说明书为1～2滴","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051174708},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051181764},{"body":{"content":"一般情况滴1滴也可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051208621},{"body":{"content":"建议您先一次一滴，注间观察，如果出现别的不适立即停药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051226285},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051234726},{"body":{"content":"生活和饮食注意：注意用眼保健，晚上早休息，注意消除引起症状的原因。多吃含****的食物，多吃含****的食物，如**、**、**等。**可以明目，也可以。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051279008},{"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3天无效果或病情加重，请及时咨询医师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051284624},{"body":{"content":"您好，您看还有其他问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051286293},{"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":1653051391602}]

女

2022.05.20

[{"body":{"content":"您好。我是全科医生任佳，非常高兴由我为您提供医疗咨询服务，请问您有哪些医药问题需要咨询的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050159423},{"body":{"content":"上述问题怎么回事？如何解决","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050180476},{"body":{"content":"哺乳2个多月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050199051},{"body":{"content":"请问您您爱人母亲啊有发热疼痛不适表现吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050204392},{"body":{"content":"爱人","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050211456},{"body":{"content":"平时哺乳吸奶及时吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050219553},{"body":{"content":"没有固定规律","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050241815},{"body":{"content":"请问您爱人哺乳有发热疼痛不适表现吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050244170},{"body":{"content":"昨天洗了洗头有点小感冒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050286215},{"body":{"content":"您爱人有明显涨奶感觉吗？乳汁吸出有颜色异常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050289841},{"body":{"content":"上述情况是单侧还是双侧，乳房排空后上述情况是否缓解或者消失？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050333339},{"body":{"content":"乳汁是清水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050415625},{"body":{"content":"吃完也没消失还有块","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050471114},{"body":{"content":"好的了解，结合您的上述情况描述，目前是考虑您爱人存在堵奶情况导致的乳房出现肿块的可能性比较大的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050559387},{"body":{"content":"但不完全除外可能存在的乳腺炎的可能，我可为您做出初步对症的用药建议，您看可以吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050593163},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050642478},{"body":{"content":"为了您的用药安全，推荐用药前需要和您确认一下：没有药物过敏史，没有肝肾功能异常？------------对吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050657825},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050669537},{"body":{"content":"然后呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050758235},{"body":{"content":"没有药物过敏，肝肾功能正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050793484},{"body":{"content":"好的了解，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050839777},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050856077},{"body":{"content":"口服 蒲公英颗粒，不影响哺乳 联合外敷*****治疗的，一次20-30分钟，一天2-3次的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050863461},{"body":{"content":"*****外敷乳房，蒲公英颗粒口服。喂奶前热敷乳房硬块，宝宝吸吮时手法轻轻按摩，从乳房周围轻推至乳头根部。按需哺乳，保证双乳通畅。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050883044},{"body":{"content":"口服 蒲公英颗粒 一日3次 一次1袋**对症缓解乳腺炎症不适","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050934619},{"body":{"content":"以上药物均是非处方用药，您可直接点击链接购药使用即可，付费后如您附近药店支持药急送，购药您可以选择药急送，就近药店配送一般1小时左右可以到达。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051000267},{"body":{"content":"需要先将乳房疏通，建议增加哺乳次数，宝宝吸不完的奶可以用吸奶器吸出，建议减少汤水摄入，如果疏通不了，可以请**师按摩疏通或线下医院就诊；体温超过38.5度建议线下公立医院急诊外科就诊，根据查体检查进一步评估，调整治疗方案","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051074955},{"body":{"content":"好的??谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051132340},{"body":{"content":"您客气了，希望我的建议能够帮助到您，望您在百忙中，右上角表扬医生评价一个\"5星\"好评，感谢您支持。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051224156},{"body":{"content":"温馨提示：您爱人在用药后如果病情缓解不佳后出现发热局部明显红肿热痛的表现，建议您及时线上复诊或者线下公立医院急诊外科就诊，根据查体检查，指导治疗方案的调整。不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051270408},{"body":{"content":"您之后有任何其他问题，可以在京东APP搜索“京东医生任佳”就可以找到我。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051274372},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051404626},{"body":{"content":"希望我的建议对您有所帮助，请问您是否还有其他医药问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051421732},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051429009},{"body":{"content":"如果您没有其他问题的话我这边就先结束问诊了，希望我的建议能够帮助到您，感谢您的关注与信任。请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。祝您和家人生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051446589}]

女33岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050390682},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050399789},{"body":{"content":"之前吃的什么**？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050407132},{"body":{"content":"能吃新盖中盖中老年补钙的**吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050435445},{"body":{"content":"之前没吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050441367},{"body":{"content":"这个适合老年人","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050484515},{"body":{"content":"孕妇一般用**，****比较多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050506883},{"body":{"content":"那吃什么样的可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050517069},{"body":{"content":"**，****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050532551},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050593665},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050616479}]

女23岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965313398},{"body":{"content":"有什么可以帮助到您的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965396944}]

女24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

[{"body":{"content":"晚上好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049621789},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049625509},{"body":{"content":"孩子大便干不干？今天解大便了没有？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049628747},{"body":{"content":"没有大便，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049635359},{"body":{"content":"您的宝宝应该要给他吃********。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049641874},{"body":{"content":"可以****打食。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049654039},{"body":{"content":"先给挤开塞露，通便。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049661467},{"body":{"content":"大**了他肚子就不疼了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049667045},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049675638},{"body":{"content":"同时把******给吃上。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049677279},{"body":{"content":"吃******和********。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049687019},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049690995},{"body":{"content":"各一包，一天三次口服。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049697473},{"body":{"content":"体重多少？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049707126},{"body":{"content":"体重50斤身高115","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049720470},{"body":{"content":"平常不发烧的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049735156},{"body":{"content":"吃一袋半是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049777544},{"body":{"content":"******，一次吃一包半，一天三次口服。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049781593},{"body":{"content":"是的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049786535},{"body":{"content":"****也是一次一包半，一天三次口服。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049808864},{"body":{"content":"好的，谢谢，给孩子吃错药了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049818196},{"body":{"content":"不客气的亲，这是我应该做的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049837766},{"body":{"content":"如果您对我的服务还算满意的话，能不能麻烦您帮我点评一下呢？非常感谢。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049848689},{"body":{"content":"祝您的宝贝早日康复，祝您晚安。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049858154},{"body":{"content":"这个也行吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049872919},{"body":{"content":"也行吧。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049883998},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049902997},{"body":{"content":"您还有什么需要咨询我的问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050682123}]

男4岁

2022.05.20