刘继帅

[{"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":1653049595516},{"body":{"content":"你是患者本人吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049606155},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049612738},{"body":{"content":"这么年轻","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049626743},{"body":{"content":"不应该啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049629347},{"body":{"content":"是家里人","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049640119},{"body":{"content":"奥奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049683854},{"body":{"content":"咨询什么问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049689152},{"body":{"content":"家里老人轻微中风","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049706834},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049713486},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049725390},{"body":{"content":"开几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049727803},{"body":{"content":"为了用药安全，请问你是否有药物过敏史，是否有肝肾功能异常，是否有慢性疾病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049732198},{"body":{"content":"5","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049732283},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049742701},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049861411},{"body":{"content":"回看沟通记录可见电子处方。点开电子处方，下方会有 预约药品，点击后会跳转京东，补充**等信息，支付后，京东药师审核后，会直接按照您预留**发货，无需再上传处方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049869848},{"body":{"content":"不用客气，祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049871882},{"body":{"content":"脑梗塞应这样\n1.应平衡饮食和营养，多吃蔬菜、水果和谷类食品，减少饱和脂肪酸和胆固醇的摄入；每天盐摄入量限制在6克以下。\n\n2、继续锻炼，持续锻炼可减少20%的复发风险，每天至少进行30分钟的适度体育活动，如步行、慢跑、**拳、骑自行车等，每周5次。\n\n3、定期体检和会诊，患者应定期检查血压、心电图、血糖**脂，并根据自己的检查结果咨询神经科医生，帮助解决所遇到的各种问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049876299},{"body":{"content":"你可以点开我的头像关注我，以后有问题随时可以咨询我， 或者去：京东_搜我的名字***，点击图文咨询直接咨询就行。这样就能找到我了，有什么用药问题或者购药问题都可以继续咨询我。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049879609},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任！请对话结束后对给予5星好评，您的好评是对我最好的肯定与鼓励，祝您生活愉快，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049881616}]

女31岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965468505},{"body":{"content":"有什么咨询的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965478411},{"body":{"content":"可以麻烦医生看一下这个病理结果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965516714},{"body":{"content":"是恶性的吗 原发性的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965531653},{"body":{"content":"可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965595472},{"body":{"content":"可能性较大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965633477},{"body":{"content":"您可以简单解释一下这个检查结果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965644223},{"body":{"content":"是直肠息肉吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965649684},{"body":{"content":"异性增生就提示恶性肿瘤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965698858},{"body":{"content":"病理活检已经比较明确考虑恶性肿瘤了，建议进一步做免疫组化等，具体看你主治医生的意见较好，他比较了解具体情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965756329},{"body":{"content":"看到明显的肿物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965794243},{"body":{"content":"那高级别上级内瘤是代表什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965799805},{"body":{"content":"提示恶性程度可能没那么高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966022000},{"body":{"content":"就是可能是恶性的 但是要进行进一步的检查确认","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966092014},{"body":{"content":"那这样的情况容易转移吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966130964},{"body":{"content":"只能看个人情况咯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966172955},{"body":{"content":"医生会帮你评估的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966187979},{"body":{"content":"好的 谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966201795},{"body":{"content":"不用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966213005}]

女49岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是皮肤科医生，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":1653049608879},{"body":{"content":"您拍一张出现症状部位清晰的照片，以便于我对症状、为您建议用药做出更准确的分析。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049609731},{"body":{"content":"有什么药适合宝宝涂的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049643668},{"body":{"content":"是因为热吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049668636},{"body":{"content":"除了瘙痒是否有发红、脱皮","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049670786},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049679005},{"body":{"content":"根据您描述的症状考虑 湿疹的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049725995},{"body":{"content":"一方面是这2个部位皮肤比较薄嫩，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049730961},{"body":{"content":"另一方面这两个部位比较容易摩擦刺激和焐热","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049738227},{"body":{"content":"容易出现这种症状的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049743099},{"body":{"content":"有脱皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049754189},{"body":{"content":"收到了，您稍等，我帮您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049818942},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049858277},{"body":{"content":"是的，湿疹的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049898093},{"body":{"content":"为了避免重复用药，请问孩子症状出现后使用过哪些药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049899609},{"body":{"content":"***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049909877},{"body":{"content":"药物使用多久了？用药期间效果怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049987308},{"body":{"content":"我只是涂了两次，隔几天涂一次，因为我也不确定是否湿疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050036063},{"body":{"content":"这个可以持续使用吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050055269},{"body":{"content":"为了用药安全，请问孩子父母有无药物过敏史","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050060131},{"body":{"content":"没有，只是地中海贫血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050102103},{"body":{"content":"是的，可以继续使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050106712},{"body":{"content":"***** 每天两次 早晚各1次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050112479},{"body":{"content":"可以先用3-5天，使用期间症状如果好转，减少使用次数，逐渐停药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050117474},{"body":{"content":"可以减少复发的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050119874},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050157811},{"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。建议您定期复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050181850},{"body":{"content":"您太客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050183633},{"body":{"content":"这个用药是一方面","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050187145},{"body":{"content":"同时给您一些生活建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050188007},{"body":{"content":"同时注意每天涂抹***，也是可以提高皮肤屏障功能 ，辅助恢复的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050191005},{"body":{"content":"建议避免搔抓和摩擦刺激，以免刺激加重病情，做好皮肤保湿，饮食清淡，忌鸡蛋，海鲜，牛**，多吃蔬菜和水果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050641601},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050820224},{"body":{"content":"很多宝妈反馈这种的还可以，您可以参考看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050839319},{"body":{"content":"希望我以上的建议能够帮助您 ，您还有**问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050910105}]

男1岁7个月

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049982852},{"body":{"content":"有人吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050004984},{"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":1653050014264},{"body":{"content":"请问是想咨询药物还是关于脑部有声音？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050092447},{"body":{"content":"****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050110217},{"body":{"content":"与***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050115690},{"body":{"content":"效果是不是一样的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050126801},{"body":{"content":"有些区别","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050151576},{"body":{"content":"****是两种物质合成一起的。主要针对头晕头昏。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050172782},{"body":{"content":"哦，****吃完了。可以用***吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050242722},{"body":{"content":"你吃****有用吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050267807},{"body":{"content":"如果效果很好，是不能代替的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050283347},{"body":{"content":"之前脑袋受过伤，现在感觉有响声","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050287486},{"body":{"content":"嗯嗯，知道了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050298920},{"body":{"content":"脑鸣的原因很多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050302950},{"body":{"content":"甚至有时候和情绪都有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050315121},{"body":{"content":"嗯嗯，那等吃完药在说吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050342280},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050353224},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050363919},{"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":1653050369916}]

男59岁

2022.05.20

[{"body":{"content":"你好，现在是一个什么情况。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965739199},{"body":{"content":"做的什么治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965744708},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965746858},{"body":{"content":"医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965749671},{"body":{"content":"影像所见:垂体上下径为0.7cm，上缘膨隆，垂体信号欠均匀，于垂体左侧部隐约见一小结节状T1WI低信号影，大小约为0.2cmx0.2cm，\t垂体柄居中，动态增强扫描示正常垂体明显均\t匀强化，垂体内病灶呈低信号，并见逐渐及度强化现象。鞍底骨质未见异常，鞍旁及鞍上**结构未见异常。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965760367},{"body":{"content":"这个你看一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965766710},{"body":{"content":"有什么不舒服没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965783320},{"body":{"content":"泌乳素高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965803036},{"body":{"content":"月经紊乱","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965827635},{"body":{"content":"那考虑还是跟这个垂体有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965830609},{"body":{"content":"是的 就是看报告结果 医生你觉得严重么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965896054},{"body":{"content":"我有点害怕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965906315},{"body":{"content":"不严重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965925272},{"body":{"content":"垂体瘤是常见的良性肿瘤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965940287},{"body":{"content":"是吃药治疗么还是如何","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965954897},{"body":{"content":"可以完全治愈的么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965968697},{"body":{"content":"好的，那就放心许多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965978405},{"body":{"content":"可以先吃药看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965979908},{"body":{"content":"不行再考虑手术","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965990565},{"body":{"content":"好的，一般是吃什么药的呢?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966017295},{"body":{"content":"如果这种做手术 风险应该不会很大的吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966054039},{"body":{"content":"手术微创，风险不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966118253},{"body":{"content":"吃药，吃***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966128551},{"body":{"content":"好的 医生 这种去医院挂号的话，是挂神经外科还是内分泌科好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966261683},{"body":{"content":"内分泌","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966372526},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966419031}]

女22岁

2022.05.20

[{"body":{"content":"你好，青岛大学附属医院有足踝外科，一般是放在四肢骨骨科里面","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965632045},{"body":{"content":"怎么了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965636345},{"body":{"content":"有什么需要帮忙","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965640440},{"body":{"content":"能帮忙看个核磁吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965686642},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965698605},{"body":{"content":"把片子和检查结果一起发过来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965714552},{"body":{"content":"你这个有积液，有点韧带损伤，但是没有出现断裂","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965816702},{"body":{"content":"这个可以先考虑保守治疗，保守治疗期间定期复查，如果好转就继续治疗，如果病情加重就要考虑做修复术","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965874173},{"body":{"content":"损伤是撕裂吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965874345},{"body":{"content":"是的，撕裂伤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965882823},{"body":{"content":"保守了六个月有效果，但是左右脚踝不一样大了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965916595},{"body":{"content":"没有断裂吗？只是撕裂了多少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965933533},{"body":{"content":"能前后左右各个方向活动吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965948657},{"body":{"content":"图片来看没有完全的断裂，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965965617},{"body":{"content":"可以，没啥问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965965705},{"body":{"content":"这个肯定会不一样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965974399},{"body":{"content":"受过伤的就是受过伤的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965983511},{"body":{"content":"和原装货肯定不一样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965990394},{"body":{"content":"怎么继续恢复","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966005785},{"body":{"content":"只要它功能正常的就可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966011113},{"body":{"content":"需要吃点药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966015761},{"body":{"content":"爆发没以前高了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966025893},{"body":{"content":"平时适当功能锻炼，可以喷的******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966030207},{"body":{"content":"揉一揉，功能锻炼就可以了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966041351},{"body":{"content":"需不需要稳定性力量训练","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966077633},{"body":{"content":"大约还需要多久能恢复到之前","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966127854},{"body":{"content":"这个受伤的前三年都会不舒服，后期会**好起来，但是很难恢复到和之前一模一样，只能比较接近之前的状态","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966247888},{"body":{"content":"前三年吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966320823},{"body":{"content":"我不会残疾吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966328783},{"body":{"content":"不会残疾的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966369602},{"body":{"content":"你是骨关节医生吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966398895},{"body":{"content":"我是全科医生，之前做骨科医生，现在做外科医生","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966442436},{"body":{"content":"你的情况大概就是这样的。如果你想指定莫个人去看，可以直接指定的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966478144},{"body":{"content":"好的，我这个脚踝问题大不大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966589514},{"body":{"content":"只能说目前还好，加强功能锻炼就可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966638161},{"body":{"content":"好的 谢谢你医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966686744},{"body":{"content":"不用谢，祝早日康复，身体健康，万事如意。如果后面有什么问题可以随时找我，你可以关注一下，或者指定我为你的私人医生，方便以后健康咨询。亲，等下系统会自动发一个评价界面过来，记得给一个免费的五星好评哦，非常感谢您的支持！再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966735133},{"body":{"content":"医生，您帮我看下距骨有撕脱吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652979612769},{"body":{"content":"韧带有损伤，骨头没有看到明显得断裂之类的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652997594683}]

男25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":"您好，我是育儿顾问***，很高兴为您提供健康咨询服务，为了更好地解答您的育儿相关问题，请您在描述的时候辛苦补充以下信息:1. 宝宝年龄；2. 宝宝性别；3. 育儿问题；注：育儿顾问为您提供育儿，喂养，**，早教相关的健康咨询服务。涉及医疗问题请您及时就医。祝宝宝健康快乐。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050118298},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050121771},{"body":{"content":"非常抱歉，由于我们是平台育婴师，售后退换问题，或者是质量问题，您需要联系京东客服来处理。您可以在京东首页先点击“我的”，再点那个“客户服务”，可以输入“人工客服”，里面有一个在线客服。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050142896},{"body":{"content":"我也可以把客服电话给您，您和客服咨询一下产品问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050159927},{"body":{"content":"请您拨打客服电话******，咨询具体商品的问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050163346},{"body":{"content":"请问您是否有**育婴问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050167734},{"body":{"content":"欢迎您随时访问京东，咨询育婴问题，我会在线为您解答，很高兴为您服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050674401},{"body":{"content":"如果暂时没有的话，能不能麻烦你点击对话框右上角；表扬：按钮？给我一个好评，谢谢您的支持","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050677500},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050679861}]

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，我是儿科副主任医师石莉医生，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":1653050183361},{"body":{"content":"一般情况下需要补充锌和铁。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050200584},{"body":{"content":"这个需要去医院配吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050232942},{"body":{"content":"最好查一下血红蛋白或者****。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050248376},{"body":{"content":"现在**疫情期间，出门不大方便，能不能自己买点给娃吃？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050304495},{"body":{"content":"也可以的，那就买一个*********。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050334855},{"body":{"content":"宝宝怎么吃呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050390873},{"body":{"content":"宝宝按预防量吃就可以。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050419111},{"body":{"content":"一天15毫升。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050433297},{"body":{"content":"天天吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050452325},{"body":{"content":"是呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050518129},{"body":{"content":"还是几天吃一次？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050643465},{"body":{"content":"一天隔一天吃？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050652883},{"body":{"content":"每天吃。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050674260},{"body":{"content":"补充一个月，观察一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050940630},{"body":{"content":"您别太着急，可以参考上面给您的指导，结束后麻烦您可以给我一个评价，如果后续还有问题，欢迎您随时找我咨询，后期可以直接平台搜索我的名字：**,如果期间有过敏等不良反应，症状持续加重等，建议尽快去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050943629}]

男1岁6个月

2022.05.20