刘继帅

[{"body":{"content":"现在因疫情图片不在手里","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878871979},{"body":{"content":"想开几盒补铁药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878932274},{"body":{"content":"家长您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879235885},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879244058},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879250650},{"body":{"content":"非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879256807},{"body":{"content":"好的，您需要开几盒？怎么服用的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879272924},{"body":{"content":"想开5盒，每天2次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879304506},{"body":{"content":"好的，稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879330671},{"body":{"content":"谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879336879},{"body":{"content":"家长您好！处方已开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879472577},{"body":{"content":"你****能开30袋一盒的吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879740765},{"body":{"content":"这样买还便宜?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879859520},{"body":{"content":"你好！可以不用处方了！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880143141},{"body":{"content":"家长您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652913116491}]

女4岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965409242},{"body":{"content":"有什么需要帮助的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965411629}]

男6个月19天

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965025702},{"body":{"content":"能拍个照片看一下吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965047862},{"body":{"content":"身体右侧肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965053284},{"body":{"content":"颜面部肿吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965055421},{"body":{"content":"右侧是上肢和下肢吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965072607},{"body":{"content":"既往有什么基础疾病吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965083725},{"body":{"content":"上肢不肿对吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965143453},{"body":{"content":"按压肿得地方有凹陷吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965163733},{"body":{"content":"从图上看您左侧下肢及脚面是肿的，而不是右侧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965225387},{"body":{"content":"整个右边都是肿的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965257392},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965272777},{"body":{"content":"心脏和肾脏都查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965285570},{"body":{"content":"没有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965292020},{"body":{"content":"我自己拍不到全身","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965311743},{"body":{"content":"单侧水肿考虑血管的问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965318746},{"body":{"content":"哪的血管呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965364390},{"body":{"content":"建议您查下腔静脉及下肢动静脉超声或血管核磁","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965384820},{"body":{"content":"都查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965401080},{"body":{"content":"血管核磁可能更清楚一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965409087},{"body":{"content":"有问题吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965420435},{"body":{"content":"有点静脉曲张。但不足以导致整个右侧的肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965429488},{"body":{"content":"脸的肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965459714},{"body":{"content":"如果水肿部位比较的应该考虑上面血管的问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965459845},{"body":{"content":"胳膊没法拍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965468281},{"body":{"content":"自身免疫抗体谱有没有查过？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965476117},{"body":{"content":"没","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965488092},{"body":{"content":"属于内分泌么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965498738},{"body":{"content":"主要考虑血管的问题，就是全身血管的问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965501139},{"body":{"content":"属于风湿免疫科。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965509879},{"body":{"content":"腰脱或颈椎问题会导致这种问题么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965534492},{"body":{"content":"需要做个全身的血管检查么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965569183},{"body":{"content":"ct或核磁么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965592431},{"body":{"content":"不会的，颈椎和腰椎的问题，它不会引起单侧的颜面的问题，除非是脑神经脑血管堵塞，但是会伴行运动障碍。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965614130},{"body":{"content":"核磁看血管比较清楚。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965625364},{"body":{"content":"需要挂什么科室呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965659792},{"body":{"content":"风湿免疫科么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965671643},{"body":{"content":"可以的，可以挂风湿免疫科，考虑全身血管病变。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965682508},{"body":{"content":"早晨起来手抓不严","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965712402},{"body":{"content":"这就是晨僵现象。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965728966},{"body":{"content":"活动一会才会好一些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965729784},{"body":{"content":"建议到上级比较好的风湿免疫专科就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965746669},{"body":{"content":"就是血管的病变引起的是么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965766140},{"body":{"content":"对血管病变引起的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965788618},{"body":{"content":"好的。我去查查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965807547},{"body":{"content":"一定要到上级最好的风湿免疫专科就诊，这样的话查的比较全面，不延误您的病情。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965838817},{"body":{"content":"之前做了心脏肾脏。。。。好多检查。。都没有解决问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965844364},{"body":{"content":"这种能治不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965855891},{"body":{"content":"目前考虑大血管的病变，具体还要等检查结果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965862258},{"body":{"content":"不要紧张，根据病情制定方案就行了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965874445},{"body":{"content":"一般情况会是做手术还是吃药调理呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965902348},{"body":{"content":"嗯，不会做手术的，主要是内科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965918896},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965935466},{"body":{"content":"等下。我拍个手和胳膊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965999057},{"body":{"content":"手指没有变形，但是皮肤颜色有变化，所以仍考虑风湿免疫类问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966146725},{"body":{"content":"感谢您的回复","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966159379},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966167409},{"body":{"content":"最近会安排做个检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966172223},{"body":{"content":"因为已经折磨我几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966186522},{"body":{"content":"找不到病因","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966198089},{"body":{"content":"放宽心情，积极面对，尽早的明确病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966288526},{"body":{"content":"应该是手机镜像的原因你看着是左边。其实是右边","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966360372},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966380243},{"body":{"content":"有凹陷","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966382190},{"body":{"content":"按下去不回来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966406626},{"body":{"content":"静脉的水肿一般就为凹陷性水肿，血管炎会有这样的表现，血管炎呢，它一般情况下属于也是属于风湿免疫结缔组织病的一种，所以建议您尽快的行，专科检查，专科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966444186},{"body":{"content":"但不回弹的地方只在膝盖以下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966459709},{"body":{"content":"我是做整身的血管检查么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966495949},{"body":{"content":"还是只做右侧呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966515102},{"body":{"content":"我建议您不要只做单项检查，我建议您先走风湿免疫科的专科医院，然后由专科医生给您开一系列的检查，您再去做，检查结果，方便医生进行总体病情评估。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966555759},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966570901},{"body":{"content":"您自己不要再去单独的开检查了，必须让专科医生进行专科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966574409},{"body":{"content":"我明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966577447},{"body":{"content":"感谢您的帮助","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966585320},{"body":{"content":"这就是所谓的一叶障目不见泰山，所以不要自作主张，及时的进行专科诊疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966627887},{"body":{"content":"明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966643652},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966676573},{"body":{"content":"您早点休息。我尽快安排检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966736986},{"body":{"content":"嗯嗯，加油","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966760292}]

女40岁

2022.05.20

[{"body":{"content":"您好，我是京东健康互联网医院专业育儿师，非常高兴由我为您提供育儿咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050239959},{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，如果您有儿童常备药、儿童生长发育、科学备孕相关问题的需要，京东平台为您准备了儿科、妇产科专家一对一服务及专属福利！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050242023},{"body":{"content":"你***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050258719},{"body":{"content":"六个多月的婴儿轻度过敏 可以喝**成**吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050289803},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050299775},{"body":{"content":"不建议宝宝喝。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050355470},{"body":{"content":"那能喝啥呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050366205},{"body":{"content":"建议宝宝喝深度水解或者*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050369522},{"body":{"content":"轻度过敏也得喝到深度水解的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050389559},{"body":{"content":"是的，一般适度水解奶粉是预防宝宝过敏的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050443608},{"body":{"content":"您好！感谢您的咨询，如果我的回复您还满意的话，请您在百忙之中抽出时间在我们的对话框的右上角，点开“表扬”给我个五星⭐好评呗！谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051947862},{"body":{"content":"请问您是否还有其他育儿问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051950469}]

女

2022.05.20

[{"body":{"content":"你***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049742626},{"body":{"content":"尊敬的plus用户您好，我是骨科医生，很高兴能为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049749756},{"body":{"content":"您可以在下图中描述疼痛的具体部位在哪里。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049754449},{"body":{"content":"4","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049783843},{"body":{"content":"您出现疼痛多长时间了，有受伤吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049811352},{"body":{"content":"我上学的时候，坐姿不好，就是类似于盆骨往前倾坐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049823322},{"body":{"content":"就是往前顶","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049834167},{"body":{"content":"好久了，没受伤","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049840611},{"body":{"content":"有5年多了估计","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049849627},{"body":{"content":"不经常疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049856172},{"body":{"content":"就是坐姿不怎么好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049862859},{"body":{"content":"会疼几天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049869019},{"body":{"content":"您平常有无久站、负重工作比较多？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049870352},{"body":{"content":"这是什么病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049874283},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049877069},{"body":{"content":"我是学生，经常坐着","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049885578},{"body":{"content":"您除了臀部疼痛外有没有下肢的麻木酸胀感？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049923637},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049959227},{"body":{"content":"您按压疼痛明显吗，平躺放松后是否有改善？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049995798},{"body":{"content":"平躺有改善","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050017224},{"body":{"content":"不明显","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050031715},{"body":{"content":"因为我也找不准是哪个地方，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050043001},{"body":{"content":"现在也不怎么疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050047650},{"body":{"content":"腰的话。转圈，会有一点点疼，有一点点舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050062980},{"body":{"content":"收到，您平常走路、运动有影响吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050084194},{"body":{"content":"不疼，转圈，就是有点活动的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050089006},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050090892},{"body":{"content":"就是坐姿久做不好得话，会犯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050111393},{"body":{"content":"不是中间的骨头那","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050144623},{"body":{"content":"骨头两边，没有骨头的地方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050152036},{"body":{"content":"好的，根据您所描述的情况，初步考虑肌筋膜炎，久坐、姿势不良，肌肉张力不平衡有关。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050169314},{"body":{"content":"两个屁股上方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050169913},{"body":{"content":"类似于这里","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221902},{"body":{"content":"这个怎么治","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050225588},{"body":{"content":"我肩膀处好像也有这种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050236925},{"body":{"content":"就是后面三角肌那里不是有个突起的骨头","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050274291},{"body":{"content":"肌筋膜炎属于自限性的疾病，对症治疗，理疗、加强肌肉锻炼是会好转的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050283412},{"body":{"content":"请问您有无某些药物过敏史，无肝肾功能异常、无消化道溃疡的病史，（如无，可直接回复：没有）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050288325},{"body":{"content":"缝隙有时候也会疼，不是骨头，类似于软骨","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050301305},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050305162},{"body":{"content":"建议您注意休息，参考使用*******，一次2片，一日3次+外用*****1天3次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050352003},{"body":{"content":"日常使用加热盐袋用于疼痛处每天2次，每次30分钟，改善循环 缓解症状。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050369645},{"body":{"content":"疼痛症状好转后 加强腰背肌训练 ，提高肌肉力量","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050379032},{"body":{"content":"现在夏天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050427954},{"body":{"content":"加热会不会太热","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050433854},{"body":{"content":"您可以在空调房内或者使用热水袋，温度不会过高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050486323},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050509356},{"body":{"content":"不客气的，我给您开个电子处方，参考一下药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050538685},{"body":{"content":"处方已开好，您点击处方，绿色方框处，进入购药流程即可预约直接购买。如果出现多个，建议您选择京东大药房的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051286761},{"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。长期使用药物定期复查肝肾功能。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051289712},{"body":{"content":"随时关注身体状况，疾病都存在演变过程，如果症状没有缓解或者出现加重的情况，建议您立即到线下医院骨科检查就诊，以免延误病情。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051390880},{"body":{"content":"请问您是否还有其他医药问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392007},{"body":{"content":"关闭问诊时间临近，如果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。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051461697},{"body":{"content":"后续您如果还有问题需要咨询可以在京东健康APP或京东APP中搜索“***”进行咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051463713}]

男21岁

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":1653047863538},{"body":{"content":"结婚几年没孩子 怀过一次 没胎心","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653047905267},{"body":{"content":"后来**过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653047915960},{"body":{"content":"后来**过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653047921312},{"body":{"content":"后来**过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653047969892},{"body":{"content":"做过相关检查吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653048257411}]

女32岁

2022.05.20

[{"body":{"content":"您好， 我是京东医生，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":1653049970786},{"body":{"content":"没事的，多喝水","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049978852},{"body":{"content":"***那个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049987216},{"body":{"content":"嗯，没事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049996110},{"body":{"content":"不能药着吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050007491},{"body":{"content":"那以后买钙是不是就可以买片得了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050025841},{"body":{"content":"不能药着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050063134},{"body":{"content":"看含量：建议一天300mg钙","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050093984},{"body":{"content":"***建议补充1到2个月以后复查一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050115360},{"body":{"content":"不能一直吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050192856},{"body":{"content":"宝宝不建议长时间补钙","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050208267},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050287801},{"body":{"content":"请问您是否还有其他医药问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051646244},{"body":{"content":"非常感谢您的信任！请对话结束后对我的服务作出评价，谢谢您！再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051699067}]

男1岁10个月

2022.05.20

[{"body":{"content":"帮忙开个处方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878661387},{"body":{"content":"您好，我是马医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878663188},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878664652},{"body":{"content":"你是本人咨询吗？以往有过线下就诊经历吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878665977},{"body":{"content":"您好，请问您之前在线下医院就诊过吗？目前的药物是您本人在服用吗？具体的诊断是什么？有带有患者名字的诊断记录/病历/处方单/检查单等就诊资料吗？请发给我看一下，谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878671786},{"body":{"content":"是的，精神分裂，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878713706},{"body":{"content":"因为精神科药品的特殊性，平台咨询不能代替线下就诊，所以我们只能给要过线下就诊经历诊断明确的病情稳定的开具处方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878726455},{"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":1652879085715}]

女37岁

2022.05.20

[{"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":1653049822923},{"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":1653049836642},{"body":{"content":"静脉曲张","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049843563},{"body":{"content":"腿麻","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049851228},{"body":{"content":"目前没有图片","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049864504},{"body":{"content":"您可以站立位，发一张下肢的照片吗？我来判断一下严重程度。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049864585},{"body":{"content":"因为是帮家人问的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049901913},{"body":{"content":"就想看一下有什么可以缓解一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049921011},{"body":{"content":"好的，患者多大年纪 确诊是下肢静脉曲张了么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049930976},{"body":{"content":"腿部的筋和**差不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049957662},{"body":{"content":"下肢静脉曲张 一般引起的是下肢酸胀不适 特别是站久了 酸胀明显 麻木的症状，要除外是腰椎问题引起的不适症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049974460},{"body":{"content":"63岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049974894},{"body":{"content":"确诊了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049988149},{"body":{"content":"暂时可以给您些静脉曲张的治疗建议 和方法 帮患者缓解下肢 酸胀不适的症状，但是彻底治疗下肢静脉曲张 是需要手术的，另外 下肢麻木的情况 需要排除是腰椎问题 压迫神经引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050027005},{"body":{"content":"治疗建议前，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？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":1653050038945},{"body":{"content":"家里人也没有拍过腰椎片子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050088917},{"body":{"content":"但是静脉曲张是有的，也是那条腿麻","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050123140},{"body":{"content":"小腿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050129764},{"body":{"content":"没有药物过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050144619},{"body":{"content":"嗯，可以先用药缓解症状的。药物建议前，需要您配合回答一下上边问题。我给您建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050149205},{"body":{"content":"好的，感谢配合","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050154238},{"body":{"content":"可以用药膏或者喷雾那些药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050185214},{"body":{"content":"建议您注意下肢保暖，避免过久站立，和久坐，平躺休息是尽量抬高下肢，促进血液回流，可以外用*******涂抹下肢 涂抹后轻轻按揉有助于药物吸收 同时可以口服 ****一次2片一天2次，治疗静脉曲张 口服****营养神经 缓解麻木症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050189224},{"body":{"content":"这种涂抹的效果比较好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050213207},{"body":{"content":"为了方便您用药，您可以点击“药品名称带有购物车标志”进入链接购买。有些药品为“处方药”，必须要由有医师开处方才能购买。稍后我再帮您开具一张电子处方，并注明用法用量，您作为参考，按照处方用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050418267},{"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":1653050419545},{"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":1653050451727},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050579271},{"body":{"content":"祝患者早日康复，身体健康，生活愉快","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050617136},{"body":{"content":"别忘了方便时候 带患者做过彩超检查一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050946037},{"body":{"content":"你***这个药膏可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051060220},{"body":{"content":"因为你说的药膏，我那地区发不了货","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051087636},{"body":{"content":"也是可以的，效果也是不错的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051096133},{"body":{"content":"哦哦好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051112937},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051169477},{"body":{"content":"哪个***是一次两片是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051311777},{"body":{"content":"另一个就是一次一粒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051329844},{"body":{"content":"是的 ***一次2片 另外一个一次一个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051406775},{"body":{"content":"***一天2次，另外一个一天一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051413408},{"body":{"content":"我看另一个处方上写的是一天3次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051491899},{"body":{"content":"***对痔疮也有用对吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051538715},{"body":{"content":"另外一个一天3次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051542879},{"body":{"content":"这个打错字了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051546555},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551089},{"body":{"content":"对的，对痔疮也是管用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051551617},{"body":{"content":"哦哦好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051559037},{"body":{"content":"祝早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051702209}]

女30岁

2022.05.20

[{"body":{"content":"您好，我是消化内科医生，很高兴能够由我为您提供问诊服务，请问您有什么要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965211568},{"body":{"content":"是男性吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965222644},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965231697},{"body":{"content":"还有其他不舒服吗？肚子疼吗？发烧吗？拉肚子吗？便秘吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965249384},{"body":{"content":"最近几天一直想吐，但是吐不出来那种，吃饭也想吐？吃几口就恶心的不行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965289423},{"body":{"content":"这些我看到了，你直接回答我什么的问题就可以了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965302323},{"body":{"content":"不发烧，就是想吐，也拉肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965360220},{"body":{"content":"一天拉几次呢？肚子疼吗？我上面问的问题麻烦你都回答完好吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965394314},{"body":{"content":"不发烧，肚子疼，拉肚子，也便秘，一天差不多5，6次，而且每天都想吐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965575012},{"body":{"content":"但你说的这些明显很矛盾，一天拉五六次又怎么会便秘呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965608941},{"body":{"content":"对照上图告诉我肚子哪一块疼。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965627072}]

男18岁

2022.05.20