刘继帅

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965662436},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965673099},{"body":{"content":"有什么问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965693194},{"body":{"content":"左侧精索静脉曲张1级左侧精索静脉曲张1级","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965695029},{"body":{"content":"这个是啥意思","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965710829},{"body":{"content":"轻度精索静脉曲张","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965743779},{"body":{"content":"影响怀孕吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965763106},{"body":{"content":"精液常规正常就不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965792801}]

男29岁

2022.05.20

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

男15岁

2022.05.20

[{"body":{"content":"您好，我是妇产科医生王轩，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051384394},{"body":{"content":"我有阴道炎和宫颈炎，医生让我提高免疫力，给我开**********","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051543508},{"body":{"content":"是您的医生给您的用药建议对吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051562252},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051570112},{"body":{"content":"是*************栓 50万IU*3枚这个是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051592845},{"body":{"content":"3盒是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051627956},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051647919},{"body":{"content":"您是需要帮您开一下是吗/","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051652686},{"body":{"content":"对，帮我开一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051682440},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他高血压、糖尿病等慢性病史、或血栓、乳腺病史吗？是否孕期、哺乳期、备孕期？以便我给您建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051684986},{"body":{"content":"血压吃药正常，乳腺增生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051761670},{"body":{"content":"您之前的检查是有发现有HPV的情况是吗？因为帮您开处方需要写上诊断，这个用药是治疗HPV的情况的，所以跟您核实一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051766139},{"body":{"content":"您稍等，后续关注一下处方的信息","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051828726},{"body":{"content":"您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051894109},{"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。注意按时复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051897494}]

女51岁

2022.05.20

[{"body":{"content":"您好，我是副主任医师代维栋，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050405267},{"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":1653050491570},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050494120},{"body":{"content":"可以作为减肥的辅助产品。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050501910}]

女

2022.05.20

[{"body":{"content":"您好，我是李威医生，来自中国医科大学附属盛京医院妇科，副教授，副主任医师\n\n非常高兴为您提供咨询服务\n\n我正在看您的简要病例，请稍等…","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049858927},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049876228},{"body":{"content":"生孩子之前月经周期规律吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049892179},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049895411},{"body":{"content":"目前孩子几个月？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049906706},{"body":{"content":"7个多月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049914516},{"body":{"content":"正常产，还是剖宫产？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049918840},{"body":{"content":"生孩子之前勉强规律","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049927802},{"body":{"content":"剖","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049939794},{"body":{"content":"晚上睡眠如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049943246},{"body":{"content":"体重较孕前增加多少？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049969312},{"body":{"content":"不怎么好，我自己带孩子睡，还会夜醒两次左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049974568},{"body":{"content":"目前110斤，孕前98斤","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049986656},{"body":{"content":"身高多少？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050023119},{"body":{"content":"163厘米","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050042826},{"body":{"content":"保持当前体重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050086751},{"body":{"content":"看看这篇科普文章","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050096887},{"body":{"content":"不减肥吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050098563},{"body":{"content":"163的身高，100-110","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050117805},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050120705},{"body":{"content":"好吧，那这下巴十来个痘痘要怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050147063},{"body":{"content":"您的月经没有恢复一是产后，二是作息不规律","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050160325},{"body":{"content":"都可能影响月经复潮","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050177266},{"body":{"content":"孩子太小睡觉没办法保证","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050183670},{"body":{"content":"不知您孕前脸上愿意起痘痘吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050232814},{"body":{"content":"会","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050291482},{"body":{"content":"可能是多囊卵巢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050447824},{"body":{"content":"目前您已经断奶了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050460943},{"body":{"content":"可以到当地医院妇科门诊看看，做一个盆腔彩超，看看内膜厚度","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050476330},{"body":{"content":"如果内膜达到一定厚度的话，可以用药来月经","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050497051},{"body":{"content":"从来月经第一天可以口服***，每天一片，连续口服三个月，也许脸上的痘痘就好了，同时调整月经，**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050542248},{"body":{"content":"***是短效***，比较严重的并发症是增加血栓形成风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050581178},{"body":{"content":"但一般发生于有家族史，肥胖，高血压，糖尿病，高龄（＞35岁），吸烟的女性","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050624647},{"body":{"content":"明晨买个验孕棒排除一下怀孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050646620},{"body":{"content":"然后去医院做盆腔彩超","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050657014},{"body":{"content":"嗯嗯好哒谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050808245},{"body":{"content":"不客气！ 希望我的建议能够帮助到您，非常感谢您的信任！请您对我的服务作出评价，祝您生活愉快啦！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050845733}]

女28岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653009905420},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653009913298},{"body":{"content":"你看看我验血报告单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653009937677},{"body":{"content":"有整个血常规结果图片吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653009958161},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653009974322},{"body":{"content":"最下面8项还不够","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653009976341},{"body":{"content":"血常规有二三十项","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653009987270},{"body":{"content":"只有这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653010011693},{"body":{"content":"你是不是有痔疮，经常出血？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010016793},{"body":{"content":"你看看不合格的这些是什么原因导致","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653010030240},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653010039539},{"body":{"content":"痔疮引起的？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653010092653},{"body":{"content":"好的，如果是痔疮问题导致的话还好一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653010327455},{"body":{"content":"还有最近晚上睡觉脚不自觉的抽搐什么原因呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653010380267},{"body":{"content":"可能也是贫血引起的气血不足，虚弱引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010428275},{"body":{"content":"你现在铁蛋白肯定很低","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010443154},{"body":{"content":"要吃铁剂，而且坚持一直吃，不能吃吃停停","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010462026},{"body":{"content":"当然根源在痔疮！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010471115},{"body":{"content":"缸破了洞，肯定要先堵了，再加水才能加满","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010501715},{"body":{"content":"药店可以买得到铁剂吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653010527991},{"body":{"content":"以后治疗显效了，每个月复查一次血常规和铁蛋白，铁蛋白升到四五十才能停药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010535342},{"body":{"content":"药店有卖吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653010606490},{"body":{"content":"我这里可以给你开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010957194},{"body":{"content":"快递到家","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010961764},{"body":{"content":"也可以去查铁蛋白的时候叫他们顺便给你开铁剂","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653013065714}]

男35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":"几天了？痒不痒？之前治疗过吗？有没有照片？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050355050},{"body":{"content":"痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050369853},{"body":{"content":"治疗过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050379953},{"body":{"content":"以前是后背上有，治疗了后面前又有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050453311},{"body":{"content":"没有照片，老年人在老家","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050500622},{"body":{"content":"以前诊断过什么病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050543374},{"body":{"content":"用过什么药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050547447},{"body":{"content":"医生说是湿疹子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050576141},{"body":{"content":"用了什么药就不知道了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050600228},{"body":{"content":"首先没有照片我没办法判断病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050758640},{"body":{"content":"第二您没法提供药物 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050768521},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050858961},{"body":{"content":"麻烦您了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050863657},{"body":{"content":"不麻烦 下次您最好拍个照片 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050880674},{"body":{"content":"病历和用药都拍一下 这样好判断","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050898686},{"body":{"content":"嗯，我人没在家所以没有这些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050942882},{"body":{"content":"好的 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050959696}]

男75岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878987744},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878999596},{"body":{"content":"医生劳烦您 按照之前的量 帮开一下 处方吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879016958},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879098866},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879273106},{"body":{"content":"给您开完了，您看看，对不对？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879499099},{"body":{"content":"对的哈","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652961784227},{"body":{"content":"谢谢啦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652961786370},{"body":{"content":"不谢不谢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652961897521}]

男56岁

2022.05.20

[{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务。请问您有什么需要咨询的医学问题？具体问题能描述详细些吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049629543},{"body":{"content":"您是咨询这个产品吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049656154},{"body":{"content":"有什么不适症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049660434},{"body":{"content":"您好，我最近锻炼膝盖有些不舒服，现在正在吃**，然后想补补钙","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049733607},{"body":{"content":"我爱人说***适合女性和儿童，不适合男性，所以我想咨询一下您，我吃什么钙合适","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049853707},{"body":{"content":"不是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049934727},{"body":{"content":"男性也可以用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049938663},{"body":{"content":"这款即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049942247},{"body":{"content":"这个***吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049970691},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050010777},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050018108},{"body":{"content":"您发的那个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050021792},{"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！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050024601},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050030302},{"body":{"content":"有任何医学问题，可以随时再找我问诊即可，很高兴为您服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050038181}]

男36岁

2022.05.20