刘继帅

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049608565},{"body":{"content":"多长时间了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049618622},{"body":{"content":"十分钟","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049636727},{"body":{"content":"我看足背软组织有肿胀","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049641079},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049669291},{"body":{"content":"目前建议24小时之内可以进行冰敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049705102},{"body":{"content":"24小时之内再行热敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049721933},{"body":{"content":"同时可以使用云南白药气雾剂进行涂擦改善循环，**止痛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049749060},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049768337},{"body":{"content":"不客气啦，冰敷时候冰袋要用毛巾包裹，不然会冻伤的哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049822121},{"body":{"content":"好的，谢谢医生！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049882113},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049890519}]

女37岁

2022.05.20

[{"body":{"content":"您好，我是主治医师胡春燕，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049994715},{"body":{"content":"这款常温保存6个月。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050039118},{"body":{"content":"如果开封后建议冷藏。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050044308},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050062759}]

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

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050167457},{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050170110},{"body":{"content":"哪个部位骨折了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050233516},{"body":{"content":"把片子发过来看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050666807}]

男23岁

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":"您已确诊过此疾病并使用过该药，且无过敏史、无相关禁忌症和不良反应。请问您是否还有其他的信息需要补充？如无，我将依据病情为您开具处方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050262502},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050273350},{"body":{"content":"没有过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050280643},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050290878},{"body":{"content":"已了解您的情况，正在为您开具处方，请稍候。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050294808},{"body":{"content":"我之前在京东买过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050297297},{"body":{"content":"我要两盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050302242},{"body":{"content":"开好了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050357605},{"body":{"content":"核对一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050360684},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050366611},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050372694},{"body":{"content":"不客气，祝您健康快乐。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050376790},{"body":{"content":"你***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050446052},{"body":{"content":"怎么付不了款","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050456650},{"body":{"content":"联系一下客服。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050486074},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050497424},{"body":{"content":"祝您健康快乐！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050508404},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051082802},{"body":{"content":"医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051085402},{"body":{"content":"限购，先开一盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051098454},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051098999},{"body":{"content":"买不了两盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051106456},{"body":{"content":"我看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051108370},{"body":{"content":"改过了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051138440},{"body":{"content":"限购0件？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051158502},{"body":{"content":"买不了吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051163861},{"body":{"content":"这个联系客服，我只能开处方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051185123},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051237334},{"body":{"content":"??","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051257102}]

女29岁

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":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010992709},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011000164},{"body":{"content":"都有什么症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011012550},{"body":{"content":"请问厌食症是怎样引起的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011038623},{"body":{"content":"很多人是心理问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011065694},{"body":{"content":"你都有什么问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011072552},{"body":{"content":"你都有什么症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011078864}]

女11岁

2022.05.20

[{"body":{"content":"你好，这个指甲这样的情况多长时间了。我看到左脚大拇指有一些甲下出血的情况？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050994821},{"body":{"content":"踢球被踩到了那个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051030916},{"body":{"content":"右脚这个是指甲空了，然后被我抠掉了一半","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051053503},{"body":{"content":"从你提供的图片来看，多个指甲都有灰指甲的表现，这种情况口服******，按规律按疗程治疗效果比较好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051072425},{"body":{"content":"这个外服会管用吗？确定是灰指甲吗？吃了就会好吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051118450},{"body":{"content":"外服没有用的，因为指甲比较厚，药物很难渗进去，所以达不到完全治疗好的情况。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051145567},{"body":{"content":"你的情况我建议把指甲剪下来去医院做个皮肤科，做个真菌化验来确定一下真菌类型，然后再对症口服药物治疗，这样比较好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051188750},{"body":{"content":"如果一直这样的话不理会的话，结果会是什么样的？可以跟我说说吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051237734},{"body":{"content":"可能导致多个指甲出现灰指甲的症状，就是指甲变厚变空。严重的时候会引起甲沟炎。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051305400},{"body":{"content":"如果确定了真菌类型，服药可以根治吗？彻底变好吗？大概需要多少才能好？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051368294},{"body":{"content":"******：每日 2 次，每次 2 粒（100mg/粒），吃一周停三周为一个疗程，一般需要吃 4 个疗程。因该药是脂溶性的，故应在吃炒菜时服用或牛奶送服效果更好。这个疗程结束一般就都可以完全治疗好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051429661},{"body":{"content":"好吧这个药好贵啊，这么久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051542961},{"body":{"content":"这个药有很多不同的厂家，进口的是比较贵的，你买国产的并不贵的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051557277}]

男33岁

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