刘继帅

[{"body":{"content":"您好，我是主治医师谭久志，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050283685},{"body":{"content":"您好，我是中医科医生，只能从中医角度跟您讲一下您咨询产品的性、味、归经，以及食用建议，具体产品相关的问题，辛苦您 点击加入购物车左边的“客服”按钮，直接联系商家的客服，他们会为您进行详细解答","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050288283},{"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":1653050290737},{"body":{"content":"希望我的建议能够帮到您！非常感谢您的信任！对话结束后麻烦您点击右上角表扬医生，您的好评是对我最好的肯定和鼓励，以后您遇到任何健康方面的问题都可以找我咨询，直接在京东主页搜索（我的名字谭久志医生）就可以很方便的找到我。祝您生活愉快，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050292599}]

女

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965757804},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965780812},{"body":{"content":"可以把报告发给我","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965785236},{"body":{"content":"没系道","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965830266},{"body":{"content":"大概的意思 你是描述的胆囊的大小","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965866511},{"body":{"content":"但是您写的数值不正确","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965881610},{"body":{"content":"他写成40******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965893697},{"body":{"content":"是您自己的报告吗 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965920361},{"body":{"content":"应该是60mm","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965932371},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965935369},{"body":{"content":"所以 您还有其他不适的感觉吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965976184},{"body":{"content":"不知反正是B超写的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965983580},{"body":{"content":"沒有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966056035},{"body":{"content":"乙肝病毒会有没些问题出现的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966138705},{"body":{"content":"应该是书写的误差 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966702843},{"body":{"content":"您的意思是 您有乙肝病毒吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966843746},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966867492},{"body":{"content":"乙肝dna 和肝功水平有没有问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966890219},{"body":{"content":"彩超有没有提示肝纤维化改变","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966917995},{"body":{"content":"1和5是阳姓","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966933382},{"body":{"content":"没","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966945774},{"body":{"content":"是乙肝 DNA病毒含量 和 肝功。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966980702},{"body":{"content":"只有提示胆有於汁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967063085},{"body":{"content":"照CL只有獭壮肝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967131840},{"body":{"content":"请 描述准确一些 我不太看得懂您说的 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967179628}]

男43岁

2022.05.20

[{"body":{"content":"您好，我是内科医生，很高兴由我提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051419300},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051427973},{"body":{"content":"您是感觉大便次数增多，还是大便困难呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051448219},{"body":{"content":"大便次数","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051463653},{"body":{"content":"大便次数","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051472188},{"body":{"content":"增多是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051477175},{"body":{"content":"不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051485533},{"body":{"content":"经常早餐吃完后就完啦，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051528036},{"body":{"content":"大便还是正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551682},{"body":{"content":"症状大致多久了？腹胀，腹痛，排气异常，肠道咕噜响有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051556085},{"body":{"content":"很久了，没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051590175},{"body":{"content":"您查过肠镜吗？用过什么药物吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051625079},{"body":{"content":"还没去检查，也没有吃药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051650820},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051654511},{"body":{"content":"请问您有什么药物过敏史吗？既往有什么疾病史吗？肝肾功能正常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051655583},{"body":{"content":"没有，正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051677905},{"body":{"content":"结合您描述的情况，考虑肠易激综合征可能性大一些，建议您可以服用****0.1g 3次/日口服+**********，每次2粒，每日3次。与其他药物分开2小时服用，联合使用一周看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051682049},{"body":{"content":"用药症状改善不理想，医院消化科就诊，必要时查个肠镜检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051695160},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051719784},{"body":{"content":"用药前请仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用药品。如在用药过程中出现不适，请及时上线咨询或去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051787948},{"body":{"content":"给您开个处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051792678},{"body":{"content":"少食多餐，忌辛辣刺激饮食，忌浓茶咖啡，忌过多甜食，忌过饱饮食，少吃生冷食物，少吃海鲜、鱼，火锅类的食物，喝温热水，不喝饮料，保持***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051848752},{"body":{"content":"关诊时间临近，系统自动关诊，希望我的建议能够帮助到您，感谢您的信任。有问题您随时咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052108584}]

男34岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878608014},{"body":{"content":"身体健康状态怎么样？身高体重是多少？平时有锻炼身体吗？有没有高血压糖尿病冠心病，有没有再服用治疗慢性病的药物？有没有药物过敏史？平时心理压力怎么样，做事能够集中精力吗？焦虑失眠吗？经常处于紧张状态吗？\n\n性生活规律不，多久一次？\n阴茎勃起功能（硬度）没有问题吧？\n\n最好的状态是几分钟？可以通过转移注意力、中途停顿等方式适度延长性生活时间吗？对方对性生活时间满意吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878643974},{"body":{"content":"身体还可以，就是太久没运动了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878714239},{"body":{"content":"身高171，体重在137左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878734738},{"body":{"content":"没有高血压，冠心病和糖尿病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878752124},{"body":{"content":"没要药物过敏史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878763481},{"body":{"content":"熬夜比较多，上班时偶尔会犯困","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878785273},{"body":{"content":"性生活近一年比较少，勃起没问题，偶尔一次没那么硬","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878834274},{"body":{"content":"最好的状态应该在差不多10分钟左右，现在都是3分钟左右比较多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878871403},{"body":{"content":"BP也是比较长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878911654},{"body":{"content":"请问这个需要吃药控制吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879004325},{"body":{"content":"2-7分钟为正常。青年平均6.6分钟。中老年平均4.3分钟。\n\n性生活不稳定，很久一次，一触即发很正常的\n\n有没有乏力，耳鸣，腰酸的症状？是怕热还是怕冷还是没有什么冷热不适的感觉，手脚冰凉或是容易出汗吗？我能看看你的舌苔吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882398248},{"body":{"content":"乏力没睡饱的时候比较明显，耳鸣有时候会，但基本可能一两个月会有一两次，偶尔会怕冷，手脚不会冰凉，出汗比较少，也不大。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652925416405},{"body":{"content":"舌苔我晚点发你","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652925423282}]

男25岁

2022.05.20

[{"body":{"content":"您好贺医生 我要买药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011373161},{"body":{"content":"我觉得我最近状态还可以 我考虑适当减药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011393046},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011399024},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011411803},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011411803},{"body":{"content":"买什么药物？几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011411804},{"body":{"content":"减药最好，找一下，当地医生","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011428542},{"body":{"content":"面诊检查一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011430363},{"body":{"content":"不要自己减药，容易复发","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011447299},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011514275},{"body":{"content":"4盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011520574},{"body":{"content":"这个药的副作用我一直很担心 因为吃太久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011531210},{"body":{"content":"定期去医院检查就可以了，一般没事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011554417},{"body":{"content":"感觉现在记忆力各方面变差","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011554924},{"body":{"content":"您是患者什么人？病情稳定吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011556592},{"body":{"content":"1)有过青光眼病史吗？\n2)\t服用过****、****吗？\n3)\t目前正在自伤、自杀等消极冲动行为吗？\n 这些有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011558137},{"body":{"content":"本人","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011569141},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011615655},{"body":{"content":"目前我觉得状态还可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011631334},{"body":{"content":"那贺医生你就给我开药吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011650751},{"body":{"content":"我到时候再去找医生看一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011661407},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011681831},{"body":{"content":"***4盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011695321},{"body":{"content":"聊天记录里找绿色处方单链接，直接付款！成功后，在家等着收货就行了！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011697905},{"body":{"content":"下次买药前，您在【京東app】，搜【***】，图文问诊挂号，就可以给您开药了！最新上线【私人医生】服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011699765},{"body":{"content":"ok","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011896743},{"body":{"content":"帮我点右下角【加号➕】或者右上角的表扬医生，请给我一个好评，【写几个字】就行！或者在结束问诊的时候写评语！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011902879},{"body":{"content":"我只能买预约药品吗 可以买其他的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653012007927},{"body":{"content":"我把你这个处方单下载下来 京东大药房的药都可以买？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653012022901},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653012028553},{"body":{"content":"自己截图处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653012051835},{"body":{"content":"自己留着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653012054790}]

女44岁

2022.05.20

[{"body":{"content":"你是检查出来有染色体异常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965212641},{"body":{"content":"胎儿检查出来是染色体缺失，我跟老公还没有去检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965253480},{"body":{"content":"夫妻双方最好去检查一下双方的染色体。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965324740},{"body":{"content":"如果是染色体随体增加等染色体多态性，并不影响怀孕，可以正常要孩子，不会产生遗传物质的增加、减少或功能异常。如果是染色体平衡易位携带者，则有后代染色体异常导致反复流产的可能，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965365609},{"body":{"content":"医生，这是胎儿的检查报告，麻烦您看一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965501000},{"body":{"content":"主要还是发现了有x染色体的丢失。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965572578},{"body":{"content":"这种情况常见吗，还是很担心下次怀孕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965640422},{"body":{"content":"这种情况造成胎停的还是比较多。建议还是去夫妻双方完善染色体相关的检查。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965715540},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965741347},{"body":{"content":"如果检查出双方没有大问题的话还是可以正常备孕吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965777148},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965787679},{"body":{"content":"好的，谢谢你医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965814630},{"body":{"content":"客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965824273}]

女26岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049590094},{"body":{"content":"医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049595098},{"body":{"content":"您好，我是泌尿外科医生，非常高兴可以帮到您，为了确保本次问诊顺利进行，请您始终保持在线，谢谢配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049609735},{"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":1653049617449},{"body":{"content":"请问是否有以下症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049620195},{"body":{"content":"尿急 / 尿频","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049642281},{"body":{"content":"白天小便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049645303},{"body":{"content":"大于6次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049671014},{"body":{"content":"晚上小便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049673923},{"body":{"content":"大于2次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049680680},{"body":{"content":"每次小便量是否较前减少？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049684861},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049690458},{"body":{"content":"您这种情况出现多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049694491},{"body":{"content":"超过30天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049697452},{"body":{"content":"是否做过相关检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049700490},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049708008},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049712056},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049715373},{"body":{"content":"治疗效果是否满意？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049718385},{"body":{"content":"不满意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049722346},{"body":{"content":"是否方便上传检查报告？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049726374},{"body":{"content":"不方便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049729682},{"body":{"content":"医生，我最近吃药了，你应该可以看到我开药记录","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049752502},{"body":{"content":"但是我这两天打了飞机后","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049765635},{"body":{"content":"我就感觉排尿更频繁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049783027},{"body":{"content":"刚上完厕所，几分钟又有尿意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049796042},{"body":{"content":"去尿，又没多少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049806697},{"body":{"content":"药也吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049811355},{"body":{"content":"都是处方药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049816034},{"body":{"content":"不知道问题出在哪里？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049825755},{"body":{"content":"现在收集的信息来看，您的症状初步诊断为：前列腺炎。可以到公立医院泌尿外科检查前列腺液常规和前列腺彩超确诊，不方便到医院，我可以根据经验，给您选择些药物治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049838219},{"body":{"content":"在日常生活中导致前列腺炎的原因，比如性生活过于频繁，过多的手淫、久坐、骑车、骑马、酗酒、喜欢吃辛辣，刺激生冷性的食物，感冒着凉等，都有可能诱发前列腺炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049840500},{"body":{"content":"我戒烟了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049976793},{"body":{"content":"并且不喝饮料","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049981096},{"body":{"content":"甚至辛辣的食品都不吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049992115},{"body":{"content":"为了更好更安全的为您提供用药指导，请问您是否有药物过敏史？是否有严重的肝肾功能不全？严重的心脏病、高血压、糖尿病等病史？是否备育期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050022253},{"body":{"content":"而且之前吃过六味地黄丸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050026315},{"body":{"content":"那我应该吃什么药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050041506},{"body":{"content":"没有上述用药禁忌对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050090907},{"body":{"content":"你觉得会不会是结石呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050092800},{"body":{"content":"没用过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050100734},{"body":{"content":"没有禁忌","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050110536},{"body":{"content":"，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050231673},{"body":{"content":"既往是否有泌尿系结石病史","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050248885},{"body":{"content":"是否有腰疼","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050263532},{"body":{"content":"没有腰疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050378154},{"body":{"content":"三年前，疼过一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050387429},{"body":{"content":"疼过几天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050391214},{"body":{"content":"后面就没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050400631},{"body":{"content":"可以做泌尿系彩超明确的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050434580},{"body":{"content":"目前来看，主要考虑是前列腺炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050453949},{"body":{"content":"有哪几种检测方式","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050461994},{"body":{"content":"可以到公立医院泌尿外科检查前列腺液常规和前列腺彩超确诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050478381},{"body":{"content":"肾虚是不可能引起这么严重的前列腺炎的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050478617},{"body":{"content":"对吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050481442},{"body":{"content":"就是我这种情况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050485993},{"body":{"content":"肾虚，是中医说法","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050619134},{"body":{"content":"我这边是西医，系统分诊到我这边的，主要是使用西药及不需要严格辩证的中成药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050907732},{"body":{"content":"那我去医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050967764},{"body":{"content":"我应该是泌尿内科","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050976129},{"body":{"content":"还是外科","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050979402},{"body":{"content":"泌尿外科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050996709},{"body":{"content":"好的，谢谢哈","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051076209},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051099494},{"body":{"content":"给您些生活建议，希望能够帮助到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051102467},{"body":{"content":"生活建议您：保持良好的心态，减轻心理压力，多喝水，勤排尿，忌烟酒、别熬夜，不吃辛辣刺激性食物。忌久坐，避免长时间骑车，坚持运动锻炼，如提肛、深蹲锻炼，避免剧烈运动。控制手淫，不要忍精不射，避免不洁性交。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051133585}]

男27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":"尊敬的PLUS会员，您好，我是儿科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050055570},{"body":{"content":"宝宝这种情况多久啦？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050056985},{"body":{"content":"前天的打的**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050063499},{"body":{"content":"昨天没注意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050066674},{"body":{"content":"今天发现的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050069355},{"body":{"content":"宝宝肿的厉害吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050071865},{"body":{"content":"按了会疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050100110},{"body":{"content":"好的，宝宝之前出现过这种前情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050126268},{"body":{"content":"没有，之前就是打****后身上起过疹子发热，就一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050187136},{"body":{"content":"好的，宝宝目前的精神状态及尿量如何，食欲如何，大便的情况如何呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050195312},{"body":{"content":"基本都是正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050241401},{"body":{"content":"好的，宝宝还有其他不舒服的症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050258780},{"body":{"content":"宝宝有对什么过敏及肝肾功能异常的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050261100},{"body":{"content":"没有不舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050271212},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050296176},{"body":{"content":"根据您的描述，考虑宝宝**接种后的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309554},{"body":{"content":"就是能用**什么的吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050335847},{"body":{"content":"目前宝宝没有不适，您给宝宝注意局部的**，给宝宝避免沾水，保持局部的干燥清洁就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050345781},{"body":{"content":"目前宝宝是不用特殊干预的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050354124},{"body":{"content":"就是洗澡沾水了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050388044},{"body":{"content":"后续给宝宝多注意就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050414554},{"body":{"content":"如果宝宝肿胀持续增大，宝宝出现皮疹，瘙痒等情况，是可以及时带宝宝小儿皮肤科明确检查一下的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050516117},{"body":{"content":"宝宝的接种部位，您给宝宝注意日常的**，避免摩擦和捂热、注意局部的干燥清洁，避免皮肤破损与感染，密切观察就可以的，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051685507}]

男3岁

2022.05.20

[{"body":{"content":"有没有照片呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965164369},{"body":{"content":"发现这种情况多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965397189},{"body":{"content":"两年多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965867559},{"body":{"content":"医生，在不在？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965993098},{"body":{"content":"在的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966204539},{"body":{"content":"这看起来像疱疹感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966223699}]

男50岁

2022.05.20