刘继帅

[{"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，我是主治医师刘丹，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049813368},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049816548},{"body":{"content":"有什么问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049827619},{"body":{"content":"屁股上三块蚕豆大小的掉皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049902529},{"body":{"content":"没有照片","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049933740},{"body":{"content":"帮你转老年科了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050062321},{"body":{"content":"你点确认转诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050072897}]

女

2022.05.20

[{"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":1653049617749},{"body":{"content":"您好，很高兴为您服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049619137},{"body":{"content":"第1阶段：6-9个月。\n第2阶段：10-12个月。\n第3阶段：1岁-2岁。\n第4阶段：2岁-6岁","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049621036},{"body":{"content":"一阶的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049635607},{"body":{"content":"平时给宝宝多吃水果，蔬菜，容易消化的食物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049642804},{"body":{"content":"母乳喂养妈妈不要吃油腻辛辣刺激的食物。\n\n奶粉喂养两餐之间给宝宝喂点温开水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049647302},{"body":{"content":"您可能忙，没关系我一直都在。您有问题随时找我，我会第一时间回复到您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049649244}]

女

2022.05.20

[{"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、儿童生长发育相关问题的需要，京东平台为您准备了儿科专家一对一服务及专属福利","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049631016},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049634260},{"body":{"content":"纯棉的宽松一点，好穿脱的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049679842},{"body":{"content":"您好！6个月宝宝刚做完心脏手术适合穿什么衣服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049695744},{"body":{"content":"\n要注意保暖吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049722892},{"body":{"content":"注意的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049738286},{"body":{"content":"不能穿太凉快是不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049739838},{"body":{"content":"注意**啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049758577},{"body":{"content":"长袖长裤比较合适","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049777870},{"body":{"content":"看室内温度。增减衣物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049815786},{"body":{"content":"合理增减衣物，避免引起感冒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049900120},{"body":{"content":"很高兴为您服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049913000},{"body":{"content":"如有疑问，可以再次追加哈！要是没有问题，欢迎您在右上角表扬医生按钮给我点个“满意”的好评！您的满意是对我的支持和鼓励！祝您生活愉快！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049928153}]

女

2022.05.20

[{"body":{"content":"您好，张医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879362760},{"body":{"content":"您好，您目前一周几次性生活？每次大概几分钟？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879391224},{"body":{"content":"我前年出了意外车祸，之前没有勃起障碍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879400086},{"body":{"content":"之前一周1-2次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879409594},{"body":{"content":"加上最近刚开始创业，压力比较大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879432242},{"body":{"content":"阴茎不算大，但也正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879451396},{"body":{"content":"之前在济南齐鲁医院看过，吃了一个疗程的壮阳药，有点效果，但是现在断药了，还是勃起障碍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879513326},{"body":{"content":"之前迟的是**还有***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879540326},{"body":{"content":"嗯，您现在还有性生活吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879667860},{"body":{"content":"现在没有以前频繁了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879681280},{"body":{"content":"现在只有先吃了药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879697050},{"body":{"content":"才敢过性生活","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879705894},{"body":{"content":"因为勃起障碍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879712431},{"body":{"content":"嗯，健忘，乏力，盗汗，腰膝酸软，大便溏稀，四肢冰冷，怕冷，怕热，这些情况有哪些症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879870757},{"body":{"content":"我忘了叫什么力的一种药了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879870838},{"body":{"content":"这些基本都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879885996},{"body":{"content":"基本上就是和**差不多的药效","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879936717},{"body":{"content":"请问这个问题的根本是在哪里医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879987020},{"body":{"content":"这个主要是阴茎海绵体受损，导致充血不足，形成的一个阳痿症状。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880005020},{"body":{"content":"这个跟生活压力，工作压力，生活的不良习惯都是有关系的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880016876},{"body":{"content":"晨勃的情况还有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880028177},{"body":{"content":"之前没有，现在有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880040173},{"body":{"content":"不知道是不是跟前段时间吃药有关系，晨勃之前一直都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880077168},{"body":{"content":"这个情况需要长期吃药调理吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880104165},{"body":{"content":"现在基本上都需要先吃药才敢过性生活","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880130950},{"body":{"content":"不用长期服用，您的这个情况比较严重，至少需要调理两个月。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880131769},{"body":{"content":"需要怎么调","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880141998},{"body":{"content":"有没有三高或者用药过敏史？肝肾功能是否正常？是否有慢性疾病及心脑血管疾病，糖尿病，高血压？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880154842},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880161427},{"body":{"content":"有中成药可以调理的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880175669},{"body":{"content":"希望可以根治","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880187061},{"body":{"content":"因为我还年轻才32","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880198302},{"body":{"content":"压力方面因为我才开始创业，压力确实比较大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880219481},{"body":{"content":"所以需要1-2年时间的缓冲期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880239753},{"body":{"content":"但是这时间内，我的勃起障碍让我很不自信","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880258818},{"body":{"content":"现在基本都要性生活之前先吃药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880278097},{"body":{"content":"不然我怕女朋友不满意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880289174},{"body":{"content":"嗯，根据我多年的临床经验，您的情况见效不是目的，去根才是根本，我建议您中成药结合，治愈率高达95%，可以服用*****和****进行治疗，中成药用于治疗阳痿早泄肾虚等疾病的，****，从根本上去解决问题，这两种药搭配起来使用可以标本兼治。没有问题吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880299708},{"body":{"content":"引起长期的不满","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880304004},{"body":{"content":"需要吃多长时间可以改善调理好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880337564},{"body":{"content":"这两种药需要一起服用多长时间","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880368356},{"body":{"content":"只要可以根治，没问题的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880384439},{"body":{"content":"您这个情况至少需要调理两个月，我先给您开一个月的药回去服用，没有问题吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880401960},{"body":{"content":"现在有晨勃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880402753},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880406461},{"body":{"content":"多少钱","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880413320},{"body":{"content":"先吃一个月看看效果，如果可以就在来一个月的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880447706},{"body":{"content":"我现在半个月回去一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880459641},{"body":{"content":"费用大概是在1700~1800。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880465931},{"body":{"content":"因为在创业阶段","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880473105},{"body":{"content":"嗯，没有问题吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880477849},{"body":{"content":"怎么这么贵哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880482903},{"body":{"content":"因为我还在创业阶段","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880522523},{"body":{"content":"经济条件并不宽裕?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880559042},{"body":{"content":"这个给您开的是一个月的药量，这个治疗效果是比较好的，很多患者都在服用的跟你有相同病例的患者，通过治疗都是可以恢复的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880567927},{"body":{"content":"就这两种药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880613544},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880618131},{"body":{"content":"这期间可以有性生活吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880664105},{"body":{"content":"可以的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880671062},{"body":{"content":"还有什么问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880716521},{"body":{"content":"1800吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880742819},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880748421},{"body":{"content":"一个月的用量","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880755865},{"body":{"content":"对","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880759444},{"body":{"content":"还有别的办法吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880770830},{"body":{"content":"没有其他办法，您这个情况比较严重，肯定要是用药物去从根源上解决问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880800096},{"body":{"content":"毕竟你现在还年轻。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880804982},{"body":{"content":"如果有效果我还要来京东大药房来找您吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880809946},{"body":{"content":"可以过来找我的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880823944},{"body":{"content":"可以加您私人联系方式吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880837507},{"body":{"content":"稍后我会给您开处方，您订购成功以后我会给您发一张复诊二维码，您后期直接扫码进来，随时和我保持联系。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880866117},{"body":{"content":"后期我会全程跟踪指导您的恢复情况，有什么不懂的随时咨询我。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880880578},{"body":{"content":"这个药物吃两个月就不用长期吃了吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880891794},{"body":{"content":"是的，不用长期服用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880905815},{"body":{"content":"不会像**一样有依赖性吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880914240},{"body":{"content":"那就麻烦您帮我先开一个月的吧，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880968182},{"body":{"content":"给您开的是中成药没有任何副作用的，是从根源上解决问题的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881013382},{"body":{"content":"我这边帮您开处方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881022879},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881032824},{"body":{"content":"********10mg*2片 男性男士勃起功能障碍ED ****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881041289},{"body":{"content":"之前是吃的这个药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881053258},{"body":{"content":"才有效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881064972},{"body":{"content":"嗯，你那个是***，是治标不治本的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881087931},{"body":{"content":"搭配我给你建议的中成药去治疗，可以从根源上彻底解决问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881101046},{"body":{"content":"处方已经给您开好了，您直接点击上面处方单预约购买就可以了。购买成功以后，跟我说一下，我这边发复诊二维码给你，后期有什么不懂的可以随时咨询我。服用15天给我反馈一下。处方单上有用量和方法，饭后服用，平时少吃辛辣，不要喝酒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881121331},{"body":{"content":"买了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881316330},{"body":{"content":"付款了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881320567},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881334360},{"body":{"content":"这是我的复诊二维码，您保存一下，后期有什么不懂的直接扫码进来咨询，⚠️⚠️⚠️一定记得服用15天后找我复诊！也可以关注我。祝您早日康复！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881357801},{"body":{"content":"好的，我保存了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881393154},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881406479},{"body":{"content":"下次就不用在京东上进来了是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881420060},{"body":{"content":"直接扫码找您就可以是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881441571},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881486558},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881586061},{"body":{"content":"我刚才扫码进去","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881593295},{"body":{"content":"还是京东","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881598922},{"body":{"content":"请问需要怎么直接联系您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881613454},{"body":{"content":"还是在这个平台上。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881615278},{"body":{"content":"您给我发消息，我看到会第一时间回复你的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881627336},{"body":{"content":"嗯嗯好的，张医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881639858},{"body":{"content":"下次再来就不用在付费了吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881672031},{"body":{"content":"15天以后我再来找您还需要再缴费吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881705304},{"body":{"content":"\n15天以后我再来找您还需要再缴费吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881747666},{"body":{"content":"第1次扫码是免费的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881880827}]

男32岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965709870},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965836945},{"body":{"content":"报告发来看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965846084},{"body":{"content":"中年妇女乳腺炎消炎了但是有硬块","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965877554},{"body":{"content":"发现多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965950555},{"body":{"content":"十多天了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965967458},{"body":{"content":"皮肤有无红肿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965986329},{"body":{"content":"发烧吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965991751},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965994056},{"body":{"content":"不发烧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966000435},{"body":{"content":"可以查乳腺彩超看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966013917},{"body":{"content":"查了，是乳腺炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966052179},{"body":{"content":"有没有化脓","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966069103},{"body":{"content":"有化脓","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966091809},{"body":{"content":"需要手术","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966100279},{"body":{"content":"不手术，可以痊愈吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966216388},{"body":{"content":"不能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966233257},{"body":{"content":"会危机生命吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966251564},{"body":{"content":"不会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966259241},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966289268},{"body":{"content":"别客气，亲。要是没问题，欢迎您给我一个“满意”评价（评价按钮在页面右上角，问题关闭后页面下面也可评价）。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966296754}]

女52岁

2022.05.20

[{"body":{"content":"在","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051008471},{"body":{"content":"您好，请问您有什么用药问题需要咨询^_^","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051009314},{"body":{"content":"是鼻炎 吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051015321},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051021174},{"body":{"content":"您好，为了您的用药安全，方便药师指导用药，方便提供下用药人年龄、性别等情况吗？是本人用药吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051036076},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051047966},{"body":{"content":"可以搭配用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051057181},{"body":{"content":"为了您的用药安全，特殊情况请提前告知，如：（糖尿病、肝肾等其他慢性病史、备孕期、孕期、哺乳期、是否有过敏史），如果没有则回复“无”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051062892},{"body":{"content":"****家里有没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051276514},{"body":{"content":"鼻炎 可以****+****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051290995},{"body":{"content":"**** 每个鼻孔各2喷。每日1次（每日200微克），以早晨用药为好。某些患者需每个鼻孔各2喷，每日2次，早晚各1次直至症状改善，当症状得到控制时，维持剂量为每个鼻孔1喷，每日1次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051385015},{"body":{"content":"//*****：口服 成人及2-12岁以上儿童（ 体重＞30公斤）：一日1次，一次1片（10毫克）\n【用药注意】用药期间建议不喝酒，减少驾车高空高精密作业。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051435931},{"body":{"content":"生活温馨提示：清淡饮食，忌食辛辣刺激、油腻食物，注意休息，避免过度劳累。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051437480},{"body":{"content":"因您未提供既往史信息，只能经验性给予用药指导，您可能存在使用禁忌/过敏的情况，请务必查看药品说明书明确能否应用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051438626},{"body":{"content":"用药前请仔细查看药品说明书中的注意事项，如您在用药过程中出现**不适或持续无法耐受的症状，请立即停药，并及时咨询医师或线下医院 科室就诊！用药期间禁烟酒！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051439772},{"body":{"content":"您好，您看还有其他药理问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051440482},{"body":{"content":"请问您还在线吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051446345},{"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":1653051756485}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050217047},{"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":1653050218322},{"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":1653050221674},{"body":{"content":"好几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050238773},{"body":{"content":"主要不适症状是什么呢？肛门口肿胀疼痛？还是出血呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050257646},{"body":{"content":"吃过***等药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050261443},{"body":{"content":"主要是便秘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050276183},{"body":{"content":"大便 几天一次？干硬么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050290694},{"body":{"content":"是否有腹痛腹胀？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050296230},{"body":{"content":"三天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050298064},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050302823},{"body":{"content":"是否有腹痛腹胀？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309695},{"body":{"content":"有时是硬的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050327198},{"body":{"content":"没有腹痛腹胀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050355582},{"body":{"content":"好的，您有什么需要咨询了解的问题呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050363809},{"body":{"content":"这种药搭配***吃，是否可以改善便秘？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050429797},{"body":{"content":"******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050477523},{"body":{"content":"可以的，这个药物 是减少肠道对**的吸收 达到软化大便的效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050542512},{"body":{"content":"配合***口服 效果更好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050547769},{"body":{"content":"******可以搭着吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050571807},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050607864},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050621192},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050662642},{"body":{"content":"关诊时间临近，后续您如果还有需要咨询的问题可以通过京东APP搜索“张泽医生”找到我，欢迎您咨询，我看到后**时回复您。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，欢迎您再次咨询。京东健康，祝您健康，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051870719}]

男85岁

2022.05.20

[{"body":{"content":"不用加药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965485742},{"body":{"content":"维持现状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965500767},{"body":{"content":"甲状旁腺癌我是全切","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965686985},{"body":{"content":"甲癌全切","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965710023},{"body":{"content":"维持现状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965825692}]

女40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