刘继帅

[{"body":{"content":"您好，京东大药房药师工号0089，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050857239},{"body":{"content":"为了您的用药安全，方便药师指导用药，请问患者的性别和年龄？特殊情况请提前告知，如：（糖尿病、肝肾等其他病史、备孕期、孕期、哺乳期、是否有过敏史）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050871627},{"body":{"content":"我脚的第三个指甲盖上有白色的点 这个是灰指甲吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050884376},{"body":{"content":"可以用的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050891047},{"body":{"content":"请问有图片看一下吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050904444},{"body":{"content":"我这个属于灰指甲吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050904910},{"body":{"content":"可以上面图片看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050918505},{"body":{"content":"如果有图片看更好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050941699},{"body":{"content":"是灰指甲的一种。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050972913},{"body":{"content":"坚持用药两个月以上。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050978108},{"body":{"content":"严重吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050995325},{"body":{"content":"中等的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051001623},{"body":{"content":"饮食上不要吃辣的冷的食物和鱼虾，海鲜等发物。日常多喝温水，排出身上的毒素。晚上不能熬夜，22点之后要入睡。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051006699},{"body":{"content":"为了您的用药安全，请您在用药前仔细阅读说明书注意事项、禁忌等内容，严格按照说明书或药师指导的用法用量使用，若用药7天无效果或病情加重，请及时咨询医生师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051052515},{"body":{"content":"我这个用上面那个连接的要药就可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051063068},{"body":{"content":"可以用的。是对症这样的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051082541},{"body":{"content":"这个怎么用？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051107147},{"body":{"content":"一天几次?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051114152},{"body":{"content":"我这个会传染给孩子吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051123125},{"body":{"content":"早晚一次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051128622},{"body":{"content":"会有传染性。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051134189},{"body":{"content":"不要让别人穿自己的鞋子。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051141256},{"body":{"content":"直接涂在指甲盖上吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051149654},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051158130},{"body":{"content":"要用多久？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051158331},{"body":{"content":"两个月以上。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051163850},{"body":{"content":"这个是膏状的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051175568},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051193069},{"body":{"content":"您看还有**药理问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051224145},{"body":{"content":"这个药只能治灰指甲吗脚气管用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051254429},{"body":{"content":"吸收好，就是效果快。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051274038},{"body":{"content":"也治脚气。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051302428},{"body":{"content":"坚持用药就可以。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051393673},{"body":{"content":"您看还有**药理问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051409916},{"body":{"content":"您好，请问您咨询的是这个药品吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051474898},{"body":{"content":"很高兴为您服务，请对我本次服务做出评价，感谢您对京东大药房的支持，祝您生活愉快，谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051512387}]

女

2022.05.20

[{"body":{"content":"一直在用****和***联合用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652876253605},{"body":{"content":"你好，我是京东医生，非常高兴由我为您提供医疗咨询服务，请稍等，我正在详细阅读您的病情描述。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878629808},{"body":{"content":"具体需要帮助您解决什么问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878631814},{"body":{"content":"这次请问需要开那个药哈？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878646889},{"body":{"content":"**** 二支","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878667609},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878677332},{"body":{"content":"您好，处方已开好，药师审核通过后就可以购买了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878845912},{"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":1652878850894},{"body":{"content":"没有了谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879063117},{"body":{"content":"不客气哈！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，再见哈！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879077548}]

男41岁

2022.05.20

[{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965172866},{"body":{"content":"你好，我想问一下十二岁的小女孩一般子宫厚度是多少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965241103},{"body":{"content":"你这个是要去咨询妇科的，我们这边是儿科。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965301296}]

女12岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049784718},{"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":1653049805910},{"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":1653049813520},{"body":{"content":"请问是否有以下症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049816521},{"body":{"content":"睾丸胀痛 / 会阴胀痛 / 尿急","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049855278},{"body":{"content":"您这种情况出现多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049859268},{"body":{"content":"7—30天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049868365},{"body":{"content":"是否做过相关检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049871360},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049875732},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049879746},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049885094},{"body":{"content":"治疗效果是否满意？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049888174},{"body":{"content":"不满意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049891962},{"body":{"content":"是否方便上传检查报告？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049895997},{"body":{"content":"检查结果已上传","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050001310},{"body":{"content":"现在收集的信息来看，您的症状初步诊断为：前列腺炎。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050063493},{"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":1653050067212},{"body":{"content":"怎么治疗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050084886},{"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":1653050096134},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050104156},{"body":{"content":"******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050190366},{"body":{"content":"医院开了这个吃了感觉没什么效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050207492},{"body":{"content":"针对您的情况，建议您可以使用************+******治疗一下，可以先使用1周的看看效果，1周后线上复诊，我帮您看一下治疗的效果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050361192},{"body":{"content":"我自己买了*****在吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050396402},{"body":{"content":"吃了几天了，今天骑车后又开始疼痛起来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050418472},{"body":{"content":"减少骑车等不良刺激","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050520374},{"body":{"content":"上面给您推荐的药物为处方药，我可以给您开一张电子处方，以供线上购买使用，或者作为线下购买及用药参考。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050524354},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050548370},{"body":{"content":"已经开好了，处方内药品由京东质保，京东物流配送（保密发货，送药到家）.用量处方上帮您备注上，用药前建议您仔细阅读说明书，注意药物的不良反应，副作用及用法用量，如果用药后出现不适症状或症状得不到缓解，建议及时线上咨询或去医院就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050554150},{"body":{"content":"您可以点击处方，预约购买，药师审核通过后，即可发药的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050554946},{"body":{"content":"买哪种？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050576940},{"body":{"content":"处方已经审核通过了，您点击处方，按流程即可购买的，后续用药问题，可以上线找我复诊，祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050592772},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050620295},{"body":{"content":"这个药都是一起吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050631854},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050708421},{"body":{"content":"这是一周量？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050821465},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050832572},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050902240},{"body":{"content":"能治疗好吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050929919},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050940339},{"body":{"content":"用药1周后，可以线上找我复诊，便于掌握您的病情变化，更好调整治疗用药，指导康复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050944237},{"body":{"content":"嗯嗯，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050995886},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051008112},{"body":{"content":"给您些生活建议，希望能够帮助到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051015212},{"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，避免剧烈运动。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051029529},{"body":{"content":"希望我的建议能够帮助到您，后续您如果还有需要咨询的问题，可以打开京东APP，点击“我的”，再点击“问医生”，在搜索栏中搜索“泌尿外科**”，即可找到我。祝您生活愉快","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051551069}]

男27岁

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":1653050227834},{"body":{"content":"您好，我是京东健康互联网医院专业育儿师。很高兴为您提供育儿咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050230753},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050232219},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050260973},{"body":{"content":"孩子被蚊子叮了，要不周围肿了，这个药膏能用眼部周围吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050293431},{"body":{"content":"可以薄薄的涂一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050319447},{"body":{"content":"有没有清凉的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050345085},{"body":{"content":"有没有成分表发一张看看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050355273},{"body":{"content":"稍等一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050367411},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050399303},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050450949},{"body":{"content":"不客气?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050460352}]

女

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050271052},{"body":{"content":"您好，我是河南大学淮河医院男科副主任医师***，非常高兴由我为您提供医疗咨询服务，请稍等，我正在详细的阅读您的病情描述*******。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050274699},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050282935},{"body":{"content":"①　请问您是否从第一次性生活开始就出现射精过快？\n②　射精过快的现象有：1）.在进入阴道之前或进入后约1分钟以内就射了；2）.相比之前射精潜伏时间显著缩短，通常小于3分钟；3）.偶尔出现射精过快，短于3分钟。请问您的情况属于哪一种？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050291324},{"body":{"content":"③　性欲如何？性刺激下阴茎能否勃起？硬度是否足以插入？能否维持足够时间？有无早泄等射精功能障碍？有无***异常？\n④　勃起硬度：1级，阴茎只胀大但不硬，类似豆腐，为重度勃起功能障碍；2级，阴茎有硬度，但硬度不足以插入阴道，类似剥了皮的香蕉，为中度勃起功能障碍；3级，能插入阴道但不坚挺，类似香蕉，为轻度勃起功能障碍；4级，阴茎完全勃起并坚挺，类似黄瓜，为勃起功能正常。请问您的情况属于哪一种？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050295243},{"body":{"content":"符合以上哪种情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050305598},{"body":{"content":",第四种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050364986},{"body":{"content":"阴茎能硬，但也软的快","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050438886},{"body":{"content":"就是硬的时候，**进不去","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050474879},{"body":{"content":"结婚了吗性生活频率是\n睡眠质量好吗有失眠多梦盗汗耳鸣吗\n有腰漆酸软口干舌燥吗\n有手淫的习惯吗多久一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051276080},{"body":{"content":"依次回答","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051278772},{"body":{"content":"没有结婚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051302033},{"body":{"content":"睡眠还行，就是睡得晚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051327738},{"body":{"content":"有盗汗耳鸣","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051380222},{"body":{"content":"有腰漆酸软，口干舌燥，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051421492},{"body":{"content":"之前手淫频繁，每天天一两次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051458375},{"body":{"content":"性生活的时候**进不去，硬的慢，软的快，有四五年手淫史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051468640},{"body":{"content":"有精神不振乏力脾气暴躁容易上火吗\n有性生活后腰痛吗\n有怕冷怕热吗\n熬夜饮酒多吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051478743},{"body":{"content":"有精神不振乏力脾气暴躁容易上火\n\n有怕冷怕热\n熬夜饮酒多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051552722},{"body":{"content":"没有性生活过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051561049},{"body":{"content":"有阴囊潮湿大便挂壁","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051578045},{"body":{"content":"有尿频尿急尿不尽尿分叉尿痛吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051585226},{"body":{"content":"都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051587589},{"body":{"content":"拍个舌苔照片不要美颜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051611738},{"body":{"content":"尿分叉，尿痛的情况少了，其他的情况都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051629316},{"body":{"content":"根据你的描述和舌苔表现考虑为肾虚湿热勃起功能障碍可以通过药物结合行为疗法进行治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051726339},{"body":{"content":"那都吃些什么药呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051754494},{"body":{"content":"你现在是匿名患者无法开具处方，开具处方需要扫描我的复诊二维码进行问诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051763301},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051822397},{"body":{"content":"这个对话框结束后再扫描","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051847144}]

男28岁

2022.05.20

[{"body":{"content":"几天了？痒不痒？之前治疗过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050217587},{"body":{"content":"不痒，1个月左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050259136},{"body":{"content":"没治疗过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050278260},{"body":{"content":"是您拍的这个吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050379455},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050392020},{"body":{"content":"这是什么病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050414491},{"body":{"content":"这个不疼不痒吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050567834},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050574927},{"body":{"content":"这个从照片来看可能是疣","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050630244},{"body":{"content":"建议您去医院做冷冻治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050639976},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050677264},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050784355}]

男36岁

2022.05.20

[{"body":{"content":"您好，请详细说一下您的疑问","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878824388},{"body":{"content":"就是阴道分泌物粉末状，特别痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879832895},{"body":{"content":"去医院开过吃的药，塞的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879884910},{"body":{"content":"都用过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879890662},{"body":{"content":"比原来轻点了，但是还是刺挠痒，白色粉末状，跟豆腐渣似的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879925233},{"body":{"content":"2月份化验的时候，是这样的白带吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879952972},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879973891},{"body":{"content":"具体都用了哪些药呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880009728},{"body":{"content":"**挫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880046566},{"body":{"content":"赛过***用，塞完便秘。大便出血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880095862},{"body":{"content":"还有，具体忘了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880111816},{"body":{"content":"吃的****吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880152721},{"body":{"content":"去医院看，就是里面有一层白膜，老出粉末状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880170542},{"body":{"content":"爱过一盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880182748},{"body":{"content":"吃过一盒，没有了，没吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880194138},{"body":{"content":"***塞了几天呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880199796},{"body":{"content":"感觉这个药吃了火大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880205579},{"body":{"content":"那个赛过三四天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880219448},{"body":{"content":"后来就没有再塞药了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880230221},{"body":{"content":"便秘，大便总出血，就没敢在塞","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880252129},{"body":{"content":"塞了火大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880263439},{"body":{"content":"这个怎么这么反复啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880282191},{"body":{"content":"您的便秘症状和塞药没有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880313531},{"body":{"content":"没塞的时候没事啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880328114},{"body":{"content":"应该是霉菌性阴道炎合并细菌性阴道病，本次建议塞药+口服，更换其他药物，需要坚持治疗至少一周","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880348951},{"body":{"content":"稍等给您发用药方法","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880363430},{"body":{"content":"用啥药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880364624},{"body":{"content":"现在疫情严重了，也没法去医院买药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880385067},{"body":{"content":"京东现在也不送","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880400144},{"body":{"content":"还赛过一个往外拽的，带绳的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880447173},{"body":{"content":"口服的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880455946},{"body":{"content":"也不管用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880461217},{"body":{"content":"治疗建议：\n1.口服****，每日2次，每次2片，一共吃7天，这个不受月经期影响。\n2.同时，*************/****，每晚1粒阴道用，7天。用药后垫卫生巾，免得弄脏衣裤。月经干净后再连用7天，巩固治疗。\n3.用药期间不要同房。瘙痒时可以用较冷的水坐浴，可以明显缓解瘙痒症状，不能用热水烫，会肿。\n4.不要做阴道冲洗，因为阴道有自净的功能，冲洗会破坏环境。\n5.穿透气裤子，不要久坐。\n6.月经期勤换卫生巾，白天2小时换一次。\n7.适当锻炼增强免疫力，对预防阴道炎复发有一定好处。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880489031},{"body":{"content":"如果京东不能送，可以看看其他平台，或者和社区申请买药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880587389},{"body":{"content":"治疗建议：\n1.口服****，每日2次，每次2片，一共吃7天，这个不受月经期影响。\n2.同时，*************，每晚1粒阴道用，7天。用药后垫卫生巾，免得弄脏衣裤。月经干净后再连用7天，巩固治疗。\n3.用药期间不要同房。瘙痒时可以用较冷的水坐浴，可以明显缓解瘙痒症状，不能用热水烫，会肿。\n4.不要做阴道冲洗，因为阴道有自净的功能，冲洗会破坏环境。\n5.穿透气裤子，不要久坐。\n6.月经期勤换卫生巾，白天2小时换一次。\n7.适当锻炼增强免疫力，对预防阴道炎复发有一定好处。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880611028},{"body":{"content":"是这两种药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880991871},{"body":{"content":"对","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881026321},{"body":{"content":"不用管哪个厂家","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881064154},{"body":{"content":"不用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881146325},{"body":{"content":"我每天都要用水洗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881152939},{"body":{"content":"水洗外阴就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881187659},{"body":{"content":"要是来月经了，就不能塞了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881199156},{"body":{"content":"估计快来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881206782},{"body":{"content":"吃药不受月经影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881225103},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881236694},{"body":{"content":"塞药塞到来月经，然后月经后不要等症状复发，也不要同房，继续塞药一周","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881243206},{"body":{"content":"能加个微信吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881245747},{"body":{"content":"抱歉平台要求不可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881262104},{"body":{"content":"我之前赛过一个**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881269055},{"body":{"content":"后续假如有疑问，可以选择追问包","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881278041},{"body":{"content":"忘记啥名了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881279625},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881287153},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881294016},{"body":{"content":"什么样子的**，塞了以后怎样了呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881300094},{"body":{"content":"我忘记了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881335770},{"body":{"content":"没起啥作用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881345116},{"body":{"content":"这个************应该是效果比较好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881500303},{"body":{"content":"先用用看吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881506084},{"body":{"content":"得坚持用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881514338},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881556468},{"body":{"content":"还有盒装的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881720093},{"body":{"content":"用瓶装的，还是盒装的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881734928},{"body":{"content":"瓶装的吧，更便宜应该","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881898474},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881926245},{"body":{"content":"您给开的是这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882871258},{"body":{"content":"都可以的，这都是很普通的药，品牌不重要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882950158},{"body":{"content":"那就买这种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883119713},{"body":{"content":"第一个买3盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883128464},{"body":{"content":"是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883134145},{"body":{"content":"我按您这个下单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883147529},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883186232},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883195851},{"body":{"content":"早点休息","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883202045},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883212863},{"body":{"content":"怎么显示一个药是疫情有关，不会手机弹窗吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884037998},{"body":{"content":"不应该啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884056176},{"body":{"content":"我已经下单了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884102991},{"body":{"content":"***和疫情无关","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884103597},{"body":{"content":"*","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884107673},{"body":{"content":"不过现在天天核酸，不会弹窗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884115231},{"body":{"content":"您快休息吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884116078},{"body":{"content":"好的?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884120414},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884121125},{"body":{"content":"晚安","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884126346},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884130280},{"body":{"content":"您***，那个药我看24号才能发","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652920824313},{"body":{"content":"那先塞几天***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652927872667},{"body":{"content":"那个也没拿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652929531711},{"body":{"content":"那只能先洗洗了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652929576590},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652931563618},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652931571572},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652931576532},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967383148},{"body":{"content":"那个不发货","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967400728},{"body":{"content":"这个美团可以送","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967412549},{"body":{"content":"这款药可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967421386},{"body":{"content":"可以的，一样的成份","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967590673},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967785473},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967807082}]

女46岁

2022.05.20

[{"body":{"content":"您好，感谢信任，接到您的问题，我先根据您提供的情况仔细分析一下，然后给您答复。我这条内容您不用回复，请稍等几分钟，我会详细解答。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879268155},{"body":{"content":"他现在在做靶免治疗，这边医生说肿瘤控制的还可以，就是肝硬化有点严重。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879324502},{"body":{"content":"你好，看结果，肝功能异常，与肝硬化，肝癌，以及肝癌靶免治疗都有关系，目前具体用的那几个药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879402729},{"body":{"content":"\n他现在吃 *******，*****，当***，*******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879443546},{"body":{"content":"嗯，靶免治疗用的什么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879536304},{"body":{"content":"而且靶免治疗多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879664881},{"body":{"content":"用的*****联合*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879722424},{"body":{"content":"嗯，目前看肝功能指标，黄疸转氨酶都比较高，靶免治疗需要注意风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879795185},{"body":{"content":"21天一次用了5次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879798590},{"body":{"content":"嗯嗯，因为靶免治疗也有肝损害风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879817120},{"body":{"content":"那您能给一个治疗建议，治疗方案吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879889341},{"body":{"content":"一般我们的患者靶免治疗期间如果肝功能指标持续升高，就要先暂停一次，加强***物治疗，等肝功能改善，尤其是胆红素水平最好降低到40以下再恢复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879957265},{"body":{"content":"谢谢医生 那现在有没有用药建议。他吃的药需不需要换。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880150636},{"body":{"content":"如果乙肝病毒DNA阴性，*****就不用换，***物也可以先维持目前几个，观察一周左右复查肝功能看变化，再决定下一步方案","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880220951},{"body":{"content":"那等一周后肝功能结果出来了我再联系你吧医生。他之前吃**，后来换的这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880358250},{"body":{"content":"可以，方案是否有效，关键看复查结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880385869},{"body":{"content":"那就先维持治疗，靶免停一停吧。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880445830},{"body":{"content":"对的，治疗安全第一，其次是效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880477356},{"body":{"content":"他现在还会偶尔发烧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880587846},{"body":{"content":"如果没有明确细菌感染，发烧考虑肿瘤有关，可以对症治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880636479},{"body":{"content":"这边医生考虑是腹水引起的腹膜炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880672486},{"body":{"content":"那就要用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880684305},{"body":{"content":"嗯 输着***，到时候看看效果吧。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880706907},{"body":{"content":"嗯嗯一般至少3-5天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880725506},{"body":{"content":"好 等结果出来我再联系您吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881425055},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881434381}]

男54岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965566885},{"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":1652965568736},{"body":{"content":"住院时开药需要挂号费吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965605674},{"body":{"content":"住院期间，如果是住院部有的药，是不需要再挂号的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965638907},{"body":{"content":"医保患者出院时只允许带1周的药。如果想多带点，那就需要门诊挂号的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965697489}]

女89岁

2022.05.20