刘继帅

[{"body":{"content":"你好，我是三级甲等医院神经内科中级医师，***，请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049595516},{"body":{"content":"你是患者本人吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049606155},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049612738},{"body":{"content":"这么年轻","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049626743},{"body":{"content":"不应该啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049629347},{"body":{"content":"是家里人","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049640119},{"body":{"content":"奥奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049683854},{"body":{"content":"咨询什么问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049689152},{"body":{"content":"家里老人轻微中风","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049706834},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049713486},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049725390},{"body":{"content":"开几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049727803},{"body":{"content":"为了用药安全，请问你是否有药物过敏史，是否有肝肾功能异常，是否有慢性疾病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049732198},{"body":{"content":"5","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049732283},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049742701},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049861411},{"body":{"content":"回看沟通记录可见电子处方。点开电子处方，下方会有 预约药品，点击后会跳转京东，补充**等信息，支付后，京东药师审核后，会直接按照您预留**发货，无需再上传处方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049869848},{"body":{"content":"不用客气，祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049871882},{"body":{"content":"脑梗塞应这样\n1.应平衡饮食和营养，多吃蔬菜、水果和谷类食品，减少饱和脂肪酸和胆固醇的摄入；每天盐摄入量限制在6克以下。\n\n2、继续锻炼，持续锻炼可减少20%的复发风险，每天至少进行30分钟的适度体育活动，如步行、慢跑、**拳、骑自行车等，每周5次。\n\n3、定期体检和会诊，患者应定期检查血压、心电图、血糖**脂，并根据自己的检查结果咨询神经科医生，帮助解决所遇到的各种问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049876299},{"body":{"content":"你可以点开我的头像关注我，以后有问题随时可以咨询我， 或者去：京东_搜我的名字***，点击图文咨询直接咨询就行。这样就能找到我了，有什么用药问题或者购药问题都可以继续咨询我。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049879609},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任！请对话结束后对给予5星好评，您的好评是对我最好的肯定与鼓励，祝您生活愉快，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049881616}]

女31岁

2022.05.20

[{"body":{"content":"您好，我是儿科副主任医师石莉医生，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":1653050183361},{"body":{"content":"一般情况下需要补充锌和铁。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050200584},{"body":{"content":"这个需要去医院配吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050232942},{"body":{"content":"最好查一下血红蛋白或者****。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050248376},{"body":{"content":"现在**疫情期间，出门不大方便，能不能自己买点给娃吃？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050304495},{"body":{"content":"也可以的，那就买一个*********。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050334855},{"body":{"content":"宝宝怎么吃呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050390873},{"body":{"content":"宝宝按预防量吃就可以。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050419111},{"body":{"content":"一天15毫升。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050433297},{"body":{"content":"天天吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050452325},{"body":{"content":"是呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050518129},{"body":{"content":"还是几天吃一次？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050643465},{"body":{"content":"一天隔一天吃？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050652883},{"body":{"content":"每天吃。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050674260},{"body":{"content":"补充一个月，观察一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050940630},{"body":{"content":"您别太着急，可以参考上面给您的指导，结束后麻烦您可以给我一个评价，如果后续还有问题，欢迎您随时找我咨询，后期可以直接平台搜索我的名字：**,如果期间有过敏等不良反应，症状持续加重等，建议尽快去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050943629}]

男1岁6个月

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965415873},{"body":{"content":"肚子疼和吃饭有关吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965426383},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965431096},{"body":{"content":"大便怎样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965436602},{"body":{"content":"大便感觉还行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965447741},{"body":{"content":"就是一直隐疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965467676},{"body":{"content":"肚子哪个部位呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965479753},{"body":{"content":"小肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965488060},{"body":{"content":"左中右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965499327},{"body":{"content":"？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965510139},{"body":{"content":"都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965512514},{"body":{"content":"像你这样36岁，下腹部疼痛，还是考虑肠道问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965544147},{"body":{"content":"什么问题？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965555910},{"body":{"content":"建议做个肠镜看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965559203},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965566050},{"body":{"content":"有可能是肠道功能紊乱","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965573688},{"body":{"content":"就做个肠镜吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965580056},{"body":{"content":"熬夜，喝酒，不良饮食习惯都可以导致","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965592678},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965596786},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965599258},{"body":{"content":"需不需要做个腹部彩超","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965614366},{"body":{"content":"做肠镜检查，排查一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965616763},{"body":{"content":"?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965626438},{"body":{"content":"下腹部主要是肠管","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965627455},{"body":{"content":"只有右下腹有阑尾可以做彩超","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965643507},{"body":{"content":"隐痛，间断出现，考虑肠道问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965679257},{"body":{"content":"********，****，可以吃上看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965714511}]

男36岁

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":"你好，我是三级甲等医院神经内科中级医师，***，请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050400673},{"body":{"content":"血糖高多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050409326},{"body":{"content":"好长时间了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050439010},{"body":{"content":"有10年了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050520345},{"body":{"content":"你这种情况预防和早期诊断是防止糖尿病神经病变造成严重后悔的基本措施。\n\n1、严格控制血糖，戒烟，纠正血脂异常，控制高血压。\n\n2、加强足部**：选择透气性良好质软的合脚的鞋袜，经常检查并取出鞋内异物。患者应每日洗脚，水温不宜过高。秋冬季节足部易干裂，可用中性润肤霜均匀涂擦，汗脚可撒些***。\n\n3、定期进行筛查及病情评价：\n\n","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050533052},{"body":{"content":"差不多吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050590876},{"body":{"content":"**，那你需要注意一下了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050615418},{"body":{"content":"我把上面的注意事项也发给你了，预防非常关键。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050623422},{"body":{"content":"预防糖尿病周围神经病变。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050630880},{"body":{"content":"这吃什么药，好的快点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050683754},{"body":{"content":"可以试试****，早中晚各一粒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050805140},{"body":{"content":"那个厂家的药会好些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050946956},{"body":{"content":"***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050956406},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050977650},{"body":{"content":"试试吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051024582}]

男33岁

2022.05.20

[{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务，请稍等，我正在详细阅读您的病情描述。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965412873},{"body":{"content":"肺结核早期症状：乏力，纳差，盗汗，消瘦等，部分病人会出现咳嗽，咳痰等症状！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965417578},{"body":{"content":"我想检查一下结核","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965461649},{"body":{"content":"想复查一下，可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965535071},{"body":{"content":"那你就去结核病专科门诊检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965535620},{"body":{"content":"你是已经诊断肺结核，在服药治疗了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965577198},{"body":{"content":"可以去线下医院复查，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965759507}]

女49岁

2022.05.20

[{"body":{"content":"请问有什么症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049990642},{"body":{"content":"喘不上气","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049999803},{"body":{"content":"以前在煤矿工作4.5年","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050020517},{"body":{"content":"要注意尘肺病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050028086},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050034131},{"body":{"content":"现在用什么药物治疗呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050096189},{"body":{"content":"一直是口吸的这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050123908},{"body":{"content":"药品名称是什么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050180673},{"body":{"content":"？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050201502},{"body":{"content":"就是什么**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050230708},{"body":{"content":"****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050261965},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050266533},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050267286},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050327226},{"body":{"content":"要开****吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050342758},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050347366},{"body":{"content":"请问有没有食物或者药物过敏史？有没有什么基础疾病？是否怀孕或者在哺乳期？肝功能，肾功能等是否正常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050357383},{"body":{"content":"没有过敏史，只是有肺气肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050396511}]

男57岁

2022.05.20

[{"body":{"content":"您好，我是中医科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050828469},{"body":{"content":"您好，问一下我咳嗽有2个月了，咳嗽不勤，但几乎天天有咳，咳得时候咳一阵，好像连着咳，不咳的时候大半天都好好的。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050837024},{"body":{"content":"请问咳嗽是白天还是晚上剧烈呢，咳嗽是否有痰，痰好咯出吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050843063},{"body":{"content":"白天的多，不剧烈，没痰","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050878862},{"body":{"content":"是否伴有胸闷、气紧、咽痒、咽喉异物感的症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050900988},{"body":{"content":"咳完后有时会清嗓子有少许痰","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050927614},{"body":{"content":"好的。方便发一下舌象吗？可以为您深入辨证看一下。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050988214},{"body":{"content":"咽痒有的，有时咳嗽时喝口水会好点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050998361},{"body":{"content":"根据您描述的症状结合舌象,目前考虑咳嗽，肺气阴不足。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051077712},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史吗？请问您在备育期吗？以便我给您用药建议，如果以上都没有，可以回答“都没有”","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051082530},{"body":{"content":"无过敏史，无慢性病史，不在备孕期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051126163},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051131198},{"body":{"content":"是否在哺乳期、备孕期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051232903},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051254808},{"body":{"content":"您看是选择中成药还是中药配方（自煎、代煎、**剂）？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051292680},{"body":{"content":"中成药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051303292},{"body":{"content":"稍等，为您开方，稍后会有一个电子处方，您如果需要购药的话可以直接 点击处方，按处方提示流程即可完成购药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051312441},{"body":{"content":"****** 一日3次，一次1支补**气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051467852},{"body":{"content":"***** 一日3次，一次5片养阴**，****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051489536},{"body":{"content":"买不了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051508801},{"body":{"content":"咋回事呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051515263},{"body":{"content":"****** 给您建议的药物是不需要处方的，您可以直接点击带有小购物车蓝色文字选购，药物品牌您可以任意选择，如您附近有药店（药急送），最快可在1小时内送药上门。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051529224},{"body":{"content":"好的，网上不好买，我在家附近看看，谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051567109},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051612886},{"body":{"content":"各配几盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051618729},{"body":{"content":"可以各2盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051627197},{"body":{"content":"温馨提示：*****、****** 您可以直接点击带有小购物车蓝色文字选购，药物品牌您可以任意选择，如您附近有药店（药急送），最快可在1小时内送药上门。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051641802},{"body":{"content":"提示：用药前请您仔细阅读药品说明书中禁忌，注意事项，如您在用药过程中出现不适，比如：皮疹、皮肤瘙痒、发热等不适，请您及时停药并线上咨询或去医院就诊。不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051648707},{"body":{"content":"建议您饮食注意：规律饮食，避免过饱饮食，忌辛辣刺激、浓茶咖啡、甜食饮料、生冷食物、海鲜、火锅类的食物，喝温热水。另外注意休息、保持良好情绪、规律作息；保持室内湿润、通风；忌烟酒；避风寒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051651541},{"body":{"content":"好的谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051692106},{"body":{"content":"您客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051697715},{"body":{"content":"感谢您的咨询和耐心回答，请问您是否还有其他医药问题需要我为您解答？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051701232},{"body":{"content":"如果您没有其他问题，我将结束您的问诊，希望我的建议能够帮助到您，请点击对话框右上角“ 表扬医生“对我的服务作出评价，您的五星好评，就是对我工作最大的鼓励和支持。欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051789920}]

女46岁

2022.05.20

[{"body":{"content":"您好！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050145900},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050155471},{"body":{"content":"非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050169129},{"body":{"content":"低血糖跑步会心脏疼吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050172782},{"body":{"content":"?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221224},{"body":{"content":"低血糖跑步与心脏疼痛没有必然的关系。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050222903},{"body":{"content":"您哪里不舒服吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050242074},{"body":{"content":"近期是否做过相关检查？请发给我看看！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309724},{"body":{"content":"没做过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050372145},{"body":{"content":"之前一直都没事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050382100},{"body":{"content":"是不是最近有氧做多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050403364},{"body":{"content":"请您描述一下心脏疼痛的特点。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050429076},{"body":{"content":"疼痛部位？疼痛诱因？每次疼痛持续时间？疼痛缓解方式？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050550482},{"body":{"content":"咳嗽？咳痰？发热？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050831856},{"body":{"content":"您心脏疼痛，建议您去医院看看，做心脏彩超、心电图，化验肌钙蛋白**常规等，明确原因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051734452},{"body":{"content":"欢迎您随时咨询！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051748962},{"body":{"content":"祝您早日康复！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051876337},{"body":{"content":"与最近有氧做多了无关。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051936307}]

男22岁

2022.05.20

[{"body":{"content":"您好！请问有什么问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049992712},{"body":{"content":"最近咽部又开始不适","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050056898},{"body":{"content":"有什么症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050071002},{"body":{"content":"嗓子干有灼烧感 偶有吞咽困难","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050100988},{"body":{"content":"这是以前的检查报告","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050130614},{"body":{"content":"有没有咽痛、咽痒、咳嗽、咳痰？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050134431},{"body":{"content":"基本没有 偶尔咽痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050179873},{"body":{"content":"症状不明显","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050192321},{"body":{"content":"吃东西时有梗阻感吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050209002},{"body":{"content":"有一点点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050246050},{"body":{"content":"这次有几天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050297832},{"body":{"content":"这次有几天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050368318},{"body":{"content":"周一比较严重 这几天略微好转","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050377177},{"body":{"content":"和以前症状一样吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050407452},{"body":{"content":"接近一周了 从上周六开始的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050409838},{"body":{"content":"差不多 但是咽部干涩比以前频繁一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050436123},{"body":{"content":"最近用了什么药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050457252},{"body":{"content":"最近只吃了*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050512831},{"body":{"content":"再考虑要不要加些***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050530400},{"body":{"content":"有无过敏史和肝肾功能不全？有无其他疾病？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050541093},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050546929},{"body":{"content":"潘医生 我这个程度严重么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050562019},{"body":{"content":"可以用点********，******，***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050572684},{"body":{"content":"没大问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050583055},{"body":{"content":"但是工作性质就是要一直讲话","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050598235},{"body":{"content":"就是慢性咽炎急性发作","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050610032},{"body":{"content":"有点担心影响工作","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050611330},{"body":{"content":"说话多也容易引起慢性咽炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050662943},{"body":{"content":"我职业生涯可刚刚开始","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050715109},{"body":{"content":"不要太担心！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050738522},{"body":{"content":"那我良好作息饮食清淡 正常工作没问题吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050752327},{"body":{"content":"平时除了工作还是要注意一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050756982},{"body":{"content":"主要担心病情加重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050760157},{"body":{"content":"好的 谢谢医生了 那我*****还继续吃么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050778564},{"body":{"content":"偶尔症状明显一点没关系的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050787672},{"body":{"content":"可以继续使用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050794202},{"body":{"content":"好的 谢谢潘医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050803145},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050839372},{"body":{"content":"平时饮食要清淡，禁烟酒**，房里多通风，不要吸二手烟，可以用***泡水喝，不要喝茶，进食不要太饱，进食后不要立即平躺，适当走动一下，睡觉垫枕，加强自身抵抗力，避免用声过度，调整心态，找点事做转移自己的注意力！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050847502},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050991356}]

女23岁

2022.05.20