刘继帅

[{"body":{"content":"您好，我是住院医师狄华，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050046786},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050049868},{"body":{"content":"闲趣 自然清咸原味薄脆饼干 休闲零食带提手礼盒装900g（普通装和加量装随机发货 介意慎拍）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050126627},{"body":{"content":"都是独立小包装","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050144938}]

女

2022.05.20

[{"body":{"content":"您好。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878499020},{"body":{"content":"请说一下具体病史，如发病时间和部位，症状，有无诱因，家族史，既往史，医院化验结果，诊断， 治疗方案，效果如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878849286},{"body":{"content":"后背，腋下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878865859},{"body":{"content":"化验单刚才发的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878879511},{"body":{"content":"两大块儿，手上之前走过烧伤，感觉开始有小点点的白。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878948430},{"body":{"content":"后背腋下照片发给我看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879003392},{"body":{"content":"好的马上拍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879058500},{"body":{"content":"后背","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879094766},{"body":{"content":"您看是***吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879129486},{"body":{"content":"腋下跟这个类似，然后就是手上很早年烧伤过，看着像是开始有小白点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879251520},{"body":{"content":"有没有预防再在别处长的药或打针之类的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880142114},{"body":{"content":"是***！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882524411},{"body":{"content":"预防发展就是用**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882553166},{"body":{"content":"吃药片或打针都行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882574311},{"body":{"content":"能直接给开药？还是要到医院？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884765850},{"body":{"content":"您推荐吃药还是打针好？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884795330},{"body":{"content":"**哪能瞎开啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884929788},{"body":{"content":"必须去医院面诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884943531},{"body":{"content":"如果开点外用药膏还可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884963618},{"body":{"content":"吃药麻烦但是可以精确控制**的剂量，打针方便（一月一针）但不能精确控制剂量","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652885046821},{"body":{"content":"打扰下，打针一般需要几针，一个月到一次医院是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968746320},{"body":{"content":"一两针就好了，一个月到一次医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653002754293}]

女48岁

2022.05.20

[{"body":{"content":"您好，我是皮肤科副主任医师刘立红医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050872675},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050881855},{"body":{"content":"请问您是线下正规医院确诊银屑病了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050909724},{"body":{"content":"还没去正规医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050952535},{"body":{"content":"您这种情况具体多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050964340},{"body":{"content":"有12个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050979696},{"body":{"content":"皮疹都出现在哪些部位？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051017396},{"body":{"content":"脚眼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051034877},{"body":{"content":"除了您上传的这个部位，其他部位有类似的情况吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051065350},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051087211},{"body":{"content":"两只脚对称出现的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051121857},{"body":{"content":"就一个脚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051143997},{"body":{"content":"白色的鳞屑是一直都有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051180016},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051227443},{"body":{"content":"您的情况不能排除是银屑病的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051245218},{"body":{"content":"请问您有治疗过吗？具体用过什么药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051248450},{"body":{"content":"外用的药膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051286448},{"body":{"content":"为了避免重复用药，您记得药名吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051301650},{"body":{"content":"现在想用这个药，但要处方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051375030},{"body":{"content":"为了用药安全，请问您有药物过敏史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392628},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051462816},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051473666},{"body":{"content":"**********是对症的，可以使用，稍等给您开具处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051481613},{"body":{"content":"好好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051492740},{"body":{"content":"上面给您开具了处方单，您往上翻看一下，如果需要可以点击处方单按照提示线上预约购买。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051526668},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051599253},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051607094},{"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建议的药品，如在用药过程中出现不适，请您及时上线咨询或去医院就诊。建议定期复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051615901},{"body":{"content":"建议您尽量避免感冒，避免外伤，平时避免搔抓，避免热水烫洗，以免刺激加重病情，饮食清淡，忌辛辣刺激食物，避免饮酒，避免熬夜，多吃蔬菜和水果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051647879},{"body":{"content":"请问您还有其他问题需要咨询吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051827225},{"body":{"content":"如果您没有其他问题，我将结束问诊，希望我的建议能够帮助到您。请您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，欢迎您有问题随时上线咨询。祝您及家人身体健康。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051992932}]

男70岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0022，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050635401},{"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":1653050636301},{"body":{"content":"急性的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050641881},{"body":{"content":"8月份查的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050658603},{"body":{"content":"感觉前段时间好转了，最近又复发了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050672788},{"body":{"content":"小便有点疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050678083},{"body":{"content":"建议二周一疗程","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050705381},{"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":1653050877596},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050907678},{"body":{"content":"男","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050922592},{"body":{"content":"24岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050925766},{"body":{"content":"//***，口服，一次3片，一日3次。一个月为一个疗程\n【用药注意】饭前服用，服药期间忌酒及辛辣刺激食物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050935826},{"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、是否有过敏史），如果没有则回复“无”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050940666},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050973998},{"body":{"content":"一疗程就可以治愈吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051002936},{"body":{"content":"您好，轻微 的二周一疗程 ，严重复发，一个月一疗程","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051031370},{"body":{"content":"药品的效果与药品的吸收、分布、代谢、排泄等有关。另外患者年龄、性别、体质、以及联合用药情况等 都对药效的体现有影响。所以药效视具体情况而定噢。由于个体差异，不同的人对药物的吸收会有差异，大多数患者见效快，少数患者见效可能会慢一些，一般对症就会有效果的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051032455},{"body":{"content":"我最近熬夜很厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051096502},{"body":{"content":"经常2点睡觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051102939},{"body":{"content":"这个要调整作息哟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051123465},{"body":{"content":"请问与这个有没有联系","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051123870},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051143395},{"body":{"content":"吃这个一点酒不能喝吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051155261},{"body":{"content":"熬夜、喝酒会让人抵抗 下降","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051165026},{"body":{"content":"可不可以喝酒当天不吃药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051165295},{"body":{"content":"当时检查时说我是轻微的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051182961},{"body":{"content":"就是有一点点炎症，并不是太厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051191973},{"body":{"content":"服药禁酒哟，真的不建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051206707},{"body":{"content":"您服用药物也是想得到好的效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051212521},{"body":{"content":"是的，但是总不能避免，我也没有办法","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051230742},{"body":{"content":"用药期间尽量避免 ，因这个一天要吃几次的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051245900},{"body":{"content":"8月份拿的这个药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051300404},{"body":{"content":"我吃了会不舒服，就没有吃完","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051310607},{"body":{"content":"吃这个药胃会不舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051323971},{"body":{"content":"这个是**的，一般尿道 感染 的，我们会建议一起，不是太严重的，就可以不用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051331331},{"body":{"content":"可能您肠胃不耐受","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051337891},{"body":{"content":"好的，那我先吃一个疗程试一试ba","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051378229},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051388710},{"body":{"content":"平时一定注意，尽量尽量哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051394681},{"body":{"content":"还有不要久坐哟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051398280},{"body":{"content":"温馨提示：1、注意清淡饮食，避免吃辛辣、刺激食物，比如**、火锅、烧烤、油炸食物。\n2、在使用***治疗期间，绝对禁止饮酒。\n3、患者需要注意会阴部卫生，保持外阴干燥、清洁。注意多饮水，促进肾脏排出更多的尿液，将泌尿系统中的细菌以及污染物冲刷出体外。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051459051},{"body":{"content":"为了您的健康和用药安全，使用前请仔细阅读药品说明书，按照药品的用法用量正确使用、查看用药禁忌和注意事项，如果为禁忌人群请勿使用，如有任何疑问，请及时咨询医生或药师。请您查看药品说明书中的注意事项，使用 天后如果症状没有改善或出现症状加重的情况，建议尽快线下就医。用药期间禁烟酒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051600616},{"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":1653051601440},{"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":1653051604411},{"body":{"content":"祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051607410}]

女

2022.05.20

[{"body":{"content":"这种情况考虑耵聍","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965181744},{"body":{"content":"没有不适症状的话，不用担心的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965194189},{"body":{"content":"耵聍腺分泌物脱水氧化形成的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965298433},{"body":{"content":"不用担心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965302362},{"body":{"content":"是这样的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965303335},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965312330},{"body":{"content":"不客气！希望我的建议可以帮助到您！非常感谢您的信任！请对话结束后对我的服务做出评价！祝您早日康复！谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965317998}]

女17岁

2022.05.20

[{"body":{"content":"根据上述情况给予您相关用药建议，为了您的用药安全，请问您是否有药物过敏史？肝肾功能是否正常？是否有其他疾病史? 是否在备育期？或是其他用药禁忌的情况，如果有请提前说明。没有异常回复‘无’就可以。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050359253},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050362614},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050610141},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050655076},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050662327}]

男24岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964976602},{"body":{"content":"稍等我看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964981868},{"body":{"content":"人流手术吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964994968},{"body":{"content":"你好，老师","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652964996554},{"body":{"content":"药物流可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965038532},{"body":{"content":"在吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965080029},{"body":{"content":"在","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965094764},{"body":{"content":"末次月经日期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965103888},{"body":{"content":"每个月都是十几号来，每次都是提前两三天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965156687},{"body":{"content":"药流：停经49天内","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965246774},{"body":{"content":"现在有两个月了吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965308965},{"body":{"content":"差不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965317452},{"body":{"content":"b超检了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965336777},{"body":{"content":"流产需要b超过","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965346129},{"body":{"content":"老师，我问一下，查胎心需要憋尿是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965359588},{"body":{"content":"阴超不用留尿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965438660},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965454927},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965505863},{"body":{"content":"老师，你说的流产需要B超啥意思？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965520953},{"body":{"content":"个人也可以申请开药是吗？自己做流产不可以吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965595622},{"body":{"content":"在吗，老师","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965733826},{"body":{"content":"流产，需确诊宫内有孕囊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965742782},{"body":{"content":"若宫内无孕囊，流什么呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965768669},{"body":{"content":"我有一个孩子了，一个男孩，之前我是刨腹产，我对于**不管用，打了两三次，最后打的是全麻","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965932683},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965980417},{"body":{"content":"不想要了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965995171},{"body":{"content":"去手术台的时候，比我去晚的人都从里边出来了，我呆了好久才出来的，出来去重病监护室输液的时候我的胳膊都没点直觉了，吓死我了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966127275},{"body":{"content":"是，我不想要，可是我对象家里人想要，这次怀孕对我来说太害怕了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966210346},{"body":{"content":"全麻有清醒期","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966212610},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966232333},{"body":{"content":"上次剖宫产的原因","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966284602},{"body":{"content":"老师，我再问你一句，两个月用药流的话，没有那么复杂吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966345192},{"body":{"content":"不能了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966363293},{"body":{"content":"停经达到7周，就不能药流","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966414849},{"body":{"content":"老师，我记得是去年还是前年的时候也流过一次产，那时候天数短，就疼了一天就不疼了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966441630},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966472433},{"body":{"content":"先算准时间，b超检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966493131},{"body":{"content":"才能选择流产方式","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966510550},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966525583},{"body":{"content":"如果两个月不能用药流是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966571752},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966582221},{"body":{"content":"能保留，就保留","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966595127},{"body":{"content":"我不想要了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966624049},{"body":{"content":"无痛人流受罪吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966664230},{"body":{"content":"******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966690642},{"body":{"content":"嗯，**散了会会不会疼？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966755003},{"body":{"content":"会的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966783016},{"body":{"content":"有2个小时左右吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966794024},{"body":{"content":"老师，我现在用啥都会受点罪是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966810080},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966828577},{"body":{"content":"你是说**散了疼两个小时是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966854746},{"body":{"content":"无痛人流怎么做？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966881777},{"body":{"content":"与普通的手术一样，就是多一项麻醉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967035008},{"body":{"content":"也是划开肚子是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967075053},{"body":{"content":"阴道手术","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967088446},{"body":{"content":"哦，就是从阴道里取出来是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967173013},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967183241},{"body":{"content":"太吓人了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967196740},{"body":{"content":"现在为啥不能用药流呢？刚才搜索的也可以药流呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967242112},{"body":{"content":"大了，药流无效","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967259594},{"body":{"content":"不会吃大点量不可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967310087},{"body":{"content":"之前吃的一颗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967326466},{"body":{"content":"没用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967330004},{"body":{"content":"流产方法是有规定的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967361704},{"body":{"content":"有适应症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967372042},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967388229},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967395180},{"body":{"content":"我太害怕了，老师，留着更害怕，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967420177},{"body":{"content":"您需要解决心理恐惧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967468951},{"body":{"content":"没有什么可怕的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967487967},{"body":{"content":"有人剖宫产三次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967515217},{"body":{"content":"人流每天都有做的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967535032},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967633844},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967681111}]

女37岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965662436},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965673099},{"body":{"content":"有什么问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965693194},{"body":{"content":"左侧精索静脉曲张1级左侧精索静脉曲张1级","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965695029},{"body":{"content":"这个是啥意思","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965710829},{"body":{"content":"轻度精索静脉曲张","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965743779},{"body":{"content":"影响怀孕吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965763106},{"body":{"content":"精液常规正常就不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965792801}]

男29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，我是消化内科医生，您的问题已经收到，我正在详细阅读您的病情描述。感谢您对我的信任！请理解线上诊疗的局限性，因为缺乏查体环节！我向您提出以下问题，请尽可能逐一回答！为了您的健康！同时便于我尽可能多的掌握足够有效信息，从而更准确有效的做出回答，给予合理的意见和最大的帮助！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050371061},{"body":{"content":"您这种情况多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050374421},{"body":{"content":"很久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050421583},{"body":{"content":"十几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050426151},{"body":{"content":"有做过相关的检查吗？吃过什么药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050436963},{"body":{"content":"没有做过特别的检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050447926},{"body":{"content":"吃过很多通气的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050460170},{"body":{"content":"十几年了有没有查明原因吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050477641},{"body":{"content":"对的，因为开始也不是特别明显","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050490502},{"body":{"content":"现在年龄比较大了，感觉症状更严重了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050507571},{"body":{"content":"建议查个肠镜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050519736},{"body":{"content":"可以先开一点通气的药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050573203},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050584782},{"body":{"content":"因为这是我爷爷，先开点药，后续我回来再带他去医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050599558},{"body":{"content":"您还有什么问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050889709},{"body":{"content":"医生，冷链的那个药，会冷链配送吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050932809},{"body":{"content":"会的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050938388},{"body":{"content":"需要怎么储藏呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050943022},{"body":{"content":"冰箱冷藏就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050958132}]

男79岁

2022.05.20