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":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051116485},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051120149},{"body":{"content":"你好，手指植皮手术需要用皮钉吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051205479},{"body":{"content":"可以不用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051257964},{"body":{"content":"直接缝合，然后等拆线就可以了吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051302239},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051371494},{"body":{"content":"好的，植皮手术后，偶尔可以吸一根烟吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051433635},{"body":{"content":"加压包扎或者植皮打包，或者VSD都可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051439251},{"body":{"content":"禁止吸烟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051449122},{"body":{"content":"两三天吸一根也有影响吗，关键病房里有人吸烟","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051582113},{"body":{"content":"不要吸烟，禁止吸烟，您明白吗？影响植皮部位血运","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051633403},{"body":{"content":"好的，拆线过后，多长时间可以正常工作呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051816013},{"body":{"content":"根据恢复情况，一般还是得一个月以后吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051855557},{"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":1653051896594},{"body":{"content":"哦哦，麻烦您了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051896990},{"body":{"content":"您不必客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051911569},{"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":1653051917422}]

男25岁

2022.05.20

[{"body":{"content":"您好，我是内科医生蔡磊，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":1653049917851},{"body":{"content":"你好，有什么医学问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049919788},{"body":{"content":"目前主要有哪些不适症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049921495},{"body":{"content":"就是眼皮跳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049934341},{"body":{"content":"这个严重吗？什么原因造成的呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049974485},{"body":{"content":"多长时间了呢？！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050015192},{"body":{"content":"眼皮跳了一个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050041978},{"body":{"content":"眼睑再调吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050047932},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050052563},{"body":{"content":"这个脑白质缺血严重吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050066006},{"body":{"content":"左眼睑？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050069552},{"body":{"content":"有什么基础病吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050074298},{"body":{"content":"右边","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050080571},{"body":{"content":"没有什么基础病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050087563},{"body":{"content":"这个情况建议您做一个血管成像。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050199381},{"body":{"content":"考虑有动眼神经的问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050205514},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050442855},{"body":{"content":"要做血管成像检查缺血灶？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050490741},{"body":{"content":"看看血管有没有问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050508104},{"body":{"content":"因为您这个年龄不应该出现有缺血灶的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050515216},{"body":{"content":"然后规律治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050524826},{"body":{"content":"查血管挂什么科室？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050591840},{"body":{"content":"去神经内科就诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050612249},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050618015},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050621679}]

男38岁

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，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

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049703486},{"body":{"content":"医生您好，问一下我脸上有好几个痣，激光点痣后3个多月了，本来很小的黑痣现在变成了很大的色沉一直退不掉怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049719765},{"body":{"content":"看照片考虑色素沉着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049761157},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049773009},{"body":{"content":"那怎么办呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049796901},{"body":{"content":"可以外用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049798246},{"body":{"content":"什么作用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049815133},{"body":{"content":"要涂多久有效","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049847729},{"body":{"content":"可以外用一个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049870843},{"body":{"content":"淡化色斑","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049878595},{"body":{"content":"脸上为什么会出现这种情况呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049901575},{"body":{"content":"本来是很小的黑痣","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049912369},{"body":{"content":"现在反而难看了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049922965},{"body":{"content":"点痣后留的色素沉着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049935351},{"body":{"content":"一般的人点痣后都会留有吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049961542},{"body":{"content":"很少留","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050004233},{"body":{"content":"那为什么我脸上会这样呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050022404},{"body":{"content":"点痣的副作用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050062689},{"body":{"content":"除了涂药还有什么好方法吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050066631},{"body":{"content":"没有其他办法了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050088841},{"body":{"content":"是医生的缘故还是本人皮肤的缘故","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050092200},{"body":{"content":"都有原因","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050156870},{"body":{"content":"肤质有关","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050161361},{"body":{"content":"涂药只能淡化，不能完全与肤色一样是不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050237023},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050256520},{"body":{"content":"**怎么使用，一个月大概用几只","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050335609},{"body":{"content":"晚上用一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050415139},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050572467},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050605881}]

女20岁

2022.05.20

[{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，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":1653049640000},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049641748},{"body":{"content":"您好，您发链接的这款就是了，真三段适合两岁宝宝。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049671521}]

女

2022.05.20

[{"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，京东大药房药师工号0049，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051759324},{"body":{"content":"痤疮现在在用什么药物呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051768819},{"body":{"content":"请问******可以和******混着用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051797317},{"body":{"content":"单用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051806206},{"body":{"content":"可以白天****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051820660},{"body":{"content":"晚上****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051824270},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051836014},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051839737},{"body":{"content":"********可以治痘痘吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051865581},{"body":{"content":"可以用于痘印","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051875343},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051895907},{"body":{"content":"日常**1.常用温水洗脸，因为冷水不易去除油脂，热水促进皮脂分泌。 2.不要用手去挤压以免引起化脓发炎，脓疮破溃吸收后形成瘢痕和色素沉着，影响美观。3.劳逸结合，保持精神愉快。饮食调理注意饮食习惯，多吃新鲜西红柿、胡萝卜、黄瓜、**、芹菜等粗纤维蔬菜。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051901800},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051919102},{"body":{"content":"不客气呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051925151},{"body":{"content":"******睡前使用一次，薄涂点涂。使用前清洁一下，注意保湿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051934058},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051946995},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051957162},{"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":1653051960432},{"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":1653051962655},{"body":{"content":"没有了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051969958},{"body":{"content":"很高兴为您服务，请对我本次的服务做出评价，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":1653051975870}]

女

2022.05.20

[{"body":{"content":"您好，我是您的主治医生，请具体描述你的问题和你的症状，我看完后给你回复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051237648},{"body":{"content":"可以吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240980},{"body":{"content":"她的情况吃***好还是***好。谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051320516},{"body":{"content":"*****有依赖性","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051344208},{"body":{"content":"效果更强","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051347932},{"body":{"content":"如果***也睡得着就吃***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051366441},{"body":{"content":"***是中成药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051386951},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051434490},{"body":{"content":"***副作用应该比***小吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051489856},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051498570},{"body":{"content":"好的我知道了谢谢您了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051516773},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051547029},{"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":1653051549177},{"body":{"content":"***什么牌子比较好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051563986},{"body":{"content":"都差不多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051574028},{"body":{"content":"好了没有问题了谢谢您！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051595953},{"body":{"content":"**源的可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051596654},{"body":{"content":"希望我的建议能够帮助你，麻烦结束后好评下，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051600997}]

女84岁

2022.05.20