刘继帅

[{"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":1653050114331},{"body":{"content":"您好，很高兴为您服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050116283},{"body":{"content":"您好，非常抱歉哈，这款没有增品的哈。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050157918},{"body":{"content":"母乳喂养妈妈不要吃油腻辛辣刺激的食物。\n\n奶粉喂养两餐之间给宝宝喂点温开水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050179124},{"body":{"content":"平时给宝宝多吃水果，蔬菜，容易消化的食物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050186334},{"body":{"content":"您可能忙，没关系我一直都在。您有问题随时找我，我会第一时间回复到您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050188377}]

女

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878751835},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878757655},{"body":{"content":"您出现这些症状有多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878777002},{"body":{"content":"胃胀，打嗝，冒酸水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878788382},{"body":{"content":"有没有做过什么检查 用过什么药物治疗过？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878793740},{"body":{"content":"有一周了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878803316},{"body":{"content":"检查和治疗过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878824793},{"body":{"content":"吃了***和","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878902511},{"body":{"content":"****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878935338},{"body":{"content":"症状有没有改善？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878950872},{"body":{"content":"头两天还行，可能昨天晚上吃了西瓜，今天觉得更不舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878996604},{"body":{"content":"大便什么的都正常，也不拉肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879111150},{"body":{"content":"就是觉得胃胀，打嗝，冒酸水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879163995},{"body":{"content":"您现在的症状与胃食管反流病比较符合","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879176323},{"body":{"content":"也不排除存在幽门螺杆菌感染可能 如果有可能最好可以先做个呼气试验看看有没有幽门螺杆菌感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879226217},{"body":{"content":"那能开点中药回来熬吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879313227},{"body":{"content":"也不胃痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879361188},{"body":{"content":"像您这种反酸比较厉害的 中药不太能解决问题 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879395349},{"body":{"content":"抑酸方面西药更有优势 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879463216},{"body":{"content":"反酸不厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879466808},{"body":{"content":"以胃胀为主是吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879487322},{"body":{"content":"主要是胃胀，打嗝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879494210},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879498226},{"body":{"content":"今天才有一点反酸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879514619},{"body":{"content":"主要还是胃胀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879555114},{"body":{"content":"您是希望自己熬中药 还是用现成的中成药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879560324},{"body":{"content":"现成的中成药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879707325},{"body":{"content":"明白了 您拍一张舌苔图给我看一下哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879775212},{"body":{"content":"您稍等片刻 我这就给您处方建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880064892},{"body":{"content":"好的，不急","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880128078},{"body":{"content":" 平时不要吃的太饱 晚餐不要吃稀的 不要喝汤 流质半流质更容易反流 平时不要喝茶、咖啡、碳酸饮料 不能抽烟 会导致食管下括约肌的松弛 更易反流 不要吃红薯 糯米食等淀粉含量高的食物 容易产酸 还包括一些甜品 平时不要穿紧身的衣物 严重反流时床头需要抬高15-20°","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880454202},{"body":{"content":"您没有药物过敏史和特殊禁忌症吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880491500},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880499041},{"body":{"content":"不在备孕期妊娠期哺乳期吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880513147},{"body":{"content":"不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880520229},{"body":{"content":"处方已开具 另外生活方面需要注意的事项已经发给您了 请按照上面的做 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880592796},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880632462},{"body":{"content":"不客气的 祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880650916},{"body":{"content":"能再帮我开一份自己熬的中药处方吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880724824},{"body":{"content":"万一服药后症状缓解不明显 您停用****14天后需要去医院查个呼气试验 看看有么有幽门螺杆菌感染 或者做个胃镜 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880727121},{"body":{"content":"中药只有**剂 就是我按照处方开好每个成分的**剂 您回去自己放一起冲服 没有传统的那种中药饮片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880835746},{"body":{"content":"您看可以吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880854866},{"body":{"content":"比丸好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880862883},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880901761},{"body":{"content":"冲剂好些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880913990},{"body":{"content":"谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880919406},{"body":{"content":" 丸剂起效慢 发挥作用持久 **剂作用快一点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880931254},{"body":{"content":"那就麻烦帮我开冲剂，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881446891},{"body":{"content":"已经开过了 中药开方没有西药那么快 要一个个点击","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881489337},{"body":{"content":"没事，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881575533},{"body":{"content":"您在吃*****时就不要再吃这个**剂了 两个分开服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881711375},{"body":{"content":"有些成分有重合 功效也差不多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881732581},{"body":{"content":"只喝冲剂，不吃那个*****，可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881778008},{"body":{"content":"可以的 您可以把冲剂吃完再吃***** *****效果挺好的 我平时在门诊经常开给嗳气 呃逆的患者用 患者反馈过来的信息效果都不错的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881875821},{"body":{"content":"您要是在不愿意用丸剂 我就把前面那个处方的*****撤回来了 要么开了也浪费了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881941121},{"body":{"content":"实在","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881947172},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881970031},{"body":{"content":"好的 是撤回来吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881988422},{"body":{"content":"等下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882003978},{"body":{"content":"我考虑一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882012304},{"body":{"content":"这个是小丸还是大丸？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882050781},{"body":{"content":"小丸 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882068549},{"body":{"content":"就是一包里有好多小丸子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882089668},{"body":{"content":"怎么驳回了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882177331},{"body":{"content":"我刚又确认一下是不是小丸 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882270931},{"body":{"content":"是小丸","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882281601},{"body":{"content":"既然这个不错，先试试这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882370713},{"body":{"content":"对胃胀效果好吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882384944},{"body":{"content":"平台上出售*****的药房太多 不同厂家生产的有所区别 我刚特意点进去查了一下我开的这个是不是小丸 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882414140},{"body":{"content":"是的 对于脾胃虚弱引起的腹胀效果还是不错的 对嗳气也有明显效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882447873},{"body":{"content":"那好，我试试","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882462404},{"body":{"content":"马上下单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882471237},{"body":{"content":"您平时不适合吃生冷食物 舌苔白腻厚 脾胃虚弱 还有湿偏重 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882576232},{"body":{"content":"祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882587008},{"body":{"content":"等下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882594502},{"body":{"content":"要21才拿到药，我能去药房买吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882625758},{"body":{"content":"今天是18号","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882641731},{"body":{"content":"可以的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882644513},{"body":{"content":"您可以按照处方建议去购药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882662317},{"body":{"content":"药有没有指定厂家","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882678275},{"body":{"content":"麻烦帮我看看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882684987},{"body":{"content":"*****买****的或者***的都可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882715882},{"body":{"content":"****随便哪个厂家 没有太大差异","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882745562},{"body":{"content":"*******制药的也行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882768672},{"body":{"content":"这几个都是大厂 药材质量有保证","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882785288},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882801245},{"body":{"content":"不客气的啦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882818882},{"body":{"content":"我已经5星好评了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882972123},{"body":{"content":"谢谢您的好评","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882992756}]

女43岁

2022.05.20

[{"body":{"content":"您好，我是住院医师曹众辰，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049672688},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049697863}]

女

2022.05.20

[{"body":{"content":"您好，我是副主任医师代维栋，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050405267},{"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":1653050491570},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050494120},{"body":{"content":"可以作为减肥的辅助产品。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050501910}]

女

2022.05.20

[{"body":{"content":"您好，我是住院医师曹众辰，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050132124},{"body":{"content":"我正在查看以上商品，请稍等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050137337},{"body":{"content":"不含蔗糖，但是含有其他糖分","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050189079},{"body":{"content":"有血糖高的人可以吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050236318},{"body":{"content":"血糖控制的怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050268808},{"body":{"content":"可以，不高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050296976},{"body":{"content":"可以少吃点，算作主食","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050385224},{"body":{"content":"好的，谢谢你！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050407166},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050464192}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050335204},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050398472},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050400378},{"body":{"content":"我昨天和一个女的发生关系，我怀疑她是艾滋病患者","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050431438},{"body":{"content":"她身高1.68，体重40kg，我听说体重明显偏瘦的人，有可能是艾滋病患者，是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050471699},{"body":{"content":"没有这种说法的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050486083},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050510814},{"body":{"content":"那我就放心了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050515678},{"body":{"content":"不用太紧张的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050523097},{"body":{"content":"即使她是，我带***了，应该没有影响吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050538319},{"body":{"content":"戴了***会好很多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050568880},{"body":{"content":"但是也有点风险的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050576250},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050582551},{"body":{"content":"就和带了**套还会怀孕差不多道理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050592682},{"body":{"content":"不过几率是比较低的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050603543},{"body":{"content":"有这个说法吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050608941},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050630679},{"body":{"content":"这种概率还是很低的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050638642},{"body":{"content":"不用太紧张","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050642462},{"body":{"content":"还是有点忐忑","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050643959},{"body":{"content":"担心啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050647103},{"body":{"content":"我需不需要吃***啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050657553},{"body":{"content":"不放心你可以去疾控中心买***吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050666861},{"body":{"content":"现在刚好24h","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050669613},{"body":{"content":"要连续吃28天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050680425},{"body":{"content":"72小时内都有效","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050688991},{"body":{"content":"不过越早吃越好就是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050699378},{"body":{"content":"京东有卖的吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050699702},{"body":{"content":"药叫什么名字","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050711580},{"body":{"content":"听你这么说，其实概率非常低了，首先都不能确定她是患者","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050774246},{"body":{"content":"是的概率很低","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051096892},{"body":{"content":"***是几种*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051121400},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051183204},{"body":{"content":"我没问题了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051191010},{"body":{"content":"我觉得不吃也可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051200749},{"body":{"content":"等三周以后检查一下感染四项就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051223735},{"body":{"content":"不过你要是不放心 吃一下***更安心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051258035},{"body":{"content":"不吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051305865},{"body":{"content":"哪里可以查？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051317653},{"body":{"content":"医院都可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051324942},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051328312},{"body":{"content":"到正规公立医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051333606},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051339662},{"body":{"content":"主要是听到别人说，特别瘦的人有可能是艾滋病患者，我才担心的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051362691},{"body":{"content":"县级及以上的医院都行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051363104},{"body":{"content":"没这个说法的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051381215},{"body":{"content":"那我就放心了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051388249},{"body":{"content":"艾滋病人可以和正常人一样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392580},{"body":{"content":"看不出来的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051396726},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051402962},{"body":{"content":"我看了电影上面的艾滋病人，也非常瘦啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051423843},{"body":{"content":"他们只是免疫系统出问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051428546},{"body":{"content":"容易生病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051434885},{"body":{"content":"那种电视上看到的很瘦的一般都是比较晚期的了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051473271},{"body":{"content":"晚期会有其他的并发症吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051498408},{"body":{"content":"肉眼显而易见的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051523210},{"body":{"content":"也没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051534872},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051541837},{"body":{"content":"所以避免感染最好的方法就是避免高危性生活","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051575962},{"body":{"content":"她那么年轻，不会是艾滋病晚期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051581314},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051584366},{"body":{"content":"有了这次教训，下次不敢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051599398},{"body":{"content":"嗯嗯 现在很多女的都比较瘦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051620763},{"body":{"content":"主要是她也太瘦了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051635551},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051656278},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051671634},{"body":{"content":"我没问题了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051681705},{"body":{"content":"如果您对此次问诊满意，请给个五星好评，谢谢！\n您以后有任何皮肤性病相关的问题可以在京东健康APP直接搜索“**”找我复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051687148},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051695383},{"body":{"content":"那我结束问诊了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051712937},{"body":{"content":"嗯，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051718117},{"body":{"content":"有问题随时来咨询 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051731272},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051735415},{"body":{"content":"嗯嗯，放轻松点，早点休息","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051759230}]

男35岁

2022.05.20

[{"body":{"content":"不多，便后带血，很红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878679866},{"body":{"content":"你好，请详细描述相关病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878682584},{"body":{"content":"解大便肛门疼痛吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878697405},{"body":{"content":"不痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878702154},{"body":{"content":"就是有点想拉稀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878711942},{"body":{"content":"经常这样吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878714408},{"body":{"content":"大便硬不硬","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878723778},{"body":{"content":"不，1年多了。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878724684},{"body":{"content":"软","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878729957},{"body":{"content":"1年前也出现过。。去诊所拿药好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878753474},{"body":{"content":"就是很犯困","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878760569},{"body":{"content":"这个血是跟大便活在一起，还是解完大便滴在表面","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878773322},{"body":{"content":"顺便问下，做肠胃镜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878777637},{"body":{"content":"大便完后滴在表面","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878797015},{"body":{"content":"给你建议一下，来医院抽血检查看看是否贫血很厉害，还有顺便肛肠外科检查一下，可能是痔疮，内痔可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878846683},{"body":{"content":"目前没空。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878876035},{"body":{"content":"我想下个月把肠胃镜给做了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878891280},{"body":{"content":"也可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878900464},{"body":{"content":"大便带血以前也有出现","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878901799},{"body":{"content":"我在**。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878912920},{"body":{"content":"肠胃镜周末能做？还是得预约","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878969386},{"body":{"content":"得预约","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879026202},{"body":{"content":"周末可以？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879040342},{"body":{"content":"我们医院周六还可以做，周天没有做","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879044269},{"body":{"content":"在哪。。。从哪里预约，提前几天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879062616},{"body":{"content":"能先开个药？我估计这几天吃太多零食。。。。然后肠胃就受不了了。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879098584},{"body":{"content":"需要先预约消化内科医生门诊，找医生开单然后预约","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879104205},{"body":{"content":"类似暴饮暴食","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879108149},{"body":{"content":"还是得去医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879126052},{"body":{"content":"你现在除了便血有其他症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879128102},{"body":{"content":"想睡。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879133997},{"body":{"content":"胃肠镜必须到医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879139084},{"body":{"content":"大便有点希","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879149249},{"body":{"content":"没了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879156162},{"body":{"content":"明白","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879161302},{"body":{"content":"你这症状还是建议来医院抽个血，先看一下血常规和**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879183924},{"body":{"content":"我今天没做核酸。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879247348},{"body":{"content":"能进去得了医院？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879253643},{"body":{"content":"好多天没做了。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879265780},{"body":{"content":"需要72小时**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879422538},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879512320},{"body":{"content":"现在也没地方做核酸。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879552222},{"body":{"content":"现在哪里可以做核酸。。。我在****附近。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879627337},{"body":{"content":"这个你得地图上搜一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881929804},{"body":{"content":"对于你那边我也不熟悉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881937890}]

男30岁

2022.05.20

[{"body":{"content":"多长时间了，我是京东医生孙文贺，很高兴为你服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050040272},{"body":{"content":"症状说完，我仔细分析","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050042761},{"body":{"content":"说下具体症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050048298}]

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":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965718203},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965732564},{"body":{"content":"需要及早治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965732945},{"body":{"content":"需要怎么用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965757609},{"body":{"content":"查肺CT，没问题的话可以服用****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965784876},{"body":{"content":"CT正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965795777},{"body":{"content":"用法用量呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965876135},{"body":{"content":"每周一次，每次3片，定期复查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965876252},{"body":{"content":"用药多久？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965908332},{"body":{"content":"多久复查，复查那些项目？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965957194},{"body":{"content":"每月复查，血常规、肝肾功能、血沉、CRP、RF等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966025766},{"body":{"content":"终身服药？还是多久可以停药，在什么时候停药比较合适？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966135984},{"body":{"content":"老师还在吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966513959},{"body":{"content":"老师还在吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966626880},{"body":{"content":"基本上要终身服药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966738955},{"body":{"content":"长期吃这药，最严重的并发症是什么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966856886},{"body":{"content":"血常规、肝功能需要监测","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966989623},{"body":{"content":"老师指导一下，生活上还需要注意点什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967222847},{"body":{"content":"保暖，保护关节，避免感染，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967386796},{"body":{"content":"其他没有了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967394241}]

男45岁

2022.05.20