刘继帅

[{"body":{"content":"您好，我是泌尿外科的顾炜医生，您的咨询问题已收到，接下来我需要再了解一下您现在的整体情况，以便给您合理专业的建议。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050272121},{"body":{"content":"之前说是肾结石，然后去医院排出来了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050303453},{"body":{"content":"您能看出来，这是属于什么肾结石么？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050320713},{"body":{"content":"这个是今天复查的报告","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050390424},{"body":{"content":"已经排出来了。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051743583},{"body":{"content":"这个是今天复查的。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051754394},{"body":{"content":"是什么意思呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051760278},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052002327}]

女40岁

2022.05.20

[{"body":{"content":"哪水肿？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965817242},{"body":{"content":"脸和脚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965887007},{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965900449},{"body":{"content":"从来没查过","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965906301},{"body":{"content":"多大岁数？有高血压糖尿病这些基础病没","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965923452},{"body":{"content":"心脏病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965925601},{"body":{"content":"一个星期了，没有检查，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965967980},{"body":{"content":"多大岁数","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965979969},{"body":{"content":"水肿的原因有很多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965989764},{"body":{"content":"心脏原因，肾脏原因，肝脏原因，甲状腺原因等等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966022738}]

女20岁

2022.05.20

[{"body":{"content":"方便拍照片吗？拍个照片看一下吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050292322}]

女67岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965489231},{"body":{"content":"图片看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965490675},{"body":{"content":"就颈部吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965550038},{"body":{"content":"病史多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965555910},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965560893},{"body":{"content":"这个考虑是神经性皮炎，有过敏因素参与其中，建议忌口鱼虾蟹，可以外用*****，一天二次，口服*******，一天一次，一次一片，口服*******，一天三次，一次二粒，不要熬夜，清淡饮食，烟酒不要接触，没有传染性。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965576476},{"body":{"content":"一个星期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965577186},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965582023}]

男26岁

2022.05.20

[{"body":{"content":"药吃了一个多月，咋感觉没效果呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967270903},{"body":{"content":"目前主要是什么重要，和前面相比怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968917330},{"body":{"content":"感觉还是射精快，中途疲软","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652969326209},{"body":{"content":"硬度不够","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652969348009},{"body":{"content":"尿频尿急尿不尽或者尿痛尿无力尿分叉尿滴白有哪些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652969497527},{"body":{"content":"尿不尽，无力分叉 痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653018804405},{"body":{"content":"这是前列腺炎的症状，有检查治疗过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018827420},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051447993},{"body":{"content":"有尿频尿急尿不尽或者尿痛尿无力尿分叉尿滴白吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051499893}]

男25岁

2022.05.20

[{"body":{"content":"您好，我是主治医师曹娜，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049824663},{"body":{"content":"需要结痂之后才能用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049842845},{"body":{"content":"结痂了，退掉了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049855510},{"body":{"content":"那可以用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049905487},{"body":{"content":"使用前请您仔细阅读说明书中禁忌，注意事项，如无禁忌可使用，若期间出现任何不适及时复诊或线下医院进一步就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049907164},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049930767},{"body":{"content":"建议近期避免吃一些辛辣刺激的食物，注意皮肤清洁卫生避免摩擦刺激，应该多吃一些清淡的食物，这样有利于皮肤的恢复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049954157}]

女

2022.05.20

[{"body":{"content":"你好，有没有做过腰椎磁共振，腿痛常见的就是腰椎间盘突出压迫神经引起的疼痛。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965387414},{"body":{"content":"可以对症用一些营养神经的药物。常用的****，*****，B6。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965403426},{"body":{"content":"运动来把腿跳伤一年，理疗一年之后好了3个月，冬天受凉又疼了1年半没有好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965739100},{"body":{"content":"怎么回事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965762185},{"body":{"content":"一般是关节的问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965806619},{"body":{"content":"？？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965810468},{"body":{"content":"可以做个膝关节的磁共振","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965817975},{"body":{"content":"做了关节没事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965838358},{"body":{"content":"那到底是哪个地方痛呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965898411},{"body":{"content":"你可以做个腰椎磁共振","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965916581},{"body":{"content":"臀部，膝盖，裸关节也不舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965916723},{"body":{"content":"应该腰椎的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965925849},{"body":{"content":"你跳的时候也容易伤到腰椎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965944407},{"body":{"content":"做了腰椎也没问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965961416},{"body":{"content":"臀部，膝盖，裸关节走路时也疼，不走路也疼怎么回事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966014277},{"body":{"content":"如果是没问题，只是单纯的痛，可以做针灸理疗，有助于好转","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966016307},{"body":{"content":"走路疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966107557},{"body":{"content":"所以现在就是治疗的问题，去做一下理疗，有些人效果会很好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966143588},{"body":{"content":"感觉就不能多走，一多走就难受的走不动","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966172574},{"body":{"content":"嗯，可以理解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966198318},{"body":{"content":"检查是神经紊乱睡觉不行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968374876},{"body":{"content":"怎么治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968380565},{"body":{"content":"可以吃点*****看看。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968425908},{"body":{"content":"这个药起什么作用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968511839},{"body":{"content":"这个是改善睡眠的作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968684790},{"body":{"content":"吃*****1个月了，吃上睡，不吃就不睡，怎么办能不能在跟上吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968790997},{"body":{"content":"？？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968981828},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652969002316},{"body":{"content":"这个可以长期吃？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652969027766},{"body":{"content":"就是中成药没有什么副作用的，可以长期吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652969052565}]

女53岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050174106},{"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":1653050175473},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050177710},{"body":{"content":"请问宝宝多大了呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050203988},{"body":{"content":"差几天3个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050213407},{"body":{"content":"可以给宝宝使用这款奶粉的呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050225070},{"body":{"content":"我拉肚子发烧，查了血常规没有细菌感染，怎么办呢，都2天了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050280414},{"body":{"content":"妈妈生病暂时不能哺乳，是可以给宝宝使用1段奶粉喂宝宝的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050284579},{"body":{"content":"过后宝宝会不会不吃母乳了呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050349015},{"body":{"content":"短时间内是不会的呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050369641},{"body":{"content":"不要时间太久","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050376959},{"body":{"content":"嗯好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050400725},{"body":{"content":"您还有问题咨询吗，如果方便的话麻烦右上角给点个评价，谢谢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050497813}]

女

2022.05.20

[{"body":{"content":"您好。我是全科医生任佳，非常高兴由我为您提供医疗咨询服务，请问您有哪些医药问题需要咨询的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050159423},{"body":{"content":"上述问题怎么回事？如何解决","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050180476},{"body":{"content":"哺乳2个多月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050199051},{"body":{"content":"请问您您爱人母亲啊有发热疼痛不适表现吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050204392},{"body":{"content":"爱人","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050211456},{"body":{"content":"平时哺乳吸奶及时吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050219553},{"body":{"content":"没有固定规律","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050241815},{"body":{"content":"请问您爱人哺乳有发热疼痛不适表现吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050244170},{"body":{"content":"昨天洗了洗头有点小感冒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050286215},{"body":{"content":"您爱人有明显涨奶感觉吗？乳汁吸出有颜色异常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050289841},{"body":{"content":"上述情况是单侧还是双侧，乳房排空后上述情况是否缓解或者消失？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050333339},{"body":{"content":"乳汁是清水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050415625},{"body":{"content":"吃完也没消失还有块","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050471114},{"body":{"content":"好的了解，结合您的上述情况描述，目前是考虑您爱人存在堵奶情况导致的乳房出现肿块的可能性比较大的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050559387},{"body":{"content":"但不完全除外可能存在的乳腺炎的可能，我可为您做出初步对症的用药建议，您看可以吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050593163},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050642478},{"body":{"content":"为了您的用药安全，推荐用药前需要和您确认一下：没有药物过敏史，没有肝肾功能异常？------------对吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050657825},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050669537},{"body":{"content":"然后呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050758235},{"body":{"content":"没有药物过敏，肝肾功能正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050793484},{"body":{"content":"好的了解，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050839777},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050856077},{"body":{"content":"口服 蒲公英颗粒，不影响哺乳 联合外敷*****治疗的，一次20-30分钟，一天2-3次的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050863461},{"body":{"content":"*****外敷乳房，蒲公英颗粒口服。喂奶前热敷乳房硬块，宝宝吸吮时手法轻轻按摩，从乳房周围轻推至乳头根部。按需哺乳，保证双乳通畅。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050883044},{"body":{"content":"口服 蒲公英颗粒 一日3次 一次1袋**对症缓解乳腺炎症不适","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050934619},{"body":{"content":"以上药物均是非处方用药，您可直接点击链接购药使用即可，付费后如您附近药店支持药急送，购药您可以选择药急送，就近药店配送一般1小时左右可以到达。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051000267},{"body":{"content":"需要先将乳房疏通，建议增加哺乳次数，宝宝吸不完的奶可以用吸奶器吸出，建议减少汤水摄入，如果疏通不了，可以请**师按摩疏通或线下医院就诊；体温超过38.5度建议线下公立医院急诊外科就诊，根据查体检查进一步评估，调整治疗方案","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051074955},{"body":{"content":"好的??谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051132340},{"body":{"content":"您客气了，希望我的建议能够帮助到您，望您在百忙中，右上角表扬医生评价一个\"5星\"好评，感谢您支持。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051224156},{"body":{"content":"温馨提示：您爱人在用药后如果病情缓解不佳后出现发热局部明显红肿热痛的表现，建议您及时线上复诊或者线下公立医院急诊外科就诊，根据查体检查，指导治疗方案的调整。不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051270408},{"body":{"content":"您之后有任何其他问题，可以在京东APP搜索“京东医生任佳”就可以找到我。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051274372},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051404626},{"body":{"content":"希望我的建议对您有所帮助，请问您是否还有其他医药问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051421732},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051429009},{"body":{"content":"如果您没有其他问题的话我这边就先结束问诊了，希望我的建议能够帮助到您，感谢您的关注与信任。请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，欢迎您再次咨询。祝您和家人生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051446589}]

女33岁

2022.05.20

[{"body":{"content":"您好，我是主治医师白新锐，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049887732},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049890456},{"body":{"content":"嗯，您好，具体产品及售后问题问下客服或者商家的亲","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050746534},{"body":{"content":"您好，我是京东医生，产品问题，请联系客服哦。\n\n京东商城，点击我的，点击客户服务，就可以找到客服。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050749730}]

女

2022.05.20