刘继帅

[{"body":{"content":"你好，从你反映的情况看，你有自伤自残的行为。但不知道你有没有明显的焦虑，抑郁情绪？睡眠怎么样？你的行为是在缓解你的压力吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879363667},{"body":{"content":"我有很明显的焦虑也很容易情绪崩溃 然后我会通过扇自己巴掌来缓解压力","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879473891},{"body":{"content":"如果你从来没有去医院就诊过，建议你首次就诊去医院精神心理科就诊，根据你的具体情况，选择做一些心理测验，进一步明确有无焦虑抑郁情绪。明确诊断后才能确定下一步的治疗方案。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879527396},{"body":{"content":"好那我明天去医院看看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879550176},{"body":{"content":"好的，应该去医院面诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879584892},{"body":{"content":"那医生有没有办法可以让我睡着我最近在高考我已经两天没有睡觉了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879674298},{"body":{"content":"睡眠不是用心理治疗就能解决问题，可以用一些促进睡眠的药物（非**类的）这些药物只能在医院开。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882258938},{"body":{"content":"我已经告诉你了，促进睡眠的药物要在医院开。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652955042542}]

女21岁

2022.05.20

[{"body":{"content":"几天了？痒不痒？之前治疗过吗？有没有照片？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050355050},{"body":{"content":"痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050369853},{"body":{"content":"治疗过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050379953},{"body":{"content":"以前是后背上有，治疗了后面前又有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050453311},{"body":{"content":"没有照片，老年人在老家","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050500622},{"body":{"content":"以前诊断过什么病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050543374},{"body":{"content":"用过什么药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050547447},{"body":{"content":"医生说是湿疹子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050576141},{"body":{"content":"用了什么药就不知道了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050600228},{"body":{"content":"首先没有照片我没办法判断病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050758640},{"body":{"content":"第二您没法提供药物 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050768521},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050858961},{"body":{"content":"麻烦您了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050863657},{"body":{"content":"不麻烦 下次您最好拍个照片 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050880674},{"body":{"content":"病历和用药都拍一下 这样好判断","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050898686},{"body":{"content":"嗯，我人没在家所以没有这些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050942882},{"body":{"content":"好的 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050959696}]

男75岁

2022.05.20

[{"body":{"content":"您好，我是主治医师王现磊，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050135579},{"body":{"content":"您好，我是京东互联网医院王医生，很高兴为您提供线上咨询服务，请问您有什么问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050156855},{"body":{"content":"建议选择****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050170585}]

女

2022.05.20

[{"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":1653049654748},{"body":{"content":"您好，我是京东育儿师，不是客服。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049668218},{"body":{"content":"再有其他的育儿问题您可以随时咨询我，我一直都在的。祝愿宝宝在您的呵护下健康成长！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049792387}]

女

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965566885},{"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":1652965568736},{"body":{"content":"住院时开药需要挂号费吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965605674},{"body":{"content":"住院期间，如果是住院部有的药，是不需要再挂号的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965638907},{"body":{"content":"医保患者出院时只允许带1周的药。如果想多带点，那就需要门诊挂号的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965697489}]

女89岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049967126},{"body":{"content":"之前有过这个症状嘛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049979192},{"body":{"content":"之前一直就腰疼 今年开始慢慢有这些症状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050125006},{"body":{"content":"你月经来的多吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050158240},{"body":{"content":"不多 两三天就干净了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050173017},{"body":{"content":"我看下你舌头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050201710},{"body":{"content":"时长手脚会出虚汗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050204547},{"body":{"content":"嗯嗯。你胃胀嘛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050307354},{"body":{"content":"怕冷吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309233},{"body":{"content":"偶尔会胃胀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050403692},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050415861},{"body":{"content":"怕冷","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050425310},{"body":{"content":"你一说我现在感觉胃有点胀 ?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050483166},{"body":{"content":"嗯嗯。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050495969},{"body":{"content":"你气血不足。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050500462},{"body":{"content":"啥原因会得这病？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050554837},{"body":{"content":"我以后好注意点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050568075},{"body":{"content":"从你舌像和症状就是气血不足所导致的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050583364},{"body":{"content":"???","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050610509},{"body":{"content":"这病是不是活不长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050623652},{"body":{"content":"？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050630179},{"body":{"content":"那不至于。你能喝汤药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050634672},{"body":{"content":"嘛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050636704},{"body":{"content":"我可以给你调理下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050640911},{"body":{"content":"有时候会回复不及时，还请耐心等待一下，您咨询的所有问题，我都会在问诊有效时间内，给到您相关的调理建议/用药建议/开具对症的处方，如问题未回复完，问诊就到时间结束了，我会再赠送3次/5次免费追问机会，请放心等待！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050647482},{"body":{"content":"没喝过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050685235},{"body":{"content":"是苦中药汤吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050766427},{"body":{"content":"?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050783625},{"body":{"content":"大夫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050951116},{"body":{"content":"你这个不会太苦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051121570},{"body":{"content":"因为是**血的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051126781},{"body":{"content":"你气血足了以后就好了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051364145}]

女25岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965428700},{"body":{"content":"请问这个情况多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965435066},{"body":{"content":"以前做过什么检查吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965451686},{"body":{"content":"有半年了吧，没有检查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965519521},{"body":{"content":"好像是一次开夜车，那天有大雾，一直很紧张的开车回家，之后疼痛，开始还以为是累的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965604625},{"body":{"content":"现在一直没好转","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965623417},{"body":{"content":"怀疑是膝关节骨关节炎，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965662901},{"body":{"content":"要注意以下措施以减缓病情的发展： 1.患者要注意保暖，不要让患处接触凉风； 2.这种情况建议适度休息，控制日常活动量，平时避免机械性损伤，避免爬很陡的楼梯，少走上下坡路；避免长距离行走、久站、攀爬、登高、弹跳、跑步及球类等剧烈运动。 4. 酌情局部理疗、热敷，局部外用*********等，口服***或*******，口服***保护关节软骨！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965676081},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965762389},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965769097},{"body":{"content":"您****，要是想确定是不是膝关节骨关节炎，需要做什么检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966405789},{"body":{"content":"您可以拍片或者做核磁检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966434937},{"body":{"content":"拍片子能看出来吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966531666},{"body":{"content":"是不是必须需要核磁检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966588065},{"body":{"content":"拍片看**关节间隙，当然比如核磁检查好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966748181},{"body":{"content":"不如","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966761112},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966917759},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967085569}]

男40岁

2022.05.20

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

男36岁

2022.05.20

[{"body":{"content":"请问多大的宝宝可以吃这个***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050883252},{"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":1653050935588},{"body":{"content":"2岁以上 就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050942005},{"body":{"content":"好的 谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050970873},{"body":{"content":"不客气 这是我应该做的！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051003254},{"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":1653052116774},{"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":1653052117991}]

女

2022.05.20

[{"body":{"content":"冷敷抬高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049760432},{"body":{"content":"必须下地活动，避免长时间走路","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049765719},{"body":{"content":"先冷敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049771413},{"body":{"content":"嗯好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049814288},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049829195},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049839550},{"body":{"content":"祝早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049841186},{"body":{"content":"48小时后热敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049851954},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049863238},{"body":{"content":"不用客气，有问题就给我留言。也感谢您的咨询，如果您对我的服务满意，请帮忙评价一下满意请打五星，您的鼓励对我很重要。谢谢您对我工作的支持和鼓励。祝您健康！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050069083}]

女37岁

2022.05.20