刘继帅

[{"body":{"content":"不用加药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965485742},{"body":{"content":"维持现状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965500767},{"body":{"content":"甲状旁腺癌我是全切","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965686985},{"body":{"content":"甲癌全切","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965710023},{"body":{"content":"维持现状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965825692}]

女40岁

2022.05.20

[{"body":{"content":"你好，这个指甲这样的情况多长时间了。我看到左脚大拇指有一些甲下出血的情况？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050994821},{"body":{"content":"踢球被踩到了那个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051030916},{"body":{"content":"右脚这个是指甲空了，然后被我抠掉了一半","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051053503},{"body":{"content":"从你提供的图片来看，多个指甲都有灰指甲的表现，这种情况口服******，按规律按疗程治疗效果比较好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051072425},{"body":{"content":"这个外服会管用吗？确定是灰指甲吗？吃了就会好吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051118450},{"body":{"content":"外服没有用的，因为指甲比较厚，药物很难渗进去，所以达不到完全治疗好的情况。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051145567},{"body":{"content":"你的情况我建议把指甲剪下来去医院做个皮肤科，做个真菌化验来确定一下真菌类型，然后再对症口服药物治疗，这样比较好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051188750},{"body":{"content":"如果一直这样的话不理会的话，结果会是什么样的？可以跟我说说吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051237734},{"body":{"content":"可能导致多个指甲出现灰指甲的症状，就是指甲变厚变空。严重的时候会引起甲沟炎。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051305400},{"body":{"content":"如果确定了真菌类型，服药可以根治吗？彻底变好吗？大概需要多少才能好？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051368294},{"body":{"content":"******：每日 2 次，每次 2 粒（100mg/粒），吃一周停三周为一个疗程，一般需要吃 4 个疗程。因该药是脂溶性的，故应在吃炒菜时服用或牛奶送服效果更好。这个疗程结束一般就都可以完全治疗好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051429661},{"body":{"content":"好吧这个药好贵啊，这么久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051542961},{"body":{"content":"这个药有很多不同的厂家，进口的是比较贵的，你买国产的并不贵的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051557277}]

男33岁

2022.05.20

[{"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":1653050697019},{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050715381},{"body":{"content":"5岁宝宝早上起来打喷嚏流鼻涕，下午鼻音挺重的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050726104},{"body":{"content":"今天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050737173},{"body":{"content":"就是喷嚏挺多的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050763737},{"body":{"content":"近期是否做过相关检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050765201},{"body":{"content":"前段时间是肚子疼，做B超淋巴结，然后开的***还有***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050859548},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050877156},{"body":{"content":"嘴巴上有点溃疡","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050882139},{"body":{"content":"可以吃这个*****的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050887088},{"body":{"content":"家里有***不可以吃吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050925285},{"body":{"content":"不能的 ‘’","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050952940},{"body":{"content":"还有就是小孩隔段时间就会嘴巴溃疡是怎么回事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050956781},{"body":{"content":"上火","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050970358},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050973324},{"body":{"content":"可以吃点*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050976054},{"body":{"content":"可以推荐一下什么牌子的，怎么吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050993483},{"body":{"content":"这个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051013428},{"body":{"content":"一天一粒 就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051022334},{"body":{"content":"吃多久停","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051071421},{"body":{"content":"建议 一疗程 一个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051192520},{"body":{"content":"这个连着吃一个月没有副用吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051243089},{"body":{"content":"没事的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051255106},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051264666},{"body":{"content":"不客气 这是我应该做的！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051508874},{"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":1653052184780},{"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":1653052186290}]

女

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":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965025702},{"body":{"content":"能拍个照片看一下吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965047862},{"body":{"content":"身体右侧肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965053284},{"body":{"content":"颜面部肿吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965055421},{"body":{"content":"右侧是上肢和下肢吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965072607},{"body":{"content":"既往有什么基础疾病吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965083725},{"body":{"content":"上肢不肿对吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965143453},{"body":{"content":"按压肿得地方有凹陷吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965163733},{"body":{"content":"从图上看您左侧下肢及脚面是肿的，而不是右侧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965225387},{"body":{"content":"整个右边都是肿的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965257392},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965272777},{"body":{"content":"心脏和肾脏都查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965285570},{"body":{"content":"没有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965292020},{"body":{"content":"我自己拍不到全身","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965311743},{"body":{"content":"单侧水肿考虑血管的问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965318746},{"body":{"content":"哪的血管呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965364390},{"body":{"content":"建议您查下腔静脉及下肢动静脉超声或血管核磁","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965384820},{"body":{"content":"都查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965401080},{"body":{"content":"血管核磁可能更清楚一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965409087},{"body":{"content":"有问题吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965420435},{"body":{"content":"有点静脉曲张。但不足以导致整个右侧的肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965429488},{"body":{"content":"脸的肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965459714},{"body":{"content":"如果水肿部位比较的应该考虑上面血管的问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965459845},{"body":{"content":"胳膊没法拍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965468281},{"body":{"content":"自身免疫抗体谱有没有查过？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965476117},{"body":{"content":"没","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965488092},{"body":{"content":"属于内分泌么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965498738},{"body":{"content":"主要考虑血管的问题，就是全身血管的问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965501139},{"body":{"content":"属于风湿免疫科。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965509879},{"body":{"content":"腰脱或颈椎问题会导致这种问题么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965534492},{"body":{"content":"需要做个全身的血管检查么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965569183},{"body":{"content":"ct或核磁么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965592431},{"body":{"content":"不会的，颈椎和腰椎的问题，它不会引起单侧的颜面的问题，除非是脑神经脑血管堵塞，但是会伴行运动障碍。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965614130},{"body":{"content":"核磁看血管比较清楚。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965625364},{"body":{"content":"需要挂什么科室呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965659792},{"body":{"content":"风湿免疫科么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965671643},{"body":{"content":"可以的，可以挂风湿免疫科，考虑全身血管病变。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965682508},{"body":{"content":"早晨起来手抓不严","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965712402},{"body":{"content":"这就是晨僵现象。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965728966},{"body":{"content":"活动一会才会好一些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965729784},{"body":{"content":"建议到上级比较好的风湿免疫专科就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965746669},{"body":{"content":"就是血管的病变引起的是么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965766140},{"body":{"content":"对血管病变引起的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965788618},{"body":{"content":"好的。我去查查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965807547},{"body":{"content":"一定要到上级最好的风湿免疫专科就诊，这样的话查的比较全面，不延误您的病情。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965838817},{"body":{"content":"之前做了心脏肾脏。。。。好多检查。。都没有解决问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965844364},{"body":{"content":"这种能治不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965855891},{"body":{"content":"目前考虑大血管的病变，具体还要等检查结果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965862258},{"body":{"content":"不要紧张，根据病情制定方案就行了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965874445},{"body":{"content":"一般情况会是做手术还是吃药调理呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965902348},{"body":{"content":"嗯，不会做手术的，主要是内科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965918896},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965935466},{"body":{"content":"等下。我拍个手和胳膊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965999057},{"body":{"content":"手指没有变形，但是皮肤颜色有变化，所以仍考虑风湿免疫类问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966146725},{"body":{"content":"感谢您的回复","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966159379},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966167409},{"body":{"content":"最近会安排做个检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966172223},{"body":{"content":"因为已经折磨我几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966186522},{"body":{"content":"找不到病因","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966198089},{"body":{"content":"放宽心情，积极面对，尽早的明确病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966288526},{"body":{"content":"应该是手机镜像的原因你看着是左边。其实是右边","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966360372},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966380243},{"body":{"content":"有凹陷","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966382190},{"body":{"content":"按下去不回来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966406626},{"body":{"content":"静脉的水肿一般就为凹陷性水肿，血管炎会有这样的表现，血管炎呢，它一般情况下属于也是属于风湿免疫结缔组织病的一种，所以建议您尽快的行，专科检查，专科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966444186},{"body":{"content":"但不回弹的地方只在膝盖以下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966459709},{"body":{"content":"我是做整身的血管检查么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966495949},{"body":{"content":"还是只做右侧呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966515102},{"body":{"content":"我建议您不要只做单项检查，我建议您先走风湿免疫科的专科医院，然后由专科医生给您开一系列的检查，您再去做，检查结果，方便医生进行总体病情评估。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966555759},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966570901},{"body":{"content":"您自己不要再去单独的开检查了，必须让专科医生进行专科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966574409},{"body":{"content":"我明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966577447},{"body":{"content":"感谢您的帮助","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966585320},{"body":{"content":"这就是所谓的一叶障目不见泰山，所以不要自作主张，及时的进行专科诊疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966627887},{"body":{"content":"明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966643652},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966676573},{"body":{"content":"您早点休息。我尽快安排检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966736986},{"body":{"content":"嗯嗯，加油","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966760292}]

女40岁

2022.05.20

[{"body":{"content":"您好，我是内科医生，很高兴由我提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049808638},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049819558},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049840997},{"body":{"content":"以上是我前几天的检查结果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049856231},{"body":{"content":"我这是不是乙肝了？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049864936},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049956033},{"body":{"content":"？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049960711},{"body":{"content":"转氨酶很高，胆红素异常，乙肝两对半提示两种情况：1、既往感染乙肝，具有免疫力；2、非典型感染恢复期","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049974790},{"body":{"content":"目前转氨酶还高的，建议您要提高重视程度，建议住院输液治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049998887},{"body":{"content":"这是前几天的，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050116194},{"body":{"content":"建议要进一步完善肝胆彩超，肝炎分型等检查，还要查下乙肝DNA定量检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050128581},{"body":{"content":"报告单我看到了，之前也是很高的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050137132},{"body":{"content":"我看下我做了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050144502},{"body":{"content":"还有一些片子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050245858},{"body":{"content":"从目前看，我这是不是乙肝？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050256649},{"body":{"content":"又做了一个加强ct明天出结果。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050296122},{"body":{"content":"我就想知道目前我应该往哪个方向治疗。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050311889},{"body":{"content":"我看了乙型肝炎表面抗体超了很多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050335860},{"body":{"content":"我是突然这样的，不是长期，积极在看，但是，就是一堆检查，一天一个样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050360001},{"body":{"content":"需要查乙肝DNA检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050383844},{"body":{"content":"表面抗体这个升高不用太担心的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050418817},{"body":{"content":"乙肝两对半目前就提示可能存在两种情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050433181},{"body":{"content":"1、既往感染乙肝，具有免疫力；2、非典型感染恢复期","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050441603},{"body":{"content":"需要查下乙肝DNA检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050450125},{"body":{"content":"还需要查啥别的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050459962},{"body":{"content":"从这个单子上看不到我是否得了乙肝对不？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050475784},{"body":{"content":"大小**啥的。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050481360},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050533339},{"body":{"content":"那我现在去医院应该再整点啥","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050607012},{"body":{"content":"哎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050611643},{"body":{"content":"把您说的那个检测了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050620233},{"body":{"content":"还有啥其他的不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050623987},{"body":{"content":"还有就是您说的这个是不是只有传染病医院能做","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050638144},{"body":{"content":"一般三甲医院都是可以查的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050736075},{"body":{"content":"其他的还可以查下肝炎分型，排除下是否有甲肝，丙肝等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050763379},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050801944},{"body":{"content":"我这目前是不是就是一定有肝炎？只是不知道分型。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050829213},{"body":{"content":"并不一定","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050908770},{"body":{"content":"只能说目前肝功能损害","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050918361},{"body":{"content":"就吃了根黄瓜，然后整个人就完了，疼的不行了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050943471},{"body":{"content":"建议最好是医院能够住院治疗，因为目前的转氨酶还是很高的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051029227},{"body":{"content":"以为是胃，看了，没用，又看了胆，说是胆囊炎，然后说胰腺可能也一般，给打了***和******，就不疼了，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051051231},{"body":{"content":"第二天又加了****，但是就感觉没有第一天好。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051077607},{"body":{"content":"昨天又去了医院，医生看了甲胎蛋白结果出来了，高一倍，不敢给打针了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051102992},{"body":{"content":"目前吃*******和********","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051177351},{"body":{"content":"目前就是这样，明天去传染病医院去去加强ct.不知道接下来该怎么办。看了好几个医生了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051209280},{"body":{"content":"我建议您可以三甲医院挂专家号看下，一般这种水平的转氨酶都是需要住院治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051251023},{"body":{"content":"不是说必须去传染病医院看对不？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051291889},{"body":{"content":"三家医院专家号挂什么科。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051306587},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051306664},{"body":{"content":"消化科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051322832},{"body":{"content":" 好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051340711},{"body":{"content":"不用谢，祝您身体健康","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051351305},{"body":{"content":"关诊时间临近，系统自动关诊，希望我的建议能够帮助到您，感谢您的信任。有问题您随时咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051537815},{"body":{"content":"实在抱歉，电子病历是系统自动识别的问题，您的肝功能是不正常的，这个您不用理会，建议还是三甲医院进一步就诊的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051611223},{"body":{"content":"实在抱歉，祝您及您的家人身体健康，再见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051649856}]

女54岁

2022.05.20

[{"body":{"content":"您好，我是中医科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049699062},{"body":{"content":"请问您出汗是白天还是夜间比较多呢？吃辛辣或运动后出汗是否更重。身体哪些部位出汗呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049711941},{"body":{"content":"白天，头","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049739259},{"body":{"content":"方便发一下舌象吗？可以为您深入辨证看一下。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049769533},{"body":{"content":"请问您平时有怕冷、腰酸酸软、失眠多梦、大便稀溏，肢体倦怠，神疲乏力，少气懒言的症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049979736},{"body":{"content":"怕热，腰酸，大便稀，乏力","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050056542},{"body":{"content":"s收到，还有其他症状补充吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050068645},{"body":{"content":"就是流汗厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050119956},{"body":{"content":"根据您提供的信息及症状，目前初步考虑脾虚气虚兼有湿热证可能性大，这里可以给您一些用药建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050131208},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史吗？请问您在备育期吗？以便我给您用药建议，如果以上都没有，可以回答“都没有”","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050136598},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050151073},{"body":{"content":"您看是选择中成药还是中药配方（自煎、代煎、**剂）？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050173404},{"body":{"content":"**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050188942},{"body":{"content":"请您稍等，给您开具中药，估计需要3-5分钟。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050231181},{"body":{"content":"给您开具的是**剂，方便携带，一共14小袋，一日2次，一次1袋，用150-200ml开水冲调。服用7日，观察疗效，再上线复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050401280},{"body":{"content":"会不会是肾阴虚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050455476},{"body":{"content":"不是肾","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050474145},{"body":{"content":"但是有些阴虚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050478296},{"body":{"content":"中药反应：如您在用药过程中出现不适如皮疹、皮肤瘙痒、发热等，请您及时上线咨询或去医院就诊。 不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050485306},{"body":{"content":"还是主要是气虚了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050490740},{"body":{"content":"有点阳痿早泄，性生活以前有点频繁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050563885},{"body":{"content":"中医讲究的是整体观，给您用药是调理全身的，在对症的情况下很多症状是可以得到改善的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050613008},{"body":{"content":"主要是跟您**阴的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050622921},{"body":{"content":"你说的这种情况是什么原因造成的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050693529},{"body":{"content":"跟方面都有关系，但是跟手淫关系不是那么大的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050721909},{"body":{"content":"可以适当吃一些**的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050762277},{"body":{"content":"**的食物建议有瘦肉,鸡肉,鸭肉,兔肉,鱼类、大豆,**,***,**,**,菌菇类、**肉,***,**，**。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050772080},{"body":{"content":"日常调摄以以下为原则：1、饮食清淡一些，少吃辛辣油腻及生冷食物。 戒烟戒酒，2、适当运动，最好运动到后背微微汗出，不宜大汗淋漓。运动既能增强体质，又能缓解情绪压力 3、注意情绪调节，少思虑，少熬夜 ，尽量在11点前入睡。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050813690},{"body":{"content":"**的有什么药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050818758},{"body":{"content":"如果您平时有爱喝茶的习惯，推荐您*****，有**固精，**，补充精力，提高性能力的作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050823464},{"body":{"content":"你说会不会是手淫多了导致的肾阴虚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050913639},{"body":{"content":"这个有一定的可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050931674},{"body":{"content":"但多引起肾精不足","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050948789},{"body":{"content":"这个***可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050952389},{"body":{"content":"另外如果是中成药，就吃*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050962480},{"body":{"content":"吃六味地黄丸怎么样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051022303},{"body":{"content":"暂时不吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051034806},{"body":{"content":"五子，主要是管什么的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051089075},{"body":{"content":"**精的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051097096},{"body":{"content":"气虚一般是什么原因造成的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051161011},{"body":{"content":"跟自身体质关系更大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268508},{"body":{"content":"生活中跟熬夜、饮食不规律有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051281848},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051339721},{"body":{"content":"您客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051390286},{"body":{"content":"感谢您的咨询和耐心回答，请问您是否还有其他医药问题需要我为您解答？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392167},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051423236},{"body":{"content":"如果您没有其他问题，我将结束您的问诊，希望我的建议能够帮助到您，请点击对话框右上角“ 表扬医生“对我的服务作出评价，您的五星好评，就是对我工作最大的鼓励和支持。欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051431590}]

男32岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965712672},{"body":{"content":"请问您现在怀孕多少周了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965717615},{"body":{"content":"你好。我昨天刚怀孕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965722788},{"body":{"content":"血糖正常吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965724173},{"body":{"content":"正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965730350},{"body":{"content":"平时的血糖正常，刚刚怀孕可以喝奶茶，但是注意适量","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965746451},{"body":{"content":"我上班累了。我就去买*****喝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965768212},{"body":{"content":"孕期不建议喝浓茶、饮料等，但是如果偶尔一次比较少量的也是可以的，注意适量","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965815420}]

女32岁

2022.05.20

[{"body":{"content":"孩子打呼噜？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965127149},{"body":{"content":"不打呼噜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965139907},{"body":{"content":"孩子就是去年冬天得了一次流感之后就特别严重了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965181301},{"body":{"content":"那为啥说他腺样体肥大？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965199414},{"body":{"content":"想咨询您怎么用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965211624},{"body":{"content":"7岁的时候在医院检查过说是腺样体肥大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965262836},{"body":{"content":"确定腺样体肥大？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965263119},{"body":{"content":"确定","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965276944},{"body":{"content":"都三年了！也不打呼噜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965278418},{"body":{"content":"孩子的情况考虑鼻窦炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965289079},{"body":{"content":"好几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965293058},{"body":{"content":"幼儿园的时候就是经常流鼻涕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965320638},{"body":{"content":"买个洗鼻器冲洗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965325370},{"body":{"content":"是****鼻腔喷雾器吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965358328},{"body":{"content":"****150ml加1支*******冲洗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965358654},{"body":{"content":"不是你说的那种，没太大的效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965378124},{"body":{"content":"最近早上老是卡痰","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965406864},{"body":{"content":"还有别的办法吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965459594},{"body":{"content":"冲鼻子我看着挺受罪的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965481372},{"body":{"content":"只有这样的方法最直接","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965511041},{"body":{"content":"******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965528242},{"body":{"content":"****口服","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965534772},{"body":{"content":"这两个药用一个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965552302},{"body":{"content":"家里有*******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965570017},{"body":{"content":"换掉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965584526},{"body":{"content":"鼻炎宁颗粒有作用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965610468},{"body":{"content":"****用多大含量的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965664902},{"body":{"content":"用来用去， 最后还是我说的方法最好，副作用最小","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965671523},{"body":{"content":"鼻腔冲洗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965678333},{"body":{"content":"我婆婆用过鼻腔冲洗器","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965736998},{"body":{"content":"用鼻腔冲洗器加上****在口服****是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965826663},{"body":{"content":"****一天用几次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965861141},{"body":{"content":"我说的配方冲洗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965891204},{"body":{"content":"其他药机不用吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965901587},{"body":{"content":"冲洗一个月吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965940778},{"body":{"content":"广冲洗吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965954987},{"body":{"content":"冲洗半个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965977987},{"body":{"content":"一天一次吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966008299},{"body":{"content":"冲洗是一天一次吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966022736},{"body":{"content":"前五天一天两次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966054459},{"body":{"content":"您的意思是冲洗了就不用****了是不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966059410},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966067818},{"body":{"content":"还用口服****吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966129360},{"body":{"content":"不用啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966143691},{"body":{"content":"好的，谢谢医生了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966158884}]

男10岁

2022.05.20

[{"body":{"content":"您好，我是精神科吴医生！请问有什么能帮您呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049882191},{"body":{"content":"医生，请您帮我开具检验单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049901062},{"body":{"content":"请拍一下这个病历的封皮(需要有患者名字等信息)","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049952965},{"body":{"content":"我想从网上买那个药品，可以帮我开个证明","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049954889},{"body":{"content":" 这个可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050004551},{"body":{"content":"等下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050060614},{"body":{"content":"这个能不能开","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051457794},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051526928},{"body":{"content":"请问：1，目前病情是否稳定？\n 2，最近服药有严重的副反应吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051528670},{"body":{"content":"一直都很稳定就是药，没停","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051569705},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051578969},{"body":{"content":"几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051580278},{"body":{"content":"开五盒吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051590010},{"body":{"content":"好的，您等一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051596978},{"body":{"content":"购药处方已为您开好。 等药师审核后，请点进上面的处方，点“查看详情”，再点“预约药品”购买药品。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051624850},{"body":{"content":"刚才忙了下，耽误了一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051645459}]

女28岁

2022.05.20