刘继帅

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965641659},{"body":{"content":"腰椎不舒服吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965658928},{"body":{"content":"左脚大脚趾会肿吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965688501},{"body":{"content":"您好方医生。我儿子14周岁，近来一周感觉左大脚趾外侧到脚后跟麻木，大脚趾没有肿痛。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965762867},{"body":{"content":"还有就是：左外侧小腿处麻木。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965855422},{"body":{"content":"可能要查下腰！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965897856},{"body":{"content":"先拍张片，如果经济允许，查腰椎ct","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965927037},{"body":{"content":"什么情况？请问。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965927313},{"body":{"content":"问孩子了，孩子说腰不疼。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965957256},{"body":{"content":"小腿外侧，是坐骨神经支配","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966019887},{"body":{"content":"因为年龄尚年轻，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966042568},{"body":{"content":"哦。请问，问题严重吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966048381},{"body":{"content":"必须查下才能诊断是怎么回事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966064530},{"body":{"content":"也就是说，孩子的问题是出在腰部？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966120653},{"body":{"content":"我们**目前封控，骨科医院都不上班。怎么办好？谢谢您。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966181104},{"body":{"content":"可能，医学发达，需要排除，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966183076},{"body":{"content":"小孩这个情况，多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966208663},{"body":{"content":"平时坐姿怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966223155},{"body":{"content":"现在很多小孩，脊柱侧弯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966248270},{"body":{"content":"大概有两周左右。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966284921},{"body":{"content":"目前孩子14岁。身高178，体重136","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966318172},{"body":{"content":"常饮饮粒吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966325299},{"body":{"content":"坐姿不太规范","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966342966},{"body":{"content":"饮料","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966349100},{"body":{"content":"有时喝饮料","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966360777},{"body":{"content":"先查下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966380884},{"body":{"content":"必要还可以抽血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966394645},{"body":{"content":"请问，抽血化验哪一方面？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966417080},{"body":{"content":"有没有什么药物可以暂时治疗一下？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966458608},{"body":{"content":"一三六","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966533038},{"body":{"content":"一四零四","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966556849},{"body":{"content":"**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966573531},{"body":{"content":"七二","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966582454},{"body":{"content":"请假","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966602700},{"body":{"content":"查血沉，血常规，尿酸，风湿三项","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966756713},{"body":{"content":"可以用点药，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966773637},{"body":{"content":"医生，请帮我开药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966830787},{"body":{"content":"请问，多久能到货？目前不知道**能不能收到货。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967390347},{"body":{"content":"我真不知什么时候，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967426157},{"body":{"content":"京东快递能去吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967438513},{"body":{"content":"你问客服","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967445548},{"body":{"content":"谢谢您。这药多少钱？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967468913},{"body":{"content":"你才知道多少钱，我只开处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967516989},{"body":{"content":"抱歉，您本次购买的部分商品因无货、下架等原因暂不支持购买，请稍后再试我知道了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967550466},{"body":{"content":"这是怎么回事？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967559829},{"body":{"content":"什么药没货？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967584113},{"body":{"content":"或因疫情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967592956},{"body":{"content":"我看不到。我点击时，就是这么说的。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967615071},{"body":{"content":"您加我吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967781009},{"body":{"content":"怎么给您打赏？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967824178},{"body":{"content":"不能买到吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968237042},{"body":{"content":"您好。京东没有货。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968272834},{"body":{"content":"哦，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968284111},{"body":{"content":"抱歉，您本次购买的部分商品因无货、下架等原因暂不支持购买，请稍后再试我知道了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968294436},{"body":{"content":"重新开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968296491},{"body":{"content":"有没说什么药没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968311580},{"body":{"content":"***********","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968320075},{"body":{"content":"v","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968324836},{"body":{"content":"没有说。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968345392},{"body":{"content":"要不要重新开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968365427}]

男26岁

2022.05.20

[{"body":{"content":"您好，我是耳鼻喉科医生，非常高兴为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050057489},{"body":{"content":"我先了解下您的具体情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050067959},{"body":{"content":"局部触摸质硬还是质软","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050075715},{"body":{"content":"摸起来有点硬的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050094520},{"body":{"content":"有破溃吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050132344},{"body":{"content":"之前是否有外伤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050136068},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050138718},{"body":{"content":"之前经常佩戴耳机","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050153966},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050188310},{"body":{"content":"长出来之后就一直没佩戴过任何耳机，一直是保持外露的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050193806},{"body":{"content":"最近有感冒吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050196645},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050200078},{"body":{"content":"之前有过这个症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050202789},{"body":{"content":"之前出现过长包","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050219930},{"body":{"content":"但是比这次轻的多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050227519},{"body":{"content":"三天左右就自然消退了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050236406},{"body":{"content":"这次已经持续四天了也没有消退的迹象","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050259007},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050280424},{"body":{"content":"有分泌物吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050291780},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050310436},{"body":{"content":"就一个包","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050315079},{"body":{"content":"根据您的描述，考虑 外耳道疖肿 的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050330234},{"body":{"content":"您之前有使用药物治疗改善吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050332048},{"body":{"content":"之前试着涂过两次红霉素软膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050356158},{"body":{"content":"但貌似没什么效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050364271},{"body":{"content":"就再没涂","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050370278},{"body":{"content":"可以对症治疗改善看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050423478},{"body":{"content":"为用药安全，请问您是否有药物过敏史，肝肾功能异常史，其他慢性疾病及心血管疾病史，是否处于特殊时期不能用药，近期在使用哪些其他药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050426032},{"body":{"content":"没有用药禁忌","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050452528},{"body":{"content":"最近没吃任何药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050461647},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050598586},{"body":{"content":"一般建议， 1、在饮食方面要清淡的饮食， 2、多休息，平时避免熬夜和太疲劳的情况， 3、注意不要长时间带耳机 洗澡以及洗头避免耳部进水，4、不要长期挖耳，挖耳时要轻柔","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050603304},{"body":{"content":"针对你的呢症状建议先使用点*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050618594},{"body":{"content":"一天2次使用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050640463},{"body":{"content":"使用3-5天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645882},{"body":{"content":"用药期间注意是否有破溃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050653539},{"body":{"content":"如果破溃之后*****暂停","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050664091},{"body":{"content":"使用***********一天2次使用治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050680700},{"body":{"content":"也可以直接交替使用，一天两次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050691579},{"body":{"content":"间隔1小时","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050695412},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050718771},{"body":{"content":"这个病容易复发吗医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050757011},{"body":{"content":"一般考虑和个人体质，外界环境，生活方式习惯，情绪压力等等都有影响的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050857225},{"body":{"content":"医生这个**可以用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050863475},{"body":{"content":"之后可以注意点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050867613},{"body":{"content":"避免长期戴耳机等刺激","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050880235},{"body":{"content":"*****是帮助排脓治疗疖肿的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050900222},{"body":{"content":"考虑更对症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050911082},{"body":{"content":"那这个可以涂吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050952122},{"body":{"content":"上述药物有一点**的功效","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051003718},{"body":{"content":"如果您想要使用试试","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051009616},{"body":{"content":"可以使用看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051012722},{"body":{"content":"建议用药前仔细阅读说明书中禁忌、注意事项、如无禁忌可使用，用药过程中如有不适或用药后症状无好转，建议及时医院就诊，排除**异常可能，或者再次上线问诊，帮您调整用药，注意按时复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051014960},{"body":{"content":"好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051043095},{"body":{"content":"您客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051118032},{"body":{"content":"使用之后可以上线复诊咨询我，给您看看具体的用药效果，是否调整用药或停药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051122599},{"body":{"content":"好的，我会先用我自己的**尝试一下，如果无效我就会换到您推荐的那一款，后续有什么问题我会再来咨询您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051210164},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051246285},{"body":{"content":"祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051247144},{"body":{"content":"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":1653051250511},{"body":{"content":"再没有了，谢谢您嘞","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051320953},{"body":{"content":"您客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051334279},{"body":{"content":"希望我的建议能帮助到您，如在治疗过程中还有任何问题，欢迎您随时上线咨询或者给我留言，非常感谢您的信任。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051337362},{"body":{"content":"再见","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051358116},{"body":{"content":"因线上咨询条件有限，且疾病具有相对复杂及发展变化的特点，如果使用药物治疗一疗程效果不佳 或 出现 其他不适 、甚至加重的情况，请您及时再次上线咨询或线下医院就诊 防止延误病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051450250}]

男21岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是皮肤科医生，非常高兴由我为您提供医疗咨询服务，为了保证本次问诊顺利进行，请您保持在线。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049608879},{"body":{"content":"您拍一张出现症状部位清晰的照片，以便于我对症状、为您建议用药做出更准确的分析。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049609731},{"body":{"content":"有什么药适合宝宝涂的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049643668},{"body":{"content":"是因为热吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049668636},{"body":{"content":"除了瘙痒是否有发红、脱皮","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049670786},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049679005},{"body":{"content":"根据您描述的症状考虑 湿疹的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049725995},{"body":{"content":"一方面是这2个部位皮肤比较薄嫩，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049730961},{"body":{"content":"另一方面这两个部位比较容易摩擦刺激和焐热","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049738227},{"body":{"content":"容易出现这种症状的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049743099},{"body":{"content":"有脱皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049754189},{"body":{"content":"收到了，您稍等，我帮您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049818942},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049858277},{"body":{"content":"是的，湿疹的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049898093},{"body":{"content":"为了避免重复用药，请问孩子症状出现后使用过哪些药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049899609},{"body":{"content":"***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049909877},{"body":{"content":"药物使用多久了？用药期间效果怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049987308},{"body":{"content":"我只是涂了两次，隔几天涂一次，因为我也不确定是否湿疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050036063},{"body":{"content":"这个可以持续使用吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050055269},{"body":{"content":"为了用药安全，请问孩子父母有无药物过敏史","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050060131},{"body":{"content":"没有，只是地中海贫血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050102103},{"body":{"content":"是的，可以继续使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050106712},{"body":{"content":"***** 每天两次 早晚各1次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050112479},{"body":{"content":"可以先用3-5天，使用期间症状如果好转，减少使用次数，逐渐停药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050117474},{"body":{"content":"可以减少复发的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050119874},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050157811},{"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。建议您定期复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050181850},{"body":{"content":"您太客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050183633},{"body":{"content":"这个用药是一方面","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050187145},{"body":{"content":"同时给您一些生活建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050188007},{"body":{"content":"同时注意每天涂抹***，也是可以提高皮肤屏障功能 ，辅助恢复的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050191005},{"body":{"content":"建议避免搔抓和摩擦刺激，以免刺激加重病情，做好皮肤保湿，饮食清淡，忌鸡蛋，海鲜，牛**，多吃蔬菜和水果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050641601},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050820224},{"body":{"content":"很多宝妈反馈这种的还可以，您可以参考看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050839319},{"body":{"content":"希望我以上的建议能够帮助您 ，您还有**问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050910105}]

男1岁7个月

2022.05.20

[{"body":{"content":"您好，我是妇产科医生汪娟，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051184027},{"body":{"content":"收到，请稍等，我正在详细阅读您的报告单。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051195833},{"body":{"content":"您****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051204359},{"body":{"content":"看到了您上面的检查结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051241766},{"body":{"content":"**还可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051247510},{"body":{"content":"您目前有阴道出血或腹痛吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051255574},{"body":{"content":"左下腹偶尔有一点点隐隐痛的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051280873},{"body":{"content":"平时月经规律吗？多少天来一次？最后一次月经哪天来的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051280943},{"body":{"content":"平时月经不规律，有时候差不多两个月才来一次，最后一次来月经是上个月的4号","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051322830},{"body":{"content":"嗯，那目前停经有46天，但从超声看应该没有这么长时间，考虑近期受孕的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051383789},{"body":{"content":"从超声看目前36天左右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051443109},{"body":{"content":"请问医生，那早期有什么注意的事项吗，我这是第一胎，不知道有什么该要注意的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051457791},{"body":{"content":"**吃上了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051473869},{"body":{"content":"吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051483976},{"body":{"content":"昨天检查怀孕了之后就开始吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051495963},{"body":{"content":"嗯嗯。继续用上，如无用药禁忌，后续保持生活作息规律，心情愉悦，饮食清淡，劳逸结合，保持大便顺畅，暂禁性生活，勿提重物，定期产检。如有阴道出血或腹痛需要及时线下医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051551343},{"body":{"content":"好的，那饮食上有什么注意的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051586190},{"body":{"content":"辛辣刺激的及冰冻的食物不要吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051630005},{"body":{"content":"别的可以适量都吃点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051641548},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051667325},{"body":{"content":"不客气，请问还有什么可以帮助到您的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051690420},{"body":{"content":"没有了，谢谢医生，麻烦医生了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051706356},{"body":{"content":"好的，希望我的建议能够帮助到您，祝您生活愉快，孕期顺利，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051791115}]

女24岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0082号，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050830329},{"body":{"content":"老师你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050859011},{"body":{"content":"在的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050894133},{"body":{"content":"备孕可以用哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050904084},{"body":{"content":"如果想补充其他***类，建议可以有*********效果好一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920114},{"body":{"content":"也不确定缺不缺*****啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050964640},{"body":{"content":"可以去医院检查一下俣","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050997515},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051008703},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051015501},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051030551},{"body":{"content":"您好，您看还有其他药理问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052046472},{"body":{"content":"很高兴为您服务，感谢您对京东大药房的支持，祝您生活愉快，谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052054130}]

女

2022.05.20

[{"body":{"content":"您好，我是住院医师狄华，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049936951},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049940591},{"body":{"content":"Lindt*****排装85%可可黑巧克力100g","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049961598},{"body":{"content":"低血糖的能不能吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049961882},{"body":{"content":"低血糖可以吃，加糖一起吃更好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049984340},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049990825},{"body":{"content":"不客气哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050264909}]

女

2022.05.20

[{"body":{"content":"感冒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965468324},{"body":{"content":"多长时间了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965476175},{"body":{"content":"以前也有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965499994},{"body":{"content":"是睡觉感觉呼吸累","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965553940},{"body":{"content":"这次多长时间了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965555643},{"body":{"content":"睡觉打呼噜吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965566242},{"body":{"content":"油腻的吃了就这样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965585895},{"body":{"content":"有时有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965597895},{"body":{"content":"平时右上腹部疼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965629866},{"body":{"content":"不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965659238},{"body":{"content":"那就是感冒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965677765},{"body":{"content":"可以吃***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965684753},{"body":{"content":"就是口水特别浓","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965698892},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965718412},{"body":{"content":"考虑感冒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965720925},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965757581}]

男43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":1653050650020},{"body":{"content":"您报告提示iGE很高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050696794},{"body":{"content":"对，您知道怎么回事儿吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050707033},{"body":{"content":"这个反映过敏的状况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050716319},{"body":{"content":"周一我们检查确诊是哮喘了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050720453},{"body":{"content":"查了****还有肺功能","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050729040},{"body":{"content":"哮喘常常合并过敏性体质","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050744283},{"body":{"content":"比较常见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050751184},{"body":{"content":"他这个这么高和哮喘有关系吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050760791},{"body":{"content":"多数哮喘有过敏的影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050788699},{"body":{"content":"因为他哮喘所以这个高也正常是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050807472},{"body":{"content":"查那个****检查也是65ppb显示过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050826707},{"body":{"content":"经过治疗之后可以下降","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050828153},{"body":{"content":"主要是哮喘引起的高？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050846815},{"body":{"content":"****也是提示嗜酸性粒细胞性炎症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050866604},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050880780},{"body":{"content":"不是有别的病吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050887617},{"body":{"content":"我百度说除了过敏可能还有别的问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050898310},{"body":{"content":"iGE最常见就是过敏引起","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050928658},{"body":{"content":"他这个哮喘属于过敏性哮喘吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050941317},{"body":{"content":"有一部分是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050962997},{"body":{"content":"之前问诊也是您，然后我们去医院查了肺功能检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050967081},{"body":{"content":"有一部分跟过敏没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050975600},{"body":{"content":"确实医生说是哮喘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050978586},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050993358},{"body":{"content":"哮喘的确诊依据主要是肺功能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050998138},{"body":{"content":"我们周一去的医院，查的这个结果，一个月后复查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051013744},{"body":{"content":"我们有必要再去医院专门看这个过敏源检查吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051041936},{"body":{"content":"有部分哮喘发作就是接触过敏诱发的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051047039},{"body":{"content":"这个过敏原不急着复查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051069203},{"body":{"content":"哦哦，那就是我们一个月以后复查也行？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051086461},{"body":{"content":"可以抽血复查iGE","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051110184},{"body":{"content":"皮肤过敏性检测可以暂时不用测","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051123899},{"body":{"content":"如果用药有效，我们一般建议三个月再复查相关指标即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051169273},{"body":{"content":"不用急","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051173657},{"body":{"content":"肺功能，****检测有点贵","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051206773},{"body":{"content":"过敏源这个着急查吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051241982},{"body":{"content":"我们很少复查这个过敏源","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268494},{"body":{"content":"确诊之后，主要看治疗的反应","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051293402},{"body":{"content":"****还有肺功能检查三百多还可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051299491},{"body":{"content":"那我们现在就等着用药一个月复查就可以了吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051317896},{"body":{"content":"过敏源抽血那个三百多我觉得还挺贵的，哈哈","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051339338},{"body":{"content":"症状明显好转，不用急着复查，当然也看您当时确诊的情况，如果比较严重，可以早点复查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051344514},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051356049},{"body":{"content":"我现在就是担心那个总ige浓度太高了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051366235},{"body":{"content":"平时有过敏源鼻炎吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051376792},{"body":{"content":"平时他就爱咳嗽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051400333},{"body":{"content":"以为抽烟抽的没当回事儿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051407745},{"body":{"content":"也打喷嚏，但是没那么严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051418061},{"body":{"content":"有不少哮喘都是接触过敏源诱发的，平时要尽快避免接触这些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051425841},{"body":{"content":"治疗有效的话，iGE会明显下降的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051463008},{"body":{"content":"因为吃的喝的都没过敏，就没想着他会过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051470827},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051485690},{"body":{"content":"那我们就一个月以后复查就行了，是吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051497311},{"body":{"content":"不用太担心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051498684},{"body":{"content":"对，不急的话，用药三个月之后","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051520955},{"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":1653051564147},{"body":{"content":"没有了，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051688729},{"body":{"content":"感谢感谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051707361},{"body":{"content":"若您无其他问题，我将结束本次咨询。希望我的建议能够帮助到您，非常感谢您的信任！还得麻烦您在对话结束后对我的服务作出评价，祝您和家人生活愉快，身体健康，工作顺利！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051713502}]

男41岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050129118},{"body":{"content":"经常口腔溃疡吃维生素可以改善的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050143416},{"body":{"content":"那应该吃什么***呢，麻烦您推荐一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050165124},{"body":{"content":"吃*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050243017},{"body":{"content":"我发给您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050246657},{"body":{"content":"这两种都可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050275345},{"body":{"content":"好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050339963},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050355621}]

女

2022.05.20

[{"body":{"content":"您好，我是住院医师狄华，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049850568},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049853742},{"body":{"content":"近日期生产的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049859313}]

女

2022.05.20