刘继帅

[{"body":{"content":"您好，我是内科医生蔡磊，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":1653049917851},{"body":{"content":"你好，有什么医学问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049919788},{"body":{"content":"目前主要有哪些不适症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049921495},{"body":{"content":"就是眼皮跳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049934341},{"body":{"content":"这个严重吗？什么原因造成的呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049974485},{"body":{"content":"多长时间了呢？！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050015192},{"body":{"content":"眼皮跳了一个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050041978},{"body":{"content":"眼睑再调吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050047932},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050052563},{"body":{"content":"这个脑白质缺血严重吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050066006},{"body":{"content":"左眼睑？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050069552},{"body":{"content":"有什么基础病吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050074298},{"body":{"content":"右边","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050080571},{"body":{"content":"没有什么基础病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050087563},{"body":{"content":"这个情况建议您做一个血管成像。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050199381},{"body":{"content":"考虑有动眼神经的问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050205514},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050442855},{"body":{"content":"要做血管成像检查缺血灶？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050490741},{"body":{"content":"看看血管有没有问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050508104},{"body":{"content":"因为您这个年龄不应该出现有缺血灶的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050515216},{"body":{"content":"然后规律治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050524826},{"body":{"content":"查血管挂什么科室？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050591840},{"body":{"content":"去神经内科就诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050612249},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050618015},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050621679}]

男38岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049614592},{"body":{"content":"图片看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049615889},{"body":{"content":"没事，这个考虑是白色糠疹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049661853},{"body":{"content":"小孩多见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049664887},{"body":{"content":"哦哦哦是不是营养不良","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049729445},{"body":{"content":"不是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049757197},{"body":{"content":"可以外用***一天二次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049762361},{"body":{"content":"不影响健康的，放心吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049768463},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049849528},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049852968}]

男5岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965090839},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965095161},{"body":{"content":"这十天左右每天体重都在长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965109541},{"body":{"content":"一天0.2斤","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965141269},{"body":{"content":"0.3","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965147404},{"body":{"content":"是不是要来月经之前","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965159377},{"body":{"content":"会这样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965162795},{"body":{"content":"有没有慢性病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965188604},{"body":{"content":"就是这次月经走之后体重一直往上升","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965201841},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965206174},{"body":{"content":"这怎么回事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965385971},{"body":{"content":"这个不好说","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965406757},{"body":{"content":"您身高体重是多少","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965417496},{"body":{"content":"最近有没有运动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965430818},{"body":{"content":"164","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965441827},{"body":{"content":"56.8","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965447566},{"body":{"content":"您这个体重很好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965460616},{"body":{"content":"不用担心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965464913},{"body":{"content":"这个月没来月经之前体重是五十五点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965483952},{"body":{"content":"三斤以内波动是正常的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965515531},{"body":{"content":"然后自从月经结束每天都在增加","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965522747},{"body":{"content":"有没有用药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965522874},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965540104},{"body":{"content":"适当运动一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965549494},{"body":{"content":"就是用了一个涂抹的药膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965550464},{"body":{"content":"什么**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965556337},{"body":{"content":"就是腿上有个红点然后用的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965571799},{"body":{"content":"也不知道什么名字","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965601134},{"body":{"content":"也不知道这几天是排卵期期的事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965690742},{"body":{"content":"排卵期应该不会增加体重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965782714},{"body":{"content":"适当运动一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965845908},{"body":{"content":"适当控制一下饮食","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965854784},{"body":{"content":"再看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965858483},{"body":{"content":"药物也有可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965862955},{"body":{"content":"我都是一直在减肥期间","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966001499},{"body":{"content":"所以说才奇怪","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966008433},{"body":{"content":"为什么天天涨","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966013554},{"body":{"content":"您体重偏瘦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966044275},{"body":{"content":"不要追求过于瘦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966056156},{"body":{"content":"太瘦也不好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966063592},{"body":{"content":"一般早上称体重都是在55点起吧但是这十天左右每天都是56.3左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966229049},{"body":{"content":"然后就一直不掉称","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966245589},{"body":{"content":"三斤以内是正常的波动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966353051},{"body":{"content":"观察就行了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966358374},{"body":{"content":"不用担心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966361742}]

女19岁

2022.05.20

[{"body":{"content":"您好，我是泌尿外科的医生，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":1653051055014},{"body":{"content":"你好我平时做一次就很难硬起来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051079166},{"body":{"content":"为了更好地了解您的情况，我先收集一下病情信息，感谢您的配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051088695},{"body":{"content":"请问您近6个月内有无性生活？（仅指阴道内性交，不包含手淫、飞机杯等）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051090936},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051103421},{"body":{"content":"性生活一周几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051106429},{"body":{"content":"3—7次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051116329},{"body":{"content":"您近期的晨勃情况如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051120367},{"body":{"content":"每周1-3次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051125326},{"body":{"content":"勃起后，按照豆腐、剥了皮的香蕉、香蕉、黄瓜，四个硬度分级的话，您感觉属于哪个级别？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051139358},{"body":{"content":"剥了皮的香蕉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051151422},{"body":{"content":"性生活过程中是否有未射精就疲软的情况？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051158449},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051168179},{"body":{"content":"您这个情况多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051171220},{"body":{"content":"近期出现","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051174528},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051178552},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051181015},{"body":{"content":"还有别的慢性疾病吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051185023},{"body":{"content":"以上都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051192333},{"body":{"content":"为了排除用药禁忌，请问您平时有没有慢性病病史或心脑血管疾病的病史或者药物过敏史呢？或者肝肾功能不全的情况呢？是否处于备育期呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051212726},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051234887},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051238412},{"body":{"content":"首先，您这个硬度不够，中途疲软的症状属于勃起功能障碍的表现的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051246625},{"body":{"content":"这种情况影响因素还是很多的，压力，身体状况，情绪，烟酒，熬夜，手淫过度，性生活过多等，都可能会导致性能力的下降。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051255153},{"body":{"content":"性生活建议一周不要超过2-3次，也不建议一晚多次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051260266},{"body":{"content":"您多次性生活，是会影响勃起功能的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268430},{"body":{"content":"医生，请您帮我开具检验单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051317310},{"body":{"content":"药物的话， 可以使用******看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051330926},{"body":{"content":"***物，针对治疗勃起功能障碍，辅助勃起增加硬度的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051337176},{"body":{"content":"*******，初次使用推荐50mg，推荐性生活前1小时左右服用，但在性活动前0.5～ 4小时内的任何时候服用均可。基于药效和耐受性，剂量可减至25毫克或增加至100毫克。每日最多服用1次。有性刺激起效。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051340180},{"body":{"content":"主要是需要控制性生活频率","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051350979},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051356627},{"body":{"content":"药物没有依赖性","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051371842},{"body":{"content":"******主要副作用头痛、面部潮红、消化不良和肌肉疼痛，其次为鼻塞、腹泻、头晕和皮疹等，一般症状较轻，且是一过性的，安全可控的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051376243},{"body":{"content":"不是用药就一定会有副作用，也没有什么永久性副作用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051378776},{"body":{"content":"备孕如果吃这个药物有什么影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051379441},{"body":{"content":"药物说明书中表示，药物一般不影响精子质量的，优生优育角度来说，建议停药2-3个月再备孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051389032},{"body":{"content":"但是这个药物本身是不会影响备孕精子质量的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051399581},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051401361},{"body":{"content":"我可以帮您先开一盒25mg7片装的小剂量的看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051422888},{"body":{"content":"这个25mg和50mg什么区别啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051469495},{"body":{"content":"*******，初次使用推荐50mg，推荐性生活前1小时左右服用，但在性活动前0.5～ 4小时内的任何时候服用均可。基于药效和耐受性，剂量可减至25毫克或增加至100毫克。每日最多服用1次。有性刺激起效。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051475807},{"body":{"content":"2片25mg就等于50mg","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051486820},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051494390},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051496322},{"body":{"content":"您现在点击这个“处方单”添加购买就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051559812},{"body":{"content":"用药前请您仔细阅读药品说明书，尤其重点关注禁忌及注意事项，如没有任何禁忌，可正常使用药物治疗，如您在用药过程中出现任何不适或疑问，请您及时上线咨询或附近医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051563907},{"body":{"content":"建议您平时多运动，注意个人生活习惯，避免熬夜，放松心情，避免辛辣刺激食物，规律性生活，减少手淫次数。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051565403},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051574679},{"body":{"content":"备孕建议您常规口服*** ，具有补充锌硒、***等作用，提高精子活力和存活率，增加受孕几率，男性精液的重要组成部分就是锌。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051584906},{"body":{"content":"用药期间有问题，可以随时按上述的流程找我复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051636650},{"body":{"content":"希望我的建议能够帮助到您，感谢您的信任。如果您对此次问诊满意，还请您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。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051751732}]

男28岁

2022.05.20

[{"body":{"content":"您好!\n我是卢主任，非常感谢您的信任，很高兴由我为您提供医疗咨询服务。正在详细阅读您的病情描述，为进一步分析希望您再仔细描述一下下列情况。\n\n1.目前主要怎么不舒服，症状出现多久了？\n2.还有局部其他症状出现吗？\n3.是否有医院检查或治疗过？有用过什么药物？\n4.为了给您更准确的诊断，如果方便最好拍个局部照片看一下（平台对您的病史，照片保密，请您放心）。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878798050},{"body":{"content":"就是今天发现屁股眼上长了肉疙瘩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879510257},{"body":{"content":"不知道多久了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879525725},{"body":{"content":"然后这阵子大便干结，拉不出来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879550705},{"body":{"content":"根据您的症状及提供病史情况，初步考虑便秘引起“痔疮”，我可以给您一些用药方面的建议。为了您的用药安全，请问是否有严重药物过敏史或者药物严重不良反应？近期肝肾功能是否正常？是否有慢性疾病？您是否处于生理期、备孕期、孕期或哺乳期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652885176551},{"body":{"content":"没有药物过敏，近期有过玫瑰糠疹，还没有完全好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652886482438},{"body":{"content":"肛周瘙痒容易反复发作，与个人生活习惯和体质有关。治疗在于三分治七分养，在发作期可以用药物控制瘙痒症状，缓解期要注意保养，保持肛门透气，避免经常潮湿，减少复发，提高生活质量。\n建议\n1、饮食:注意清淡饮食，多吃蔬菜水果、粗粮等纤维素含量高的食物，不要吃**等辛辣刺激食物，多喝水，保持大便软通畅，避免便秘或者腹泻。避免接触过敏源，刺激物。\n2、排便:大便以后避免用力摩擦及用带有香味的纸巾**擦屁股，避免过度清洁及有刺激性的洗剂应用，最好凉水冲洗后柔纸蘸干，（可以配合睡前*****半片泡5000ml坐浴10分钟，每天1～2次，坐浴水温不宜太高，太高会更痒）。注意肛周卫生，勤换内衣内裤，保持肛周透气。\n3、避免局部搔抓，注意局部保湿，可考虑局部尿素乳膏外涂保护皮肤屏障避免感染。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964459953}]

女35岁

2022.05.20

[{"body":{"content":"您好，我是主治医师安利娟，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050212449},{"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":1653050216565},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050475108},{"body":{"content":"我这边是医生端，建议您联系京东客服修改**，或者拨打******修改**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050509117}]

女

2022.05.20

[{"body":{"content":"您好，我是皮肤科副主任医师刘立红医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050806963},{"body":{"content":"请问医生在吗?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050903303},{"body":{"content":"在的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050913454},{"body":{"content":"方便上传清晰的患处图片吗？以便更好地为您分析病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050917115},{"body":{"content":"发际线吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050928378},{"body":{"content":"对的，或者发量比较稀疏的部位","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050945827},{"body":{"content":"您看我都快秃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050986862},{"body":{"content":"主要是前面","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051007730},{"body":{"content":"收到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051008188},{"body":{"content":"您家里有遗传的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051011148},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051016910},{"body":{"content":"根据您的图片及描述考虑是脂溢性脱发","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051036030},{"body":{"content":"我爷爷是秃顶","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051037530},{"body":{"content":"那是遗传问题可以治疗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051070591},{"body":{"content":"目前考虑是脂溢性脱发的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051072776},{"body":{"content":"遗传基因是改变不了的，但是可以用药控制和缓解症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051084087},{"body":{"content":"应该怎么治疗啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051117557},{"body":{"content":"根据您的情况可以给您用药建议，为用药安全，请问您是否有严重药物过敏史或者药物严重不良反应？近期肝肾功能是否正常？是否有慢性疾病？ 如没有，可以直接回复“否”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051131286},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051137625},{"body":{"content":"建议您口服*****，外用******治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051199561},{"body":{"content":"平时的***可以换成*****吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051254933},{"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":1653051267574},{"body":{"content":"稍后可以给您推荐一种***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051280416},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051354247},{"body":{"content":"谢谢医生！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051359453},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051376322},{"body":{"content":"可以给您开具处方方便您线上购药，如果需要稍后可以直接点击处方单预约购买","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051380747},{"body":{"content":"上面给您开具了处方单，您往上翻看一下，如果需要可以点击处方单按照提示线上预约购买。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051445699},{"body":{"content":"******是是非处方药，您可以自己购买","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051457350},{"body":{"content":"建议您避免辛辣刺激油腻饮食，均衡饮食，多吃高蛋白的食物，蔬菜和水果，适当锻炼身体，避免头皮长时间暴露在阳光下，避免熬夜，焦虑，精神紧张等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051569208},{"body":{"content":"请问您还有其他问题需要咨询吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051744111},{"body":{"content":"如果您没有其他问题，我将结束问诊，希望我的建议能够帮助到您。请您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，欢迎您有问题随时上线咨询。祝您及家人身体健康。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051832312}]

男21岁

2022.05.20

[{"body":{"content":"您好，我是医生助理，工作时间早10：00—晚22：00，我会收集您的资料，整理好后发给医生，由医生亲自为您分析诊断。请问您有什么医学问题需要咨询的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878986677},{"body":{"content":"能不能加个工作微信？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878990958},{"body":{"content":"话还没问完又要付费","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879010543},{"body":{"content":"抱歉，平台不允许加个人联系方式","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879016363},{"body":{"content":"那这样买药了，咨询详情都要付钱，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879065836},{"body":{"content":"这样患者怎么受得了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879082474},{"body":{"content":"回复信息都要花钱买","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879095523},{"body":{"content":"用药中途如果有问题也不能咨询，想问个问题还得付钱，复诊找医**信息又要付钱，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879159694},{"body":{"content":"如果没有买药，仅仅是咨询，那样收费能理解，我已经购买药品了在这里治疗了，后续肯定还会很多事要沟通，这样一条信息都要付钱，是不是有点不合适呢？不加个人联系方式，那像我这样的咨询问题是不是可以不用收费了呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879279075},{"body":{"content":"您好，今天会打电话加您微信，用于用药过程中的问题咨询，以及提醒您复诊，后续开药诊疗还是要挂号复诊，但是再有其他问题，届时可以微信咨询！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652922472649}]

男36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":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965462800},{"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":1652965465746},{"body":{"content":"肥厚形脑膜炎可以打封闭针不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965513745},{"body":{"content":"请问是什么原因导致肥厚型脑膜炎哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965603517},{"body":{"content":"特发形","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965688464},{"body":{"content":"嗯，好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965725304},{"body":{"content":"可以打封闭针不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965749265},{"body":{"content":"特发性肥厚型脑膜炎需要使用激素或者免疫抑制剂，**以*******为主，常用的有***，****，*****，***等，免疫抑制剂则以****，****为代表，但免疫制剂一般副作用较大，最后还可以考虑手术治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965763884}]

女60岁

2022.05.20