刘继帅

[{"body":{"content":"您好，我是全科医生李宛霖，非常高兴由我为您提供咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050621543},{"body":{"content":"李医生介绍：12年毕业于西南医科大学临床医学,从业十年，一次性通过内科主治、全科主治。擅长社区常见病包括：心血管、内分泌、呼吸科、消化道疾病，婴幼儿喂养，以及皮肤科、妇科、男科、五官科常见疾病的诊治。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050622675},{"body":{"content":"请问是否有其他基础疾病，在用药，是否有肝肾功异常，药物过敏？（例行询问用药禁忌）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050634683},{"body":{"content":"我想买几盒***。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050658990},{"body":{"content":"开几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050667592},{"body":{"content":"癫痫多长时间检查一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050718689},{"body":{"content":"原来在**检查了，疫情期间有一年多没给孩子检查啦。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050740611},{"body":{"content":"开六盒吧。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050765129},{"body":{"content":"一般是3-6个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050770163},{"body":{"content":"那我们这个不会有什么问题吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050788143},{"body":{"content":"如果没有发作，一般说明药物控制可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050807940},{"body":{"content":"平常挺好的，今天有点儿发热，发作了一次。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050844752},{"body":{"content":"不知道是药量不高，还是发热引起的。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050858705},{"body":{"content":"如果发作了，必须线下复诊调药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050859554},{"body":{"content":"嗯嗯，好的，明天去化验一下。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050882482},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050898192},{"body":{"content":"我这边先给您开2盒吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050907057},{"body":{"content":"请问是否有其他基础疾病，在用药，是否有肝肾功异常，药物过敏？（例行询问用药禁忌）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050914408},{"body":{"content":"这些用药禁忌都没有对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920395},{"body":{"content":"我们孩子大了两盒吃不了几天。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050920766},{"body":{"content":"现在吃的多大计量的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050933035},{"body":{"content":"一颗半","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050947625},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050957928},{"body":{"content":"尽量给您多开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050961028},{"body":{"content":"这些用药禁忌都没有对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050967303},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050981148},{"body":{"content":"这可以了吗？我怎么下单呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051066309},{"body":{"content":"处方已经审核通过，您可以直接点击处方购买\n在上面，有个绿色的小卡片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051092784},{"body":{"content":"好的，谢谢。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051108775},{"body":{"content":"您直接点击我给您开的处方，付款就可以，就是那个绿色的卡片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051110722},{"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，比如：皮疹、皮肤瘙痒、发热等不适，请您及时停药并线上咨询或去医院就诊。不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051112681},{"body":{"content":"生活建议：保持良好情绪睡眠，适当运动，避免情绪激动，避免强光强声刺激，避免长期辛辣食物刺激，线下神经内科就诊，规律药物治疗，不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051417814},{"body":{"content":"后续如果还需开药，可以直接找我，我这边有您之前的问诊记录，开药会比较方便快捷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051712080},{"body":{"content":"如果没有其他问题，我这边就给您关诊了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051753486},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任，祝您工作生活愉快","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051755197}]

男16岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965468505},{"body":{"content":"有什么咨询的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965478411},{"body":{"content":"可以麻烦医生看一下这个病理结果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965516714},{"body":{"content":"是恶性的吗 原发性的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965531653},{"body":{"content":"可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965595472},{"body":{"content":"可能性较大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965633477},{"body":{"content":"您可以简单解释一下这个检查结果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965644223},{"body":{"content":"是直肠息肉吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965649684},{"body":{"content":"异性增生就提示恶性肿瘤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965698858},{"body":{"content":"病理活检已经比较明确考虑恶性肿瘤了，建议进一步做免疫组化等，具体看你主治医生的意见较好，他比较了解具体情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965756329},{"body":{"content":"看到明显的肿物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965794243},{"body":{"content":"那高级别上级内瘤是代表什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965799805},{"body":{"content":"提示恶性程度可能没那么高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966022000},{"body":{"content":"就是可能是恶性的 但是要进行进一步的检查确认","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966092014},{"body":{"content":"那这样的情况容易转移吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966130964},{"body":{"content":"只能看个人情况咯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966172955},{"body":{"content":"医生会帮你评估的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966187979},{"body":{"content":"好的 谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966201795},{"body":{"content":"不用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966213005}]

女49岁

2022.05.20

[{"body":{"content":"您好，我是副主任医师邬美俊，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050131453},{"body":{"content":"这种情况多久了？\n出现症状之后最近都用过什么药物治疗？\n\n（具体用药药物名称，是否有过敏药物，肝肾等疾病、慢性病、基础疾病，备孕（老幼可忽略）、妊娠期哺乳期（男性、老幼可忽略）等情况请提前说明，不回复默认为没有）？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050159732},{"body":{"content":"用过**** 和红霉素软膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050255616},{"body":{"content":"您的图片收到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050272096},{"body":{"content":"俩个多星期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050277219},{"body":{"content":"从您提供的图片上可以看到一些闭口粉刺。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050277651},{"body":{"content":"****对于粉刺不具有治疗作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050284159},{"body":{"content":"熬夜吃辛辣食物了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050289836},{"body":{"content":"*****具有**的作用，对于粉刺治疗帮助也不大。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050292537},{"body":{"content":"对呢，熬夜和吃辛辣饮食是不对的。^_^","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050306921},{"body":{"content":"那应该用什么治疗呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050308827},{"body":{"content":"闭合性粉刺，主要是跟饮食辛辣刺激上火油腻甜腻，心情不好急躁，作息不规律，睡眠不足，熬夜，学习压力大、便秘等有关。\n\n要清淡饮食，辛辣、油腻、甜腻、烫的、刺激的不要吃；不熬夜；多喝水，多吃水果蔬菜；\n\n保持心情愉快，大**畅，营养均衡，保证足够睡眠；\n\n饭后根据面部油腻情况建议温水洗脸，可以用控油洗面奶。\n\n用药上可以晚上涂抹******，不要轻易挤压。 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050329984},{"body":{"content":"****使用的注意事项为：\n该药怕光。\n需要夜间避光使用。\n白天必须清洗掉。\n用药前皮肤要清洁干燥，不要有水。\n皮肤有破损的地方不可以涂抹。\n要避开眼周皮肤薄嫩的区域。\n\n它在治疗的过程中有一部分皮肤敏感的患者可能会有一定的刺激感。因此建议使用时先小范围、短时间（起初15-20分钟左右，就可以清洗掉了）少量点涂。\n如果1~2天没有明显的刺激感，再全部患处、较长时间点涂于患处。\n\n如果患处出现轻微的瘙痒、刺痛感，是正常的，**可以耐受。\n\n若出现患处出现明显红肿，瘙痒，刺痛明显等症状。就需要停药，将药品清洗掉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050356472},{"body":{"content":"如果皮肤比较敏感。\n可以先涂护肤品再涂药膏，这样可以减少药物的刺激。\n\n如果不是敏感肌是属于正常皮肤。\n先涂药膏后涂乳液可以增加药膏的吸收量。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050368175},{"body":{"content":"这个痘印现在属于红痘印还是黑痘印","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050430712},{"body":{"content":"怎么可以祛除呀?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050444099},{"body":{"content":"红色。略偏黑。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050446189},{"body":{"content":"这种情况也可以使用******来淡化。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050452082},{"body":{"content":"需要涂精华产品吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050474982},{"body":{"content":"一定要注意防晒，是晒会导致痘痘形成痘印","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050488048},{"body":{"content":"不需要。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050491640},{"body":{"content":"可以用**类的产品吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050516997},{"body":{"content":"和那种修红痘印的精华","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050534521},{"body":{"content":"聊胜于无。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050543455},{"body":{"content":"治疗作用肯定是不如药物强的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050548565},{"body":{"content":"我这些天一直用****涂痘印","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050549458},{"body":{"content":"也可以呀。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050554346},{"body":{"content":"发现没有效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050555996},{"body":{"content":"看不出来太大效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050563278},{"body":{"content":"***对于粉刺和痘印也有治疗作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050563510},{"body":{"content":"需要连续用药一段时间。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050568860},{"body":{"content":"还是得****吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050572135},{"body":{"content":"***要温和一些。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050594274},{"body":{"content":"****的力量要强一些。当然了，****的刺激感可能要比***要强一些。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050617775},{"body":{"content":"***可以和***一起使用吗 还是就***就可以了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050623303},{"body":{"content":"所以如果您的皮肤特别敏感，可以继续使用一段时间***\n\n如果不是敏感肌，是正常的皮肤，****的治疗作用更强","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645846},{"body":{"content":"只用***就可以了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050653898},{"body":{"content":"我用的是百分之15的***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050654011},{"body":{"content":"对的，绝大多数患者最开始使用的时候都要从低浓度用起","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050674738},{"body":{"content":"大概使用一个月之后，当皮肤建立耐受，可以适当提高浓度","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050696093},{"body":{"content":"好的 之后耐受用百分之多少的呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050755914},{"body":{"content":"20%","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050764558},{"body":{"content":"好谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050780488},{"body":{"content":"不客气哒^_^","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050797143}]

女

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":"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":1652965412873},{"body":{"content":"肺结核早期症状：乏力，纳差，盗汗，消瘦等，部分病人会出现咳嗽，咳痰等症状！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965417578},{"body":{"content":"我想检查一下结核","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965461649},{"body":{"content":"想复查一下，可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965535071},{"body":{"content":"那你就去结核病专科门诊检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965535620},{"body":{"content":"你是已经诊断肺结核，在服药治疗了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965577198},{"body":{"content":"可以去线下医院复查，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965759507}]

女49岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964976602},{"body":{"content":"稍等我看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964981868},{"body":{"content":"人流手术吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964994968},{"body":{"content":"你好，老师","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652964996554},{"body":{"content":"药物流可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965038532},{"body":{"content":"在吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965080029},{"body":{"content":"在","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965094764},{"body":{"content":"末次月经日期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965103888},{"body":{"content":"每个月都是十几号来，每次都是提前两三天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965156687},{"body":{"content":"药流：停经49天内","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965246774},{"body":{"content":"现在有两个月了吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965308965},{"body":{"content":"差不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965317452},{"body":{"content":"b超检了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965336777},{"body":{"content":"流产需要b超过","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965346129},{"body":{"content":"老师，我问一下，查胎心需要憋尿是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965359588},{"body":{"content":"阴超不用留尿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965438660},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965454927},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965505863},{"body":{"content":"老师，你说的流产需要B超啥意思？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965520953},{"body":{"content":"个人也可以申请开药是吗？自己做流产不可以吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965595622},{"body":{"content":"在吗，老师","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965733826},{"body":{"content":"流产，需确诊宫内有孕囊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965742782},{"body":{"content":"若宫内无孕囊，流什么呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965768669},{"body":{"content":"我有一个孩子了，一个男孩，之前我是刨腹产，我对于**不管用，打了两三次，最后打的是全麻","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965932683},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965980417},{"body":{"content":"不想要了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965995171},{"body":{"content":"去手术台的时候，比我去晚的人都从里边出来了，我呆了好久才出来的，出来去重病监护室输液的时候我的胳膊都没点直觉了，吓死我了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966127275},{"body":{"content":"是，我不想要，可是我对象家里人想要，这次怀孕对我来说太害怕了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966210346},{"body":{"content":"全麻有清醒期","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966212610},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966232333},{"body":{"content":"上次剖宫产的原因","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966284602},{"body":{"content":"老师，我再问你一句，两个月用药流的话，没有那么复杂吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966345192},{"body":{"content":"不能了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966363293},{"body":{"content":"停经达到7周，就不能药流","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966414849},{"body":{"content":"老师，我记得是去年还是前年的时候也流过一次产，那时候天数短，就疼了一天就不疼了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966441630},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966472433},{"body":{"content":"先算准时间，b超检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966493131},{"body":{"content":"才能选择流产方式","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966510550},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966525583},{"body":{"content":"如果两个月不能用药流是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966571752},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966582221},{"body":{"content":"能保留，就保留","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966595127},{"body":{"content":"我不想要了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966624049},{"body":{"content":"无痛人流受罪吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966664230},{"body":{"content":"******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966690642},{"body":{"content":"嗯，**散了会会不会疼？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966755003},{"body":{"content":"会的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966783016},{"body":{"content":"有2个小时左右吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966794024},{"body":{"content":"老师，我现在用啥都会受点罪是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966810080},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966828577},{"body":{"content":"你是说**散了疼两个小时是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966854746},{"body":{"content":"无痛人流怎么做？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966881777},{"body":{"content":"与普通的手术一样，就是多一项麻醉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967035008},{"body":{"content":"也是划开肚子是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967075053},{"body":{"content":"阴道手术","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967088446},{"body":{"content":"哦，就是从阴道里取出来是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967173013},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967183241},{"body":{"content":"太吓人了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967196740},{"body":{"content":"现在为啥不能用药流呢？刚才搜索的也可以药流呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967242112},{"body":{"content":"大了，药流无效","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967259594},{"body":{"content":"不会吃大点量不可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967310087},{"body":{"content":"之前吃的一颗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967326466},{"body":{"content":"没用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967330004},{"body":{"content":"流产方法是有规定的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967361704},{"body":{"content":"有适应症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967372042},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967388229},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967395180},{"body":{"content":"我太害怕了，老师，留着更害怕，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967420177},{"body":{"content":"您需要解决心理恐惧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967468951},{"body":{"content":"没有什么可怕的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967487967},{"body":{"content":"有人剖宫产三次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967515217},{"body":{"content":"人流每天都有做的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967535032},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967633844},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967681111}]

女37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":"说说你的情况怎么样包皮过长。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652969488088}]

男18岁

2022.05.20

[{"body":{"content":"您好，我是主治医师胡春燕，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050047989},{"body":{"content":"你这个情况多久呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050062949},{"body":{"content":"5，6年了吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050086494},{"body":{"content":"这种情况建议中医调理会更好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050100452},{"body":{"content":"一般常见的是脾肾阳虚引起的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050136964},{"body":{"content":"我看个视频说使用**，**，**，**，****，***泡水喝可以解决，是不是？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050182760},{"body":{"content":"中医调理是需要辨证论治的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050245854},{"body":{"content":"药物的搭配也讲究君臣佐使。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050253826},{"body":{"content":"药物的剂量也很重要。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050261928},{"body":{"content":"我如果要使用上面的方法，该用什么剂量？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050312306},{"body":{"content":"这个不太好给你具体的建议。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050329840},{"body":{"content":"正常情况下，10g都是可以使用。但是哪个要多哪个要少就不好说了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050380848},{"body":{"content":"你这个情况如果有五六年了，建议用中药调理会更好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050394353},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050405054},{"body":{"content":"如果方便的话可以线下就医就诊开药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050405181},{"body":{"content":"找中医开药？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050432918},{"body":{"content":"是的，中医调理治本","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050453754},{"body":{"content":"代茶饮疗效肯定没有中药调理会更好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050466933},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050483154}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965815024},{"body":{"content":"能吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965817128},{"body":{"content":"没什么疾病啥的吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965842759},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965884801}]

男25岁

2022.05.20