刘继帅

[{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，京东平台为您准备了儿科、妇产科专家一对一服务及专属福利！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050072504},{"body":{"content":"您好，这款不含**的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050113651},{"body":{"content":"蛋白质过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050114050},{"body":{"content":"我们一岁4个月了喝***8个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050153813},{"body":{"content":"最近有查过过敏程度吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050177325},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050185944},{"body":{"content":"1岁以上了辅食正常了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050186822},{"body":{"content":"不必在吃***与深度水解了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050199621},{"body":{"content":"米面都不能吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050204665},{"body":{"content":"如果是重度过敏深度水解可能需要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050220171},{"body":{"content":"查一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050226470},{"body":{"content":"因为会改变的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050231503},{"body":{"content":"9个月左右就会改变","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050249749},{"body":{"content":"这是开始查的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050250634},{"body":{"content":"别担心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050251761},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050254038},{"body":{"content":"喝米汤都会拉肚子的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050289732},{"body":{"content":"喝了含乳酸的钙都会拉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050323596},{"body":{"content":"怎么办呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050336387},{"body":{"content":"可以喝什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050353310},{"body":{"content":"上面这款奶粉可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050366803},{"body":{"content":"建议您再检查一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050374076},{"body":{"content":"吃什么**，有必要查吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050446406},{"body":{"content":"现在还有湿疹吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050487292},{"body":{"content":"没","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050494026},{"body":{"content":"如果只是乳糖不耐受了，可以喝点***就可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050502505},{"body":{"content":"如果还有蛋白过敏，在根据程度选择奶粉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050520139},{"body":{"content":"因为我们啥都没吃过，就喝***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050523680},{"body":{"content":"添加辅食","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050541894},{"body":{"content":"必须添加辅食的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050545374},{"body":{"content":"不然更糟糕的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050551982},{"body":{"content":"你看一下单子是啥情况啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050559010},{"body":{"content":"我不知道是啥原因","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050579892},{"body":{"content":"喝无**奶粉也不拉肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050624991},{"body":{"content":"我这边是育婴问题服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050648442},{"body":{"content":"这样就说明是乳糖不耐受吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050654877},{"body":{"content":"对于单子了解不全的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050663571},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050671061},{"body":{"content":"只是宝宝有过敏源","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050671533},{"body":{"content":"轻度过敏一般9个月就没事儿了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050693577},{"body":{"content":"去哪里买***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050703103},{"body":{"content":"中度、重度、在1岁以上也是会改变的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050708557},{"body":{"content":"您化验后再决定","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050715300},{"body":{"content":"现在出门回家要隔离","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050743998},{"body":{"content":"去不了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050752317},{"body":{"content":"哪里买","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050765248},{"body":{"content":"那先喝这款奶粉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050767007},{"body":{"content":"吃点蔬菜水果是可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050774384},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050780610},{"body":{"content":"也会拉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050794139},{"body":{"content":"都试了","type":"text"},"from":{"app":"jd.dyf"},"tim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女

2022.05.20

[{"body":{"content":"您好，非常高兴由我为您提供服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050097450},{"body":{"content":"你好，淡盐水鼻滴真的幼儿能用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050124282},{"body":{"content":"我上次不小心流了一滴进嘴里，超级咸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050161918},{"body":{"content":"您好，这款适用于28天以上宝宝呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050166970},{"body":{"content":"口鼻相通","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050169362},{"body":{"content":"幼儿不是不能吃盐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050180982},{"body":{"content":"您好，请问宝宝多大了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050202800},{"body":{"content":"三个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050209399},{"body":{"content":"出月开始用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050219663},{"body":{"content":"在想真的能用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050227013},{"body":{"content":"您好，参考详情页是可以用的哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050298016},{"body":{"content":"您好，主张宝宝在一岁以后才可以吃盐哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050376097},{"body":{"content":"您好，在一岁以内也并不是完全要禁忌食盐，只是在一岁以内已经添加辅食，很多的调味品中已含有少量的盐，而此类盐的含量已足够宝宝食用，所以可以少量的在一岁以后逐渐添加。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050437980},{"body":{"content":"请问您是否还有其他问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050442803},{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，如果您有儿童生长发育方面的相关问题，欢迎您随时联系我！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050466211}]

女

2022.05.20

[{"body":{"content":"一直在用****和***联合用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652876253605},{"body":{"content":"你好，我是京东医生，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":1652878629808},{"body":{"content":"具体需要帮助您解决什么问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878631814},{"body":{"content":"这次请问需要开那个药哈？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878646889},{"body":{"content":"**** 二支","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878667609},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878677332},{"body":{"content":"您好，处方已开好，药师审核通过后就可以购买了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878845912},{"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":1652878850894},{"body":{"content":"没有了谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879063117},{"body":{"content":"不客气哈！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，再见哈！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879077548}]

男41岁

2022.05.20

[{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，如果您有儿童常备药、儿童生长发育、科学备孕相关问题的需要，京东平台为您准备了儿科、妇产科专家一对一服务及专属福利！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049617749},{"body":{"content":"您好，很高兴为您服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049619137},{"body":{"content":"第1阶段：6-9个月。\n第2阶段：10-12个月。\n第3阶段：1岁-2岁。\n第4阶段：2岁-6岁","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049621036},{"body":{"content":"一阶的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049635607},{"body":{"content":"平时给宝宝多吃水果，蔬菜，容易消化的食物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049642804},{"body":{"content":"母乳喂养妈妈不要吃油腻辛辣刺激的食物。\n\n奶粉喂养两餐之间给宝宝喂点温开水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049647302},{"body":{"content":"您可能忙，没关系我一直都在。您有问题随时找我，我会第一时间回复到您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049649244}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050314704},{"body":{"content":"尊敬的PLUS会员您好，我是普通外科张医生，很高兴为您提供医疗咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050317985},{"body":{"content":"您好，请问您有什么不适症状？有多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050320262},{"body":{"content":"7天了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050326854},{"body":{"content":"主要不适症状是什么呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050343687},{"body":{"content":"左乳房有点胀痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050346870},{"body":{"content":"也做血的化验","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050368779},{"body":{"content":"说没有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050375096},{"body":{"content":"彩超和抽血都做过了对吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050377071},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050381877},{"body":{"content":"把结果上传我看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050382121},{"body":{"content":"图片没有拍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050394934},{"body":{"content":"有外观改变明显，或摸到明显硬块么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050410775},{"body":{"content":"彩超显示有腺体8MM","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050417421},{"body":{"content":"抽血检查的雌性那些指标都是正常的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050444844},{"body":{"content":"那确实是偏大了，这个情况，外观改变明显，首先考虑是手术治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050519922},{"body":{"content":"那个医生说建议我吃下******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050595303},{"body":{"content":"但是医院没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050603546},{"body":{"content":"但医生说**指标正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050632504},{"body":{"content":"只有左胸最近才感觉到痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050657120},{"body":{"content":"可以吃 3周看看效果 但是 个人经验 止痛效果好，变小腺体的可能性不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050659617},{"body":{"content":"这个****医生也推荐了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050702938},{"body":{"content":"这两个药哪个疗效会好点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050721296},{"body":{"content":"可以试试 但个人认为不要抱有太大希望","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050722690},{"body":{"content":"一定有这个症状就要做手术吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050756265},{"body":{"content":"这个会一直增长吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050771859},{"body":{"content":"增长的可能性也不大，是否需要手术 要看您对外观的要求 如果很在意 手术是最直接的方法，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050798220},{"body":{"content":"另外如果有发现男性乳房有硬块 那要及时手术切除","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050809738},{"body":{"content":"他说给我饮食和身体肥胖有很大关系","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050821531},{"body":{"content":"对，跟这个有关系的，如果没有硬块 疼痛不明显外观改变不明显 也不用特别在意","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050851148},{"body":{"content":"硬块没有，就是乳头按压会有胀痛感","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050905293},{"body":{"content":"****和******看下开那个好点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050961339},{"body":{"content":"麻烦给推荐一下，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050970966},{"body":{"content":"外观改变不明显 可以先口服药物看看效果，******临床反馈效果更好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050978994},{"body":{"content":"好的，那就给我开下******2盒，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051007701},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051036573},{"body":{"content":"为了用药安全，系统需要先排除用药禁忌，请问您既往是否有基础疾病？近期是否有发现肝肾功能异常？是否有药物过敏史？是否处于男性备孕状态呢？您回答有或者没有就可以了。谢谢。（例行询问，请您配合 谢谢）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051076149},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051118425},{"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。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051196208},{"body":{"content":"处方已经开好，您可以点击处方，预约购买，药师审核通过后，即可发药,京东物流会配送到您指定的**。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051198032},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051381470},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051450938}]

男33岁

2022.05.20

[{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，京东平台为您准备了儿科、妇产科专家一对一服务及专属福利！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049698659},{"body":{"content":"您好，可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049703911},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049729820},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049756789},{"body":{"content":"你好，两岁半大约喝多少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049764502},{"body":{"content":"一天两次一次10克就可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049786356},{"body":{"content":"如果不上火了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049790441},{"body":{"content":"一次5--10克","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049797880},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049874857},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049900587}]

女

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,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050171337},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050186761},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050287048},{"body":{"content":"有什么问题・_・?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050291417},{"body":{"content":"之前有结石，已经排出去了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050500867},{"body":{"content":"这个是今天复查的报告。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050507285},{"body":{"content":"请问，能看出来什么吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050528226},{"body":{"content":"嗯，结石已经排出来了，挺好的啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050581870},{"body":{"content":"现在已经没有问题了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050590972},{"body":{"content":"这句话，代表什么啊？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050619642},{"body":{"content":"髂血管旁，可能有血管钙化，或者淋巴结钙化，没有明显的临床意义","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050666807},{"body":{"content":"有什么危害么？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050692411},{"body":{"content":"没有影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050711336},{"body":{"content":"这个是肾结石么？？还是输尿管结石？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050739928},{"body":{"content":"如果肾结石，或者输尿管结石，会有肾积水","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050903948},{"body":{"content":"报告没有提示肾积水","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050911078},{"body":{"content":"所以暂不考虑","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050916748},{"body":{"content":"那，，，是什么结石呢。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050924850},{"body":{"content":"这可能是血管钙化，或者淋巴结钙化","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050952152},{"body":{"content":"钙化灶","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050955679},{"body":{"content":"不是结石","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050962460},{"body":{"content":"当时痛的走不了路。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050987150},{"body":{"content":"医院医生说是结石。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050994783},{"body":{"content":"是的，当时不是有肾积水么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051032913},{"body":{"content":"右肾集合系分离","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051055743},{"body":{"content":"就是积水的意思","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051062865},{"body":{"content":"不知道额。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051106981},{"body":{"content":"医生没说。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051110594},{"body":{"content":"报告上写了？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051116594},{"body":{"content":"吃完**的药。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051306733},{"body":{"content":"也确实排出来了一点点小石头","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051315596},{"body":{"content":"结石已经排出来了，预防也很重要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051564407},{"body":{"content":"避免复发","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051574461},{"body":{"content":"现在没什么问题了嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051707961}]

女40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，我是京东的多荣医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965081371},{"body":{"content":"住院有几天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965084443}]

女78岁

2022.05.20