刘继帅

[{"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":1653050246477},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050248782},{"body":{"content":"产后2-3天内分泌的乳汁量少，可用吸奶器在一侧乳房，抽吸大约十分钟时间即可。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309028},{"body":{"content":"今天第四天了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051481168},{"body":{"content":"感觉没有什么母乳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051495113}]

女

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0022，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050635401},{"body":{"content":"您好，请问您有什么用药问题需要咨询^_^","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050636301},{"body":{"content":"急性的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050641881},{"body":{"content":"8月份查的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050658603},{"body":{"content":"感觉前段时间好转了，最近又复发了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050672788},{"body":{"content":"小便有点疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050678083},{"body":{"content":"建议二周一疗程","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050705381},{"body":{"content":"您好，为了您的用药安全，方便药师指导用药，方便提供下用药人年龄、性别等情况吗？是本人用药吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050877596},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050907678},{"body":{"content":"男","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050922592},{"body":{"content":"24岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050925766},{"body":{"content":"//***，口服，一次3片，一日3次。一个月为一个疗程\n【用药注意】饭前服用，服药期间忌酒及辛辣刺激食物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050935826},{"body":{"content":"为了您的用药安全，特殊情况请提前告知，如：（糖尿病、肝肾等其他慢性病史、备孕期、是否有过敏史），如果没有则回复“无”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050940666},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050973998},{"body":{"content":"一疗程就可以治愈吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051002936},{"body":{"content":"您好，轻微 的二周一疗程 ，严重复发，一个月一疗程","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051031370},{"body":{"content":"药品的效果与药品的吸收、分布、代谢、排泄等有关。另外患者年龄、性别、体质、以及联合用药情况等 都对药效的体现有影响。所以药效视具体情况而定噢。由于个体差异，不同的人对药物的吸收会有差异，大多数患者见效快，少数患者见效可能会慢一些，一般对症就会有效果的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051032455},{"body":{"content":"我最近熬夜很厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051096502},{"body":{"content":"经常2点睡觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051102939},{"body":{"content":"这个要调整作息哟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051123465},{"body":{"content":"请问与这个有没有联系","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051123870},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051143395},{"body":{"content":"吃这个一点酒不能喝吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051155261},{"body":{"content":"熬夜、喝酒会让人抵抗 下降","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051165026},{"body":{"content":"可不可以喝酒当天不吃药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051165295},{"body":{"content":"当时检查时说我是轻微的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051182961},{"body":{"content":"就是有一点点炎症，并不是太厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051191973},{"body":{"content":"服药禁酒哟，真的不建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051206707},{"body":{"content":"您服用药物也是想得到好的效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051212521},{"body":{"content":"是的，但是总不能避免，我也没有办法","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051230742},{"body":{"content":"用药期间尽量避免 ，因这个一天要吃几次的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051245900},{"body":{"content":"8月份拿的这个药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051300404},{"body":{"content":"我吃了会不舒服，就没有吃完","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051310607},{"body":{"content":"吃这个药胃会不舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051323971},{"body":{"content":"这个是**的，一般尿道 感染 的，我们会建议一起，不是太严重的，就可以不用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051331331},{"body":{"content":"可能您肠胃不耐受","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051337891},{"body":{"content":"好的，那我先吃一个疗程试一试ba","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051378229},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051388710},{"body":{"content":"平时一定注意，尽量尽量哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051394681},{"body":{"content":"还有不要久坐哟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051398280},{"body":{"content":"温馨提示：1、注意清淡饮食，避免吃辛辣、刺激食物，比如**、火锅、烧烤、油炸食物。\n2、在使用***治疗期间，绝对禁止饮酒。\n3、患者需要注意会阴部卫生，保持外阴干燥、清洁。注意多饮水，促进肾脏排出更多的尿液，将泌尿系统中的细菌以及污染物冲刷出体外。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051459051},{"body":{"content":"为了您的健康和用药安全，使用前请仔细阅读药品说明书，按照药品的用法用量正确使用、查看用药禁忌和注意事项，如果为禁忌人群请勿使用，如有任何疑问，请及时咨询医生或药师。请您查看药品说明书中的注意事项，使用 天后如果症状没有改善或出现症状加重的情况，建议尽快线下就医。用药期间禁烟酒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051600616},{"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":1653051601440},{"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":1653051604411},{"body":{"content":"祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051607410}]

女

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是儿科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050102174},{"body":{"content":"小孩先生是冻了，导致感冒，现在低热和咳嗽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050156954},{"body":{"content":"孩子这种情况多久啦？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050169404},{"body":{"content":"五天了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050179928},{"body":{"content":"宝宝目前还烧吗？烧多少度？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050185296},{"body":{"content":"现在低烧，咳嗽，37.8","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050217683},{"body":{"content":"请问宝宝咳嗽有痰吗？咽痒吗？痰多吗？是白的还是黄的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050238265},{"body":{"content":"孩子咳嗽一般一天中什么时候加重呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050244052},{"body":{"content":"没有痰，咳不出来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050257876},{"body":{"content":"孩子有呼吸不畅，喘憋，喉鸣、声音嘶哑等症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050275716},{"body":{"content":"躺着咳得多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050282148},{"body":{"content":"好像没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050302899},{"body":{"content":"好的，孩子目前的精神状态如何，饮食与消化如何呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050395442},{"body":{"content":"发烧的时候精神不大好，不发烧的话就好些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050434485},{"body":{"content":"吃饭还行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050441731},{"body":{"content":"咳嗽比较严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050450118},{"body":{"content":"好的，孩子还有其他不适吗？去线下医院检查过吗？目前有服用什么药物吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050559212},{"body":{"content":"孩子有对什么过敏及肝肾功能异常的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050567899},{"body":{"content":"还没去检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050715375},{"body":{"content":"没有过敏史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050726863},{"body":{"content":"吃了***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050743168},{"body":{"content":"还有****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050759335},{"body":{"content":"还有******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050789876},{"body":{"content":"没有吃退烧的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050802175},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050863005},{"body":{"content":"根据您的描述，考虑孩子咳嗽，呼吸道感染的可能性大的，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050893289},{"body":{"content":"目前孩子是可以服用些********+*****的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050909278},{"body":{"content":"宝宝目前的体温，是可以搭配服用些********的，一次一袋，一天3次就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050918399},{"body":{"content":"估计是这么个情况，她很容易咳嗽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050932665},{"body":{"content":"那她现在需要吃什么药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050945392},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050977050},{"body":{"content":"我给您开具处方，您稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050996064},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051003080},{"body":{"content":"家里有盒********，能吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051161492},{"body":{"content":"可以的，可以搭配********一起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051272335},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051463246},{"body":{"content":"处方已开好，您点击处方，绿色方框处，进入购药流程即可预约直接购买。如果出现多个，建议您选择京东大药房的，三天之内有效。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051507628},{"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":1653051510261},{"body":{"content":"孩子要避免接触过敏原、受凉、烟雾、粉尘、雾霾、尘螨等环境；居室注意勤开窗通风，保持一定的温湿度，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051520522},{"body":{"content":"居室适宜的环境：温度20℃-26℃，湿度在50%--60%为宜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051522493},{"body":{"content":"还想问一下，家里有盒********能喝不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051546628},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051566569},{"body":{"content":"这个目前是可以先暂时不给孩子服用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051601954},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051666389},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051669107},{"body":{"content":"祝孩子早日康复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051896635},{"body":{"content":"用药后当前症状如果不缓解或者加重，建议线上复诊或者线下医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051899058},{"body":{"content":"您好，关诊时间临近，希望我的建议能够帮助到您，感谢您的信任。欢迎您再次咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051901924},{"body":{"content":"您平时让孩子注意均衡饮食。适当进行户外运动。保证充足的睡眠。疾病高发季节适当补充维生素C泡腾片。平时注意饮食起居，减少接触病原体，疾病高发期避免去人群密集地区。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051905012},{"body":{"content":"如果您对我的服务满意，可以点击问诊界面 右上角 “表扬医生”，给予五星好评，您的好评是对我工作最好的肯定和鼓励。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051906985},{"body":{"content":"后续有问题，您在京东APP上直接搜索我的名字“京东医生麻建辉”就可以找到我的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051908874}]

女7岁

2022.05.20

[{"body":{"content":"您好，我是中医科医生，请稍等，我正在详细阅读您的病情描述。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049865517},{"body":{"content":"对症的话，对慢性肾功能不全有一定的帮助","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049945130},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050437751},{"body":{"content":"请问您收到消息了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050443195},{"body":{"content":"还在关注我们的对话吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050451699},{"body":{"content":"由于问诊时间有限，时间到了系统会自动关诊，请您充分利用好时间，感谢您的理解与配合，请问您是否在线呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050458255}]

男70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":1653049562802},{"body":{"content":"请问是什么手术呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049571766},{"body":{"content":"手术后一般是要注意容易吸收，营养丰富的更好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049595577},{"body":{"content":"胃穿孔","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049642041},{"body":{"content":"术后可以用有机纯牛奶。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049673495},{"body":{"content":"那哪个比较好一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049690163},{"body":{"content":"脱脂的，可不可以呀？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049699553},{"body":{"content":"金典有机纯牛奶会更好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049706917},{"body":{"content":"脱脂的和低脂的，适合体型偏胖的，或者血脂高的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049719532},{"body":{"content":"如果比较瘦是可以用全脂奶。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049726494},{"body":{"content":"好的，感谢你。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049741872}]

女

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31岁

2022.05.20

[{"body":{"content":"您好，我是京东互联网医院于主任，很高兴为您提供医学服务，请问您想解决什么问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965523399},{"body":{"content":"我想问问泰州第二人民医院有没有男科？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965623125},{"body":{"content":"一般三甲医院都有的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965641704},{"body":{"content":"想做男科检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965642412},{"body":{"content":"做什么检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965650781},{"body":{"content":"那是三乙医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965749403},{"body":{"content":"建议去正规三甲医院检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965774713},{"body":{"content":"有手淫习惯，想检查一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965799208},{"body":{"content":"精液量少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965847936},{"body":{"content":"没有晨勃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965865323},{"body":{"content":"做精液的检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965872468},{"body":{"content":"要不要做阴茎充血检查？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965973149},{"body":{"content":"听说要看充血情况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965999319},{"body":{"content":"可以检查的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966051855},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966170724},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966185790}]

男27岁

2022.05.20

[{"body":{"content":"您好，我是妇产科医生王轩，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049644789},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049646501},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049649414},{"body":{"content":"您方便发一下照片吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049655406},{"body":{"content":"稍等","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049673723},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049678540},{"body":{"content":"发现多久了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049949564},{"body":{"content":"硬的软的呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049955278},{"body":{"content":"有快一年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050018888},{"body":{"content":"软的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050022320},{"body":{"content":"之前下去过一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050030153},{"body":{"content":"然后又起来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050035261},{"body":{"content":"现在有什么不舒服的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050045516},{"body":{"content":"现在是经期，老上厕所纸摩擦的有点痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050072546},{"body":{"content":"别的没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050076062},{"body":{"content":"不是经期的时候没有感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050085953},{"body":{"content":"好的，您没有来月经前有外阴痒吗？白带量多、颜色改变、有异味等情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050095781},{"body":{"content":"有时候有点味道 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050116542},{"body":{"content":"偶尔会有青黄色的白带","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050130544},{"body":{"content":"别的没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050136539},{"body":{"content":"您这个部位有做过手术史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050148091},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050157598},{"body":{"content":"您的白带情况考虑是有炎症的，但是这个疙瘩从照片看考虑是软疣，需要到皮肤科咨询","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050194187},{"body":{"content":"我可以先给您一些炎症的建议，您这个疙瘩的情况可以到皮肤科咨询一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050209724},{"body":{"content":"看看皮肤科医生给您什么处理意见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050217140},{"body":{"content":"这好尴尬","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050237284},{"body":{"content":"没关系的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050259471},{"body":{"content":" 一定要去皮肤科问一下？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050278876},{"body":{"content":"嗯嗯，需要问一下的，不像炎症引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050292828},{"body":{"content":"好的吧 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050301849},{"body":{"content":"那需要先给您炎症的建议吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309578},{"body":{"content":"应该是到皮肤科得建议吧. ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050329799},{"body":{"content":"我需要重新购买一下？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050339694},{"body":{"content":"这个阴道炎症是属于我们妇科的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050344227},{"body":{"content":"我先给您建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050350547},{"body":{"content":"请问您有性生活史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050351173},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050355213},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史、血栓、乳腺病史吗？是否孕期、哺乳期、备孕期？以便我给您用药建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050364304},{"body":{"content":" 有些阴道炎哈？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050365985},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050369210},{"body":{"content":" 好吧 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050458301},{"body":{"content":" 用什么处理？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050465904},{"body":{"content":" 稍微问下，卫生巾和棉条哪一个比较好？ ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050495293},{"body":{"content":"以上禁忌症有吗？、","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050523339},{"body":{"content":"卫生巾或者卫生棉都可以的，您月经期间勤换，每天清洗外阴，换洗内裤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050543519},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史、血栓、乳腺病史吗？是否孕期、哺乳期、备孕期？以便我给您用药建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050545272},{"body":{"content":" 没有 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050559235},{"body":{"content":"等您月经干净三天，您可以使用**********放置阴道，每天睡前放1粒，用6天；同时配合洁尔阴洗液，10ml稀释*****后清洗外阴，早晚清洗外阴；使用一周看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050574992},{"body":{"content":"点击链接可以直接购买的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050593681},{"body":{"content":"治疗期间不要同房，不要饮食辛辣刺激的食物和甜食，多喝水，减少熬夜，适当运动提高免疫力","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050594672},{"body":{"content":"红斑狼疮可以正常用吗？ ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050695828},{"body":{"content":"外用药一般影响不大的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050709874},{"body":{"content":" 好的 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050806378},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050823841},{"body":{"content":"建议用药前仔细阅读说明书中禁忌、注意事项、孕妇及哺乳期妇女用药部分，如无禁忌可使用，用药过程中如有不适，或用药症状不缓解可上线咨询或线下就诊。注意按时复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050824826},{"body":{"content":"阴道炎跟卫生、饮食、作息，身体体抗力下降有关系，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050828517},{"body":{"content":"建议您饮食宜清淡，忌辛辣刺激、甜的食物，多喝水，多吃水果蔬菜，减少熬夜，治疗期间不建议同房，每日清水清洗外阴（不要洗阴道里面），内裤穿棉质、宽松内裤，可以减少阴道炎复发。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050829584},{"body":{"content":"再给您一些生活建议可以参考一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050836413},{"body":{"content":"好的。谢谢 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050905124},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050912633},{"body":{"content":"您后续如果还有需要咨询的问题，可以在京东APP搜索“京东医生王轩”，就可以找到我。欢迎您随时留言咨询，我看到后**时回复您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050978863},{"body":{"content":"关闭问诊时间临近，希望我的建议能够帮助到您，感谢您的信任，如果您没有其他问题咨询，一会儿就结束问诊了，欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051235076}]

女24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、儿童生长发育相关问题的需要，京东平台为您准备了儿科专家一对一服务及专属福利","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049631016},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049634260},{"body":{"content":"纯棉的宽松一点，好穿脱的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049679842},{"body":{"content":"您好！6个月宝宝刚做完心脏手术适合穿什么衣服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049695744},{"body":{"content":"\n要注意保暖吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049722892},{"body":{"content":"注意的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049738286},{"body":{"content":"不能穿太凉快是不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049739838},{"body":{"content":"注意**啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049758577},{"body":{"content":"长袖长裤比较合适","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049777870},{"body":{"content":"看室内温度。增减衣物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049815786},{"body":{"content":"合理增减衣物，避免引起感冒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049900120},{"body":{"content":"很高兴为您服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049913000},{"body":{"content":"如有疑问，可以再次追加哈！要是没有问题，欢迎您在右上角表扬医生按钮给我点个“满意”的好评！您的满意是对我的支持和鼓励！祝您生活愉快！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049928153}]

女

2022.05.20