刘继帅

[{"body":{"content":"您好，我是副主任医师石俊英，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049691820},{"body":{"content":"您好， 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":1653049697003},{"body":{"content":"可以喝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049720715},{"body":{"content":"宝宝一岁是喝这个吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049728566},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049735764},{"body":{"content":"之前是喝的这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049758198},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049772579},{"body":{"content":"才刚喝一罐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049781368},{"body":{"content":"是要换吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049787968},{"body":{"content":"嗯，宝宝有乳糖不耐受吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049797101},{"body":{"content":"其实不需要换，接着喝这个就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049823681},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049835856},{"body":{"content":"好的?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049889314}]

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":"您好，我是住院医师曹众辰，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050132124},{"body":{"content":"我正在查看以上商品，请稍等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050137337},{"body":{"content":"不含蔗糖，但是含有其他糖分","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050189079},{"body":{"content":"有血糖高的人可以吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050236318},{"body":{"content":"血糖控制的怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050268808},{"body":{"content":"可以，不高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050296976},{"body":{"content":"可以少吃点，算作主食","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050385224},{"body":{"content":"好的，谢谢你！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050407166},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050464192}]

女

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":"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":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049703486},{"body":{"content":"医生您好，问一下我脸上有好几个痣，激光点痣后3个多月了，本来很小的黑痣现在变成了很大的色沉一直退不掉怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049719765},{"body":{"content":"看照片考虑色素沉着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049761157},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049773009},{"body":{"content":"那怎么办呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049796901},{"body":{"content":"可以外用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049798246},{"body":{"content":"什么作用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049815133},{"body":{"content":"要涂多久有效","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049847729},{"body":{"content":"可以外用一个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049870843},{"body":{"content":"淡化色斑","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049878595},{"body":{"content":"脸上为什么会出现这种情况呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049901575},{"body":{"content":"本来是很小的黑痣","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049912369},{"body":{"content":"现在反而难看了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049922965},{"body":{"content":"点痣后留的色素沉着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049935351},{"body":{"content":"一般的人点痣后都会留有吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049961542},{"body":{"content":"很少留","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050004233},{"body":{"content":"那为什么我脸上会这样呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050022404},{"body":{"content":"点痣的副作用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050062689},{"body":{"content":"除了涂药还有什么好方法吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050066631},{"body":{"content":"没有其他办法了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050088841},{"body":{"content":"是医生的缘故还是本人皮肤的缘故","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050092200},{"body":{"content":"都有原因","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050156870},{"body":{"content":"肤质有关","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050161361},{"body":{"content":"涂药只能淡化，不能完全与肤色一样是不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050237023},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050256520},{"body":{"content":"**怎么使用，一个月大概用几只","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050335609},{"body":{"content":"晚上用一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050415139},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050572467},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050605881}]

女20岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965137870},{"body":{"content":"你***，睾丸鞘膜积液能做无痛的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965151068},{"body":{"content":"睡着了做那种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965159343},{"body":{"content":"能不能要求做无痛的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965192576},{"body":{"content":"当然可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965204310},{"body":{"content":"可以全麻就无痛了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965229590},{"body":{"content":"三甲医院都可以是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965239014},{"body":{"content":"费用大概多少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965245859},{"body":{"content":"全麻","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965253132},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965255395},{"body":{"content":"成人","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965258682},{"body":{"content":"费用2000多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965270407},{"body":{"content":"这么便宜吗？网上看的都要五六千","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965295541},{"body":{"content":"做的时候手术大概要多久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965329700},{"body":{"content":"这是麻醉费用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965346163},{"body":{"content":"手术约1小时左右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965363169},{"body":{"content":"连准备到结束一个小时吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965382897},{"body":{"content":"问这个没有意义","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965402355},{"body":{"content":"与医生的手术水平有关","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965419111},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965444832},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965479896}]

男31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":1653050485229},{"body":{"content":"医生，您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050499277},{"body":{"content":"在的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050513887},{"body":{"content":"您现在主要是什么症状呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050519863},{"body":{"content":"怀孕初期除了***还要补充什么****吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050534162},{"body":{"content":"没有什么症状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050543046},{"body":{"content":"吃的哪种**呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050550784},{"body":{"content":"就是*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050591957},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050615926},{"body":{"content":"有无药物过敏史呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050618351},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050633065},{"body":{"content":"请您稍等，我马上为您查询一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645232},{"body":{"content":"我听说还要补充维生素D是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050654205},{"body":{"content":"可以用***代替***服用哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050698303},{"body":{"content":"可以服用***补充备孕期和孕期补充**和***的\n\n【用法用量】\n口服。一次 1 片，一日 1 次，与早餐同时服用；如存在晨起恶心现象，可在中午或者晚上服用。\n\n请您查看药品说明书中的注意事项，本品不推荐儿童使用。使用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。用药期间因为含铁, 本药可改变粪便的颜色使之变黑, 这无临床意义。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050786922},{"body":{"content":"平时多吃水果蔬菜加强营养","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050798084},{"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":1653050929077},{"body":{"content":"很高兴为您服务，请对我本次的服务做出评价，感谢您对京东大药房的支持，祝您生活愉快，谢谢！\n\n\n\n很高兴为您服务，请对我本次的服务做出评价，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":1653051834539}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965143771},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965153420},{"body":{"content":"怎么了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965159291},{"body":{"content":"我想问下肚子跟长了红点点是什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965177687},{"body":{"content":"看看图片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965187658},{"body":{"content":"昨天看还不多，现在感觉多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965242168},{"body":{"content":"一大块红色痒痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965256774},{"body":{"content":"有感觉吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965256955},{"body":{"content":"现在胸上也起了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965273038},{"body":{"content":"过敏了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965324384},{"body":{"content":"9为了您的用药安全，请问您是否有药物过敏史,肝肾功能异常或其他病史吗？是否在备孕哺乳期或怀孕中？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965328397},{"body":{"content":"可以抹点*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965331337},{"body":{"content":"口服******，每天一片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965337585},{"body":{"content":"是什么过敏的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965355147},{"body":{"content":"这个不好说，接触的，吃的都可以引起","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965401680},{"body":{"content":"我最近看脸上痘痘的，医生配的**跟****跟它们有关系吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965475718},{"body":{"content":"没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965506489},{"body":{"content":"那怎么会过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965519920},{"body":{"content":"从来没有过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965527937},{"body":{"content":"越来越多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965549117},{"body":{"content":"嗯嗯，不好说了，很多人都这样，跟免疫力有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965557902},{"body":{"content":"那请问就买点药膏涂涂就可以了吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965571041},{"body":{"content":"这个好看吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965582640},{"body":{"content":"有时候我还痒痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965590667},{"body":{"content":"不要紧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965623803},{"body":{"content":"用药就没事了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965630610},{"body":{"content":"就涂点药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965648534},{"body":{"content":"口服的******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965656900},{"body":{"content":"每天一片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965659157},{"body":{"content":"不吃药可以吗，因为我在吃去痘痘药我怕妨碍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965670601},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965682481},{"body":{"content":"就涂药好会快点吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965708751},{"body":{"content":"嗯嗯，主要是涂药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965728424},{"body":{"content":"好的，那我明天去买这个药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965751600},{"body":{"content":"谢谢医生啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965759903},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965761383},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965762933}]

女31岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050211719},{"body":{"content":"还在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050869520}]

男4岁

2022.05.20