刘继帅

[{"body":{"content":"您好，我是陈嵩医生，感谢您对我的信任。现在开始为您接诊。需要提醒您注意的是：由于我是利用业余时间为您服务，所以不能保证您每一次的提问都能第一时间答复，也请您耐心等待！但我一定会在规定时间内早点答复您，感谢您的理解并配合！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965694923},{"body":{"content":"去年六月份做的膝关节置换，然后过年那段时间就感觉不对劲，前段时间去拍了片子，发现螺丝松了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965771972},{"body":{"content":"我想问下这种螺丝松动是属于正常的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965799648},{"body":{"content":"这肯定是不正常的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965903233},{"body":{"content":"我觉得这种植入身体里的不应该这么轻易松动的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965912577},{"body":{"content":"那会是事故吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965951317},{"body":{"content":"这个不好说的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965983561},{"body":{"content":"我是做机械的，像那种震动频繁的地方还有专业的螺丝去防止时间久了松动，这种植入身体里的应该也会吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966060750},{"body":{"content":"我知道一般情况下不会出现医疗事故，但是这时间间隔太短了，还不到一年，也就差不多病人身体刚刚恢复好适应了，现在又要开刀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966167179},{"body":{"content":"如果想弄清楚这个原因应该咨询哪些方面呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966205065},{"body":{"content":"这种情况我不太好说，平台规定是不允许评论的，如果你觉得手术有问题，可以向卫健委或者有关领导部门反映。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966266981},{"body":{"content":"好的，明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966298890},{"body":{"content":"多谢您了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966305931},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966311400}]

女50岁

2022.05.20

[{"body":{"content":"你好，现在是一个什么情况。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965739199},{"body":{"content":"做的什么治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965744708},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965746858},{"body":{"content":"医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965749671},{"body":{"content":"影像所见:垂体上下径为0.7cm，上缘膨隆，垂体信号欠均匀，于垂体左侧部隐约见一小结节状T1WI低信号影，大小约为0.2cmx0.2cm，\t垂体柄居中，动态增强扫描示正常垂体明显均\t匀强化，垂体内病灶呈低信号，并见逐渐及度强化现象。鞍底骨质未见异常，鞍旁及鞍上**结构未见异常。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965760367},{"body":{"content":"这个你看一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965766710},{"body":{"content":"有什么不舒服没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965783320},{"body":{"content":"泌乳素高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965803036},{"body":{"content":"月经紊乱","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965827635},{"body":{"content":"那考虑还是跟这个垂体有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965830609},{"body":{"content":"是的 就是看报告结果 医生你觉得严重么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965896054},{"body":{"content":"我有点害怕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965906315},{"body":{"content":"不严重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965925272},{"body":{"content":"垂体瘤是常见的良性肿瘤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965940287},{"body":{"content":"是吃药治疗么还是如何","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965954897},{"body":{"content":"可以完全治愈的么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965968697},{"body":{"content":"好的，那就放心许多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965978405},{"body":{"content":"可以先吃药看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965979908},{"body":{"content":"不行再考虑手术","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965990565},{"body":{"content":"好的，一般是吃什么药的呢?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966017295},{"body":{"content":"如果这种做手术 风险应该不会很大的吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966054039},{"body":{"content":"手术微创，风险不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966118253},{"body":{"content":"吃药，吃***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966128551},{"body":{"content":"好的 医生 这种去医院挂号的话，是挂神经外科还是内分泌科好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966261683},{"body":{"content":"内分泌","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966372526},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966419031}]

女22岁

2022.05.20

[{"body":{"content":"现在因疫情图片不在手里","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878871979},{"body":{"content":"想开几盒补铁药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878932274},{"body":{"content":"家长您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879235885},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879244058},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879250650},{"body":{"content":"非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879256807},{"body":{"content":"好的，您需要开几盒？怎么服用的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879272924},{"body":{"content":"想开5盒，每天2次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879304506},{"body":{"content":"好的，稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879330671},{"body":{"content":"谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879336879},{"body":{"content":"家长您好！处方已开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879472577},{"body":{"content":"你****能开30袋一盒的吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879740765},{"body":{"content":"这样买还便宜?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879859520},{"body":{"content":"你好！可以不用处方了！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880143141},{"body":{"content":"家长您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652913116491}]

女4岁

2022.05.20

[{"body":{"content":"这种情况多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049891262},{"body":{"content":"大概一年中途做了一次去斑就没涨逗了，现在年后又开始涨了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049992385},{"body":{"content":"拍个图片。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050009287},{"body":{"content":"就这个情况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050133842},{"body":{"content":"我上面电子处方里给你开了二瓶中药外用**，****，促进皮肤愈合，包括你的痘坑都能修复，使我们三甲医院治疗你这种情况最好的药，点开电子处方购买京东就给你邮寄了，很快就到货。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050220531},{"body":{"content":"生活中还要少吃油，少吃辣少吃糖，痤疮不喜欢这种饮食，另外不要熬夜，就这些注意事项，基本没其他的了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050367220},{"body":{"content":"这个病是慢性病中药药水，坚持坚持外用就可以了，买到**后用**蘸取药液，一日三次涂擦患处，或倒在纱布上，像做**一样湿敷脸部都可以。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050391123},{"body":{"content":"可是总是反复长痘怎么办啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050611960},{"body":{"content":"这里好了那里又长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050623945},{"body":{"content":"你坚持用我的中药所生活中注意事项，做到就没问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050633809},{"body":{"content":"三甲医院主任医师给你出的方案，放心吧。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050648789},{"body":{"content":"大概用多久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050655875},{"body":{"content":"至少一个月以上，至少两瓶。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050681401},{"body":{"content":"这个会不会只治表面，内在身体用不用调呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050702688},{"body":{"content":"我觉得暂时不用，你生活中注意好了，就是内在调节。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050720286},{"body":{"content":"好的呢我需要买一瓶还是2瓶呢，在这期间可以用修复类的水乳防晒产品吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050870848},{"body":{"content":"买两瓶，两瓶都不一定肯定够。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050890943},{"body":{"content":"这个中药**就能修复皮肤，尽量少用化妆品。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050927085},{"body":{"content":"你是油性皮肤，在清爽的化妆品也是油脂类的，尽量少用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050939239}]

女38岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965422297},{"body":{"content":"医生好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965435796},{"body":{"content":"现在身体来月经，脚底站不住","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965452777},{"body":{"content":"腰疼的厉害，以前没那么严重，现在每次来月经都得请假休息两天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965506112},{"body":{"content":"建议检查彩超看看是否有子宫腺肌症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965550908},{"body":{"content":"就是比较明显不舒服，是不是年龄大容易这样，而且坐时间长了腿容易浮肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965565970},{"body":{"content":"体检的时候说有一个特别小得肌瘤","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965594613},{"body":{"content":"好嘞谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965648174},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965752169}]

女39岁

2022.05.20

[{"body":{"content":"有没有照片呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965164369},{"body":{"content":"发现这种情况多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965397189},{"body":{"content":"两年多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965867559},{"body":{"content":"医生，在不在？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965993098},{"body":{"content":"在的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966204539},{"body":{"content":"这看起来像疱疹感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966223699}]

男50岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050043105},{"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":1653050044263},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050046433},{"body":{"content":"可以给5个月宝宝使用4个月以上240毫升的奶瓶","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050143459}]

女

2022.05.20

[{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050037218},{"body":{"content":"这个表不适合女性，有什么问题可以直接咨询","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050212394}]

女

2022.05.20

[{"body":{"content":"你好，我是京东妇产科梁国肖医生，非常高兴由我为您提供医疗咨询服务。请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965819961},{"body":{"content":"建议少喝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965842898}]

女32岁

2022.05.20

[{"body":{"content":"您好！这里是京东医生皮肤科。你描述的情况我已经收到。为了配合确诊病情，请提供清晰度高的图片。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965641012},{"body":{"content":"脚拇指指甲边肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965695458},{"body":{"content":"网诊较为局限，完全要靠清晰度高的图片来判断病情，就和线下医院问诊是一个道理，医生也需要看你的患处，对你的情况进行诊断。希望理解，谢谢配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965708099}]

女28岁

2022.05.20