diff --git a/app/Amqp/Consumer/AssignDoctorDelayDirectConsumer.php b/app/Amqp/Consumer/AssignDoctorDelayDirectConsumer.php
index d997003..891696a 100644
--- a/app/Amqp/Consumer/AssignDoctorDelayDirectConsumer.php
+++ b/app/Amqp/Consumer/AssignDoctorDelayDirectConsumer.php
@@ -276,9 +276,6 @@ class AssignDoctorDelayDirectConsumer extends ConsumerMessage
             // 发送im消息
             $imService = new ImService();
 
-            // 患者病例
-            $imService->patientCase($order_inquiry,$user_doctor['user_id'],$order_inquiry_case['disease_desc']);
-
             // 等待医生接诊
             $imService->waitDoctorInquiry($order_inquiry,$user_doctor['user_id'],$order_inquiry['user_id']);
 
diff --git a/app/Controller/CallBackController.php b/app/Controller/CallBackController.php
index 242e8cf..30c9a93 100644
--- a/app/Controller/CallBackController.php
+++ b/app/Controller/CallBackController.php
@@ -188,8 +188,7 @@ class CallBackController extends AbstractController
 
                     // 发送im消息
                     $imService = new ImService();
-                    // 患者病例
-                    $imService->patientCase($order_inquiry,$user_doctor['user_id'],$order_inquiry_case['disease_desc']);
+
                     // 等待医生接诊
                     $imService->waitDoctorInquiry($order_inquiry, $user_doctor['user_id'], $order_inquiry['user_id']);
 
@@ -1528,6 +1527,7 @@ class CallBackController extends AbstractController
 
                 // 发送im消息
                 $imService = new ImService();
+
                 // 患者病例
                 $imService->patientCase(
                     $order_inquiry,
diff --git a/app/Services/MessagePush.php b/app/Services/MessagePush.php
index 34601f0..1384ddb 100644
--- a/app/Services/MessagePush.php
+++ b/app/Services/MessagePush.php
@@ -235,8 +235,6 @@ class MessagePush extends BaseService
      * 患者-通知患者医生已接诊
      * 站内、订阅、短信
      * @return void
-     * @throws ContainerExceptionInterface
-     * @throws NotFoundExceptionInterface
      */
     public function patientAcceptedInquiry(): void
     {
diff --git a/app/Services/PatientOrderService.php b/app/Services/PatientOrderService.php
index f771194..4b953df 100644
--- a/app/Services/PatientOrderService.php
+++ b/app/Services/PatientOrderService.php
@@ -976,8 +976,6 @@ class PatientOrderService extends BaseService
 
                 // 发送im消息
                 $imService = new ImService();
-                // 患者病例
-                $imService->patientCase($order_inquiry,$user_doctor['user_id'],$order_inquiry_case['disease_desc']);
 
                 // 等待医生接诊
                 $imService->waitDoctorInquiry($order_inquiry, $user_doctor['user_id'], $order_inquiry['user_id']);
diff --git a/app/Services/UserDoctorService.php b/app/Services/UserDoctorService.php
index c28718c..15911f5 100644
--- a/app/Services/UserDoctorService.php
+++ b/app/Services/UserDoctorService.php
@@ -1810,10 +1810,29 @@ class UserDoctorService extends BaseService
         }
 
         try {
+            // 获取订单医生数据
+            $params = array();
+            $params['doctor_id'] = $order_inquiry['doctor_id'];
+            $user_doctor = UserDoctor::getOne($params);
+            if (empty($user_doctor)) {
+                return success([],HttpEnumCode::HTTP_SUCCESS,"医生数据错误");
+            }
+
+            // 获取病例数据
+            $params = array();
+            $params['order_inquiry_id'] = $order_inquiry['order_inquiry_id'];
+            $order_inquiry_case = OrderInquiryCase::getOne($params);
+            if (empty($order_inquiry_case)){
+                return success([],HttpEnumCode::HTTP_SUCCESS,"患者病例错误");
+            }
+
             // 发送IM消息-医生接诊
             $imService = new ImService();
             $imService->doctorInquiry($order_inquiry,$user_info['user_id'],$order_inquiry['user_id']);
 
+            // 发送IM消息-患者病例
+            $imService->patientCase($order_inquiry,$user_doctor['user_id'],$order_inquiry_case['disease_desc']);
+
             // 发送站内、订阅、短信消息-医生已接诊
             $MessagePush = new MessagePush($order_inquiry['user_id'],$order_inquiry['order_inquiry_id']);
             $MessagePush->patientAcceptedInquiry();