刘红丽

[{"body":{"content":"在吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050577657},{"body":{"content":"您好，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":1653050587268},{"body":{"content":"近期是否就医诊疗过，近期是否服用过*西药物缓解症状。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050592164},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050602751},{"body":{"content":"就是脚底有水泡，还痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050616340},{"body":{"content":"为了您的用药安全，方便药师指导用药，请问患者的性别和年龄？特殊情况请提前告知，如：（糖尿病、肝肾等其他病史、备孕期、孕期、哺乳期、是否有过敏史）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050637563},{"body":{"content":"性别女年龄25","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050662692},{"body":{"content":"建议用这个 、","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050681537},{"body":{"content":"需要泡脚吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050706279},{"body":{"content":"就是脚痒，用清水洗也不管用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050761233},{"body":{"content":"还需要搭配泡脚的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050802368},{"body":{"content":"不用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050809861},{"body":{"content":"水泡型 不可以用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050815716},{"body":{"content":"水泡挑了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050847003},{"body":{"content":"怎么使用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050852662},{"body":{"content":"这个药膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050890108},{"body":{"content":"使用剂量\n一日一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050928623},{"body":{"content":"温馨提示：为了您的用药安全，请您在用药前仔细阅读说明书注意事项、禁忌、不良反应等内容，严格按照说明书或药师指导的用法用量使用、若用药14天无效果或病情加重，请及时咨询医生/药师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051664609},{"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":1653051666902},{"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":1653051667410}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965414453},{"body":{"content":"这里是京东医生平台","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965881387}]

男58岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0580，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050936167},{"body":{"content":"为了您的用药安全，方便药师指导用药，请问患者的性别和年龄？上为本人用药咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050937523},{"body":{"content":"17岁，男，为自己孩子咨询","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051000243},{"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、孕期、哺乳期、是否有过敏史），如果没有则回复“无”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051016862},{"body":{"content":"您咨询的这款对症的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051340094},{"body":{"content":"养成良好的用眼习惯，合理的用眼，减少使用电子产品时间，避免眼疲劳，要控制用眼距离。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051582538},{"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。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051584634},{"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":1653051586088}]

女

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0364，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051423697},{"body":{"content":"请问您说的是这个药吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051444286},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051449557},{"body":{"content":"头顶稀疏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051464988},{"body":{"content":"请问还有别的什么症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051473125},{"body":{"content":"长期使用能长出头发吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051477117},{"body":{"content":"有红点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051484095},{"body":{"content":"有时头皮痒 小头屑","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051505430},{"body":{"content":"这个***是可以治疗脂溢性 皮炎，对**的话效果可能不太好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051506412},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051516049},{"body":{"content":"主要是可以缓解脱发的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051518563},{"body":{"content":"那**有什么药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051533711},{"body":{"content":"为了您的用药安全，方便药师指导用药，请问患者的性别和年龄？是为本人用药咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051558583},{"body":{"content":"为了您的用药安全，我们需要了解您的既往病史和过敏史，请您先回复以下问题：是否有食物/药物过敏史或慢性疾病史，肝肾功能是否正常，若有以上情况请如实告知，如果没有，可回复“无","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051840001},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051862938},{"body":{"content":"男 27岁 是本人","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051882466},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051907876},{"body":{"content":"**可以用****来治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051924032},{"body":{"content":"局部外用：每次1ml（****50mg，约7喷），涂于头部患处，从患处的中心开始涂抹，并用手按摩3-5分钟，不管患处的大小如何，均使用该剂量。每天的总量不得超过2ml。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052030504},{"body":{"content":"一般几个疗程","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052041173},{"body":{"content":"这个一般要使用时间长点的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052060317},{"body":{"content":"一般使用三个月左右开始长头发","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052069455},{"body":{"content":"建议您先使用这一瓶看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052098118},{"body":{"content":"行 等我们这解封快递开始了就买一瓶试下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052134819},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052148036},{"body":{"content":"为了您的用药安全，请您在用药前仔细阅读说明书注意事项、禁忌等内容，严格按照说明书或药师指导的用法用量使用，若用药4周无效果或病情加重，请及时咨询医师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052154285},{"body":{"content":"注意清淡饮食，忌食辛辣，油腻食物，避免过度劳累。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052162185},{"body":{"content":"您好，您看还有其他问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052163954},{"body":{"content":"没有了 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052200401},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052204120},{"body":{"content":"不客气，用我的专业帮到您我非常高兴!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052207186},{"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！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052208650}]

女

2022.05.20

[{"body":{"content":"您好，我是中医科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049699062},{"body":{"content":"请问您出汗是白天还是夜间比较多呢？吃辛辣或运动后出汗是否更重。身体哪些部位出汗呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049711941},{"body":{"content":"白天，头","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049739259},{"body":{"content":"方便发一下舌象吗？可以为您深入辨证看一下。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049769533},{"body":{"content":"请问您平时有怕冷、腰酸酸软、失眠多梦、大便稀溏，肢体倦怠，神疲乏力，少气懒言的症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049979736},{"body":{"content":"怕热，腰酸，大便稀，乏力","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050056542},{"body":{"content":"s收到，还有其他症状补充吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050068645},{"body":{"content":"就是流汗厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050119956},{"body":{"content":"根据您提供的信息及症状，目前初步考虑脾虚气虚兼有湿热证可能性大，这里可以给您一些用药建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050131208},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史吗？请问您在备育期吗？以便我给您用药建议，如果以上都没有，可以回答“都没有”","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050136598},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050151073},{"body":{"content":"您看是选择中成药还是中药配方（自煎、代煎、**剂）？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050173404},{"body":{"content":"**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050188942},{"body":{"content":"请您稍等，给您开具中药，估计需要3-5分钟。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050231181},{"body":{"content":"给您开具的是**剂，方便携带，一共14小袋，一日2次，一次1袋，用150-200ml开水冲调。服用7日，观察疗效，再上线复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050401280},{"body":{"content":"会不会是肾阴虚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050455476},{"body":{"content":"不是肾","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050474145},{"body":{"content":"但是有些阴虚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050478296},{"body":{"content":"中药反应：如您在用药过程中出现不适如皮疹、皮肤瘙痒、发热等，请您及时上线咨询或去医院就诊。 不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050485306},{"body":{"content":"还是主要是气虚了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050490740},{"body":{"content":"有点阳痿早泄，性生活以前有点频繁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050563885},{"body":{"content":"中医讲究的是整体观，给您用药是调理全身的，在对症的情况下很多症状是可以得到改善的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050613008},{"body":{"content":"主要是跟您**阴的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050622921},{"body":{"content":"你说的这种情况是什么原因造成的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050693529},{"body":{"content":"跟方面都有关系，但是跟手淫关系不是那么大的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050721909},{"body":{"content":"可以适当吃一些**的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050762277},{"body":{"content":"**的食物建议有瘦肉,鸡肉,鸭肉,兔肉,鱼类、大豆,**,***,**,**,菌菇类、**肉,***,**，**。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050772080},{"body":{"content":"日常调摄以以下为原则：1、饮食清淡一些，少吃辛辣油腻及生冷食物。 戒烟戒酒，2、适当运动，最好运动到后背微微汗出，不宜大汗淋漓。运动既能增强体质，又能缓解情绪压力 3、注意情绪调节，少思虑，少熬夜 ，尽量在11点前入睡。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050813690},{"body":{"content":"**的有什么药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050818758},{"body":{"content":"如果您平时有爱喝茶的习惯，推荐您*****，有**固精，**，补充精力，提高性能力的作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050823464},{"body":{"content":"你说会不会是手淫多了导致的肾阴虚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050913639},{"body":{"content":"这个有一定的可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050931674},{"body":{"content":"但多引起肾精不足","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050948789},{"body":{"content":"这个***可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050952389},{"body":{"content":"另外如果是中成药，就吃*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050962480},{"body":{"content":"吃六味地黄丸怎么样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051022303},{"body":{"content":"暂时不吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051034806},{"body":{"content":"五子，主要是管什么的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051089075},{"body":{"content":"**精的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051097096},{"body":{"content":"气虚一般是什么原因造成的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051161011},{"body":{"content":"跟自身体质关系更大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268508},{"body":{"content":"生活中跟熬夜、饮食不规律有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051281848},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051339721},{"body":{"content":"您客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051390286},{"body":{"content":"感谢您的咨询和耐心回答，请问您是否还有其他医药问题需要我为您解答？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392167},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051423236},{"body":{"content":"如果您没有其他问题，我将结束您的问诊，希望我的建议能够帮助到您，请点击对话框右上角“ 表扬医生“对我的服务作出评价，您的五星好评，就是对我工作最大的鼓励和支持。欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051431590}]

男32岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050154990},{"body":{"content":"痘印一般分为红印和黑印，都需要做激光治疗才有效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050188134},{"body":{"content":"用药膏什么的不管用嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050201752},{"body":{"content":"不管用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050217377},{"body":{"content":"脸部发红怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050241348},{"body":{"content":"鼻翼两侧有红血丝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050258708},{"body":{"content":"可以做光子嫩肤祛红模式或者镭射激光祛红模式","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050273867},{"body":{"content":"emmmm封校出不去","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050304517},{"body":{"content":"除了医美呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050321851},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050325919},{"body":{"content":"药物和物理治疗基本没效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050341439},{"body":{"content":"那皮囊炎留下的黑痘印也只能医美？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050386459},{"body":{"content":"hello","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050752546},{"body":{"content":"嗯，这是黑色素沉着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050776367},{"body":{"content":"要要祛黑色素沉着的激光","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050792333},{"body":{"content":"关节处黑可以怎么办呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050830442},{"body":{"content":"脸上起闭口要涂什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051079669},{"body":{"content":"hello","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051137549},{"body":{"content":"关节处黑要避免摩擦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051170646},{"body":{"content":"闭口闭口呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051196508},{"body":{"content":"闭口可以用****红霉素软膏","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051199522},{"body":{"content":"用****有什么注意事项嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051300111},{"body":{"content":"不要涂太多，正常的皮肤不要涂到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051328293},{"body":{"content":"后续要补水避光嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051343787},{"body":{"content":"涂完要清洗嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051353730},{"body":{"content":"要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051358539},{"body":{"content":"过几个小时可以清洗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051369707},{"body":{"content":"OK","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051391888},{"body":{"content":"有什么补水的推荐嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051399924},{"body":{"content":"面部和喷雾","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051410733},{"body":{"content":"你哪里的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051431369},{"body":{"content":"牌子呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051433449},{"body":{"content":"品牌推荐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051458686},{"body":{"content":"市面上太多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051468292},{"body":{"content":"不知道怎么选择","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051473029},{"body":{"content":"医美品牌也OK","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051482604},{"body":{"content":"我们医院的***很好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051490369},{"body":{"content":"医用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051502180},{"body":{"content":"补水的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051548913},{"body":{"content":"这个牌子的一系列的都有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051610968},{"body":{"content":"OK","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051642891},{"body":{"content":"我混油 外油内干","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051655571},{"body":{"content":"哪个更有针对性啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051668059},{"body":{"content":"医生医生还有四分钟","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051691369},{"body":{"content":"快快快","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051696269},{"body":{"content":"油脂多注意定期清洁就可以了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051769512},{"body":{"content":"但是内干啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051780617},{"body":{"content":"不知道咋整","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051786284},{"body":{"content":"做一下光子嫩肤会改善的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051820452}]

女21岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050394644},{"body":{"content":"胃间质瘤，晚期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050422226},{"body":{"content":"你发一下报告吧，你这样子拿着拍片子，我一点都看不见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050434568},{"body":{"content":"发现半年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050434790},{"body":{"content":"要什么样的报告","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050448111},{"body":{"content":" CT报告。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050502699},{"body":{"content":"发一下病理报告。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050518452},{"body":{"content":"没做病理，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050546380},{"body":{"content":"大夫没让做","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050562605},{"body":{"content":"没做病理怎么知道是胃间质瘤？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050568380},{"body":{"content":"沈阳肿瘤大夫根据加强ct给的结果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050589143},{"body":{"content":"建议你第1个是取病理明确病理诊断，只有病理诊断才能够确诊恶性肿瘤，第二如果是胃肠间质瘤，如果有CD117阳性的话，可以进行靶向治疗，效果还是挺好的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050618619},{"body":{"content":"光影像没有办法确诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050626187},{"body":{"content":"之前寇有为大夫给开的****，吃了之后效果不好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050676700},{"body":{"content":"除了这个药还有别的药好用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050689817},{"body":{"content":"因为你没明确，也不知道你到底适合不适合吃这个药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050705748},{"body":{"content":"就是做个胃镜取一块东西就能确诊的事儿，怎么那么麻烦呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050719225},{"body":{"content":"你首先不明确诊断让大夫怎么跟你说怎么治疗。现在要求治疗恶性肿瘤，必须有病的诊断。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050739267},{"body":{"content":"如果确诊是恶性肿瘤，胃间质瘤，那怎么治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050817617},{"body":{"content":"得看CD117和CD34的表达水平。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050844452},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050848684},{"body":{"content":"大夫没让做病理的原因是，现在肚子里全是肿瘤，怕破裂，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050968254},{"body":{"content":"这么这边的底线是病理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051000334},{"body":{"content":"没有病理不能按恶性肿瘤治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051018839},{"body":{"content":"明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051045812},{"body":{"content":"因为不知道到底是间质瘤还是胃癌，怕方向错了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051051392},{"body":{"content":"希望您可以理解，都是家里人带老人去治疗的，我这边也是想多一个方向","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051105127},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051117743}]

男73岁

2022.05.20

[{"body":{"content":"你好！可以的三盒！帮我开一下谢谢?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879148314},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879202549},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879223994},{"body":{"content":"亲，前面开完了，您看到了吗？往前看。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879258858}]

女3岁

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":1653049879740},{"body":{"content":"你好，宝宝消化不良，不喜欢吃东西","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049898757},{"body":{"content":"多大的孩子","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049920977},{"body":{"content":"这种情况多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049923838},{"body":{"content":"这个之前医院开的，吃的挺好，想再买些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049925260},{"body":{"content":"28个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049932098},{"body":{"content":"好的，要几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049941307},{"body":{"content":"5盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049949414}]

女2岁3个月

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