张怡

[{"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":1653050072504},{"body":{"content":"您好，这款不含**的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050113651},{"body":{"content":"蛋白质过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050114050},{"body":{"content":"我们一岁4个月了喝***8个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050153813},{"body":{"content":"最近有查过过敏程度吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050177325},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050185944},{"body":{"content":"1岁以上了辅食正常了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050186822},{"body":{"content":"不必在吃***与深度水解了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050199621},{"body":{"content":"米面都不能吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050204665},{"body":{"content":"如果是重度过敏深度水解可能需要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050220171},{"body":{"content":"查一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050226470},{"body":{"content":"因为会改变的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050231503},{"body":{"content":"9个月左右就会改变","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050249749},{"body":{"content":"这是开始查的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050250634},{"body":{"content":"别担心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050251761},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050254038},{"body":{"content":"喝米汤都会拉肚子的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050289732},{"body":{"content":"喝了含乳酸的钙都会拉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050323596},{"body":{"content":"怎么办呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050336387},{"body":{"content":"可以喝什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050353310},{"body":{"content":"上面这款奶粉可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050366803},{"body":{"content":"建议您再检查一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050374076},{"body":{"content":"吃什么**，有必要查吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050446406},{"body":{"content":"现在还有湿疹吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050487292},{"body":{"content":"没","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050494026},{"body":{"content":"如果只是乳糖不耐受了，可以喝点***就可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050502505},{"body":{"content":"如果还有蛋白过敏，在根据程度选择奶粉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050520139},{"body":{"content":"因为我们啥都没吃过，就喝***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050523680},{"body":{"content":"添加辅食","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050541894},{"body":{"content":"必须添加辅食的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050545374},{"body":{"content":"不然更糟糕的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050551982},{"body":{"content":"你看一下单子是啥情况啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050559010},{"body":{"content":"我不知道是啥原因","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050579892},{"body":{"content":"喝无**奶粉也不拉肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050624991},{"body":{"content":"我这边是育婴问题服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050648442},{"body":{"content":"这样就说明是乳糖不耐受吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050654877},{"body":{"content":"对于单子了解不全的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050663571},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050671061},{"body":{"content":"只是宝宝有过敏源","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050671533},{"body":{"content":"轻度过敏一般9个月就没事儿了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050693577},{"body":{"content":"去哪里买***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050703103},{"body":{"content":"中度、重度、在1岁以上也是会改变的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050708557},{"body":{"content":"您化验后再决定","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050715300},{"body":{"content":"现在出门回家要隔离","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050743998},{"body":{"content":"去不了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050752317},{"body":{"content":"哪里买","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050765248},{"body":{"content":"那先喝这款奶粉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050767007},{"body":{"content":"吃点蔬菜水果是可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050774384},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050780610},{"body":{"content":"也会拉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050794139},{"body":{"content":"都试了","type":"text"},"from":{"app":"jd.dyf"},"tim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女

2022.05.20

[{"body":{"content":"您好，我是精神科吴医生！请问有什么能帮您呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049797221},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049808584},{"body":{"content":"我想开几个*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049826004},{"body":{"content":"以前吃过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049866399},{"body":{"content":"吃过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049873066},{"body":{"content":"但是我现在没有处方买不到","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049889519},{"body":{"content":"您好，如果您要买药或开电子处方，请发一下患者的线下医院就诊资料（非京东及其他互联网医院处方）。\n包括含有“患者基本信息+诊断+所要开具的药品”的旧处方，或线下就诊病历，或诊断证明的照片（以上均时间不限）。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049895057},{"body":{"content":"那些都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049923804},{"body":{"content":"以前在北京**医院看的。 现在在**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049961858},{"body":{"content":"在京东开药需要您有线下就诊资料才能帮您开，如果没有不允许开的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049964864},{"body":{"content":"那怎么办？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050003923},{"body":{"content":"如果一个都没有的话抱歉帮您开不了，平台不允许的，我们也需要您线下就诊资料做参考才能帮您开电子处方。\n您需要再去医院开药，拍个处方单，以后在这里上传一下处方单照片我就能帮您开药了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050017422},{"body":{"content":"这个嘛？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050117902},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050125590},{"body":{"content":"请问：1，目前病情是否稳定？\n 2，最近服药有严重的副反应吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050133789},{"body":{"content":"稳定","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050141968},{"body":{"content":"没有副反应","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050155990},{"body":{"content":"几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050214441},{"body":{"content":"8盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221160},{"body":{"content":"等下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050235513},{"body":{"content":"十颗的那种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050237291},{"body":{"content":"您这是给谁开？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050270249},{"body":{"content":"给我小舅子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050289012},{"body":{"content":"叫啥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050307562},{"body":{"content":"***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050319211},{"body":{"content":"您需要填加他的信息问诊买才行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050355573},{"body":{"content":"不然开处方就是你的名字","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050368289},{"body":{"content":"不可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050372974},{"body":{"content":"名字不一致修改：\n在手机京东首页搜索（互联网医院）进入，点击我的-健康档案,里面可以完善个人资料实名，填加与患者名字一致后重新问诊。但是这个问诊单医生是无法开方的，需要重新提交一个问诊，用实名问诊可以开方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050378016},{"body":{"content":"那开我的名字吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050387521},{"body":{"content":"可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050416731},{"body":{"content":"那肯定不行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050458766},{"body":{"content":"好吧，我从新弄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050475423},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050481720},{"body":{"content":"是不是还得从新交钱","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050497533},{"body":{"content":"是的呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050517408},{"body":{"content":"需要重新问诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050525224},{"body":{"content":"不然改不过来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050530639}]

男28岁

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":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653042721704},{"body":{"content":"买什么药物？几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653042731070},{"body":{"content":"你****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653042731945},{"body":{"content":"\n焦虑，失眠，麻烦开两盒*******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653042755191},{"body":{"content":"您是患者什么人？病情稳定吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653042760414},{"body":{"content":"1)有过青光眼病史吗？\n2)\t服用过****、****吗？\n3)\t目前正在自伤、自杀等消极冲动行为吗？\n 这些有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653042761992},{"body":{"content":"本人\n","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653042772918},{"body":{"content":"没有\n","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653042786507},{"body":{"content":"聊天记录里找绿色处方单链接，直接付款！成功后，在家等着收货就行了！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653042800998}]

女48岁

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，请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049726762},{"body":{"content":"您好，我那个双手因为颈椎病压迫手僵硬，服药后缓解","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049775705},{"body":{"content":"想照方开药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049786549},{"body":{"content":"需要多少副？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049823607},{"body":{"content":"10副谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049836042},{"body":{"content":"稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049848240},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049983115},{"body":{"content":"***是不是5克？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050249338}]

女62岁

2022.05.20

[{"body":{"content":"你好！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878830704},{"body":{"content":"多长时间了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878834247},{"body":{"content":"有没有偏侧咀嚼习惯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878865385},{"body":{"content":"半年时间。之前只是弹响，最近有几次吃东西时有突然关节错位的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878874148},{"body":{"content":"考虑是颞颌关节功能紊乱","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878895447},{"body":{"content":"有偏侧咀嚼可能是之前正畸牙齿时导致的习惯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878928090},{"body":{"content":"这种情况应该怎么治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878954772},{"body":{"content":"疼痛吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878962516},{"body":{"content":"不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878974137},{"body":{"content":"可以热敷热敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878986733},{"body":{"content":"但是有几天较为严重时有肌肉紧绷感","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878991781},{"body":{"content":"避免偏侧咀嚼习惯，及过度张口，别熬夜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879014092},{"body":{"content":"如果症状不见好转，建议到医院口腔科实诊一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879034142},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879052709},{"body":{"content":"早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879065329}]

女20岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965409242},{"body":{"content":"有什么需要帮助的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965411629}]

男6个月19天

2022.05.20

[{"body":{"content":"您好，感谢信任，接到您的问题，我先根据您提供的情况仔细分析一下，然后给您答复。我这条内容您不用回复，请稍等几分钟，我会详细解答。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879268155},{"body":{"content":"他现在在做靶免治疗，这边医生说肿瘤控制的还可以，就是肝硬化有点严重。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879324502},{"body":{"content":"你好，看结果，肝功能异常，与肝硬化，肝癌，以及肝癌靶免治疗都有关系，目前具体用的那几个药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879402729},{"body":{"content":"\n他现在吃 *******，*****，当***，*******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879443546},{"body":{"content":"嗯，靶免治疗用的什么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879536304},{"body":{"content":"而且靶免治疗多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879664881},{"body":{"content":"用的*****联合*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879722424},{"body":{"content":"嗯，目前看肝功能指标，黄疸转氨酶都比较高，靶免治疗需要注意风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879795185},{"body":{"content":"21天一次用了5次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879798590},{"body":{"content":"嗯嗯，因为靶免治疗也有肝损害风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879817120},{"body":{"content":"那您能给一个治疗建议，治疗方案吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879889341},{"body":{"content":"一般我们的患者靶免治疗期间如果肝功能指标持续升高，就要先暂停一次，加强***物治疗，等肝功能改善，尤其是胆红素水平最好降低到40以下再恢复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879957265},{"body":{"content":"谢谢医生 那现在有没有用药建议。他吃的药需不需要换。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880150636},{"body":{"content":"如果乙肝病毒DNA阴性，*****就不用换，***物也可以先维持目前几个，观察一周左右复查肝功能看变化，再决定下一步方案","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880220951},{"body":{"content":"那等一周后肝功能结果出来了我再联系你吧医生。他之前吃**，后来换的这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880358250},{"body":{"content":"可以，方案是否有效，关键看复查结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880385869},{"body":{"content":"那就先维持治疗，靶免停一停吧。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880445830},{"body":{"content":"对的，治疗安全第一，其次是效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880477356},{"body":{"content":"他现在还会偶尔发烧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880587846},{"body":{"content":"如果没有明确细菌感染，发烧考虑肿瘤有关，可以对症治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880636479},{"body":{"content":"这边医生考虑是腹水引起的腹膜炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880672486},{"body":{"content":"那就要用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880684305},{"body":{"content":"嗯 输着***，到时候看看效果吧。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880706907},{"body":{"content":"嗯嗯一般至少3-5天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880725506},{"body":{"content":"好 等结果出来我再联系您吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881425055},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881434381}]

男54岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是耳鼻喉科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049896183},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049897919},{"body":{"content":"看见照片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049915012},{"body":{"content":"多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049921373},{"body":{"content":"蛮久了，几个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049946443},{"body":{"content":"这个包考虑是皮脂腺囊肿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049977310},{"body":{"content":"腺管堵塞（灰尘 感染等）引起内容物无法排出形成","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049984292},{"body":{"content":"怎么医治啊？会越长越大不？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050003147},{"body":{"content":"这个需要去医院耳鼻喉科 门诊 切除的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050007187},{"body":{"content":"有可能增大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050013237},{"body":{"content":"必须切除吗？不会自愈？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050028687},{"body":{"content":"有可能自愈 如果平时没有什么影响 可以先观察 如果有增大 及时线下医院耳鼻喉科切除的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050065389},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050093232},{"body":{"content":"您客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050110630},{"body":{"content":"不要频繁的触摸刺激","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050117054},{"body":{"content":"要外涂药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050132402},{"body":{"content":"不用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050154825},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050182171},{"body":{"content":"您客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050236280},{"body":{"content":"如果病情没有缓解或者出现加重的情况，建议您及时线下公立医院就诊，以免延误病情。不适随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051707250}]

男28岁

2022.05.20