刘继帅

[{"body":{"content":"您好，我是耳鼻喉科医生，非常高兴为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050057489},{"body":{"content":"我先了解下您的具体情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050067959},{"body":{"content":"局部触摸质硬还是质软","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050075715},{"body":{"content":"摸起来有点硬的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050094520},{"body":{"content":"有破溃吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050132344},{"body":{"content":"之前是否有外伤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050136068},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050138718},{"body":{"content":"之前经常佩戴耳机","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050153966},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050188310},{"body":{"content":"长出来之后就一直没佩戴过任何耳机，一直是保持外露的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050193806},{"body":{"content":"最近有感冒吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050196645},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050200078},{"body":{"content":"之前有过这个症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050202789},{"body":{"content":"之前出现过长包","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050219930},{"body":{"content":"但是比这次轻的多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050227519},{"body":{"content":"三天左右就自然消退了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050236406},{"body":{"content":"这次已经持续四天了也没有消退的迹象","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050259007},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050280424},{"body":{"content":"有分泌物吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050291780},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050310436},{"body":{"content":"就一个包","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050315079},{"body":{"content":"根据您的描述，考虑 外耳道疖肿 的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050330234},{"body":{"content":"您之前有使用药物治疗改善吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050332048},{"body":{"content":"之前试着涂过两次红霉素软膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050356158},{"body":{"content":"但貌似没什么效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050364271},{"body":{"content":"就再没涂","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050370278},{"body":{"content":"可以对症治疗改善看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050423478},{"body":{"content":"为用药安全，请问您是否有药物过敏史，肝肾功能异常史，其他慢性疾病及心血管疾病史，是否处于特殊时期不能用药，近期在使用哪些其他药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050426032},{"body":{"content":"没有用药禁忌","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050452528},{"body":{"content":"最近没吃任何药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050461647},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050598586},{"body":{"content":"一般建议， 1、在饮食方面要清淡的饮食， 2、多休息，平时避免熬夜和太疲劳的情况， 3、注意不要长时间带耳机 洗澡以及洗头避免耳部进水，4、不要长期挖耳，挖耳时要轻柔","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050603304},{"body":{"content":"针对你的呢症状建议先使用点*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050618594},{"body":{"content":"一天2次使用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050640463},{"body":{"content":"使用3-5天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645882},{"body":{"content":"用药期间注意是否有破溃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050653539},{"body":{"content":"如果破溃之后*****暂停","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050664091},{"body":{"content":"使用***********一天2次使用治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050680700},{"body":{"content":"也可以直接交替使用，一天两次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050691579},{"body":{"content":"间隔1小时","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050695412},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050718771},{"body":{"content":"这个病容易复发吗医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050757011},{"body":{"content":"一般考虑和个人体质，外界环境，生活方式习惯，情绪压力等等都有影响的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050857225},{"body":{"content":"医生这个**可以用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050863475},{"body":{"content":"之后可以注意点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050867613},{"body":{"content":"避免长期戴耳机等刺激","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050880235},{"body":{"content":"*****是帮助排脓治疗疖肿的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050900222},{"body":{"content":"考虑更对症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050911082},{"body":{"content":"那这个可以涂吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050952122},{"body":{"content":"上述药物有一点**的功效","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051003718},{"body":{"content":"如果您想要使用试试","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051009616},{"body":{"content":"可以使用看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051012722},{"body":{"content":"建议用药前仔细阅读说明书中禁忌、注意事项、如无禁忌可使用，用药过程中如有不适或用药后症状无好转，建议及时医院就诊，排除**异常可能，或者再次上线问诊，帮您调整用药，注意按时复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051014960},{"body":{"content":"好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051043095},{"body":{"content":"您客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051118032},{"body":{"content":"使用之后可以上线复诊咨询我，给您看看具体的用药效果，是否调整用药或停药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051122599},{"body":{"content":"好的，我会先用我自己的**尝试一下，如果无效我就会换到您推荐的那一款，后续有什么问题我会再来咨询您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051210164},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051246285},{"body":{"content":"祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051247144},{"body":{"content":"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":1653051250511},{"body":{"content":"再没有了，谢谢您嘞","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051320953},{"body":{"content":"您客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051334279},{"body":{"content":"希望我的建议能帮助到您，如在治疗过程中还有任何问题，欢迎您随时上线咨询或者给我留言，非常感谢您的信任。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051337362},{"body":{"content":"再见","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051358116},{"body":{"content":"因线上咨询条件有限，且疾病具有相对复杂及发展变化的特点，如果使用药物治疗一疗程效果不佳 或 出现 其他不适 、甚至加重的情况，请您及时再次上线咨询或线下医院就诊 防止延误病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051450250}]

男21岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965468505},{"body":{"content":"有什么咨询的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965478411},{"body":{"content":"可以麻烦医生看一下这个病理结果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965516714},{"body":{"content":"是恶性的吗 原发性的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965531653},{"body":{"content":"可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965595472},{"body":{"content":"可能性较大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965633477},{"body":{"content":"您可以简单解释一下这个检查结果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965644223},{"body":{"content":"是直肠息肉吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965649684},{"body":{"content":"异性增生就提示恶性肿瘤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965698858},{"body":{"content":"病理活检已经比较明确考虑恶性肿瘤了，建议进一步做免疫组化等，具体看你主治医生的意见较好，他比较了解具体情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965756329},{"body":{"content":"看到明显的肿物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965794243},{"body":{"content":"那高级别上级内瘤是代表什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965799805},{"body":{"content":"提示恶性程度可能没那么高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966022000},{"body":{"content":"就是可能是恶性的 但是要进行进一步的检查确认","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966092014},{"body":{"content":"那这样的情况容易转移吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966130964},{"body":{"content":"只能看个人情况咯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966172955},{"body":{"content":"医生会帮你评估的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966187979},{"body":{"content":"好的 谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966201795},{"body":{"content":"不用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966213005}]

女49岁

2022.05.20

[{"body":{"content":"您好，我是妇产科医生王轩，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050269114},{"body":{"content":"今天也是这种不舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050299433},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050300067},{"body":{"content":"请问您最后一次月经什么时候来的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050300909},{"body":{"content":"5.5来的 5.11结束的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050468760},{"body":{"content":"平时月经多少天来一次呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050509610},{"body":{"content":"28天 一次来7天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050614814},{"body":{"content":"嗯嗯，现在疼痛的严重吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050633360},{"body":{"content":"不是特严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050671108},{"body":{"content":"就是坠得慌","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050687816},{"body":{"content":"之前有出现过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050689994},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050708365},{"body":{"content":"请问您有性生活史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050716023},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050719782},{"body":{"content":"已婚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050722444},{"body":{"content":"怀孕也是可能引起腹痛腰疼的，您目前有先排除怀孕的可能性吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050734638},{"body":{"content":"因为来完事没几天 所以没考虑怀孕的可能","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050756823},{"body":{"content":"嗯嗯，最好是排除一下怀孕，如果没有怀孕有可能是排卵痛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050811959},{"body":{"content":"白带有发黄吗/","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050820267},{"body":{"content":"刚完事几天 验孕棒能查出来吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050872107},{"body":{"content":"昨天有一点点黄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050884583},{"body":{"content":"可以的，如果是怀孕也可以测试出来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050889705},{"body":{"content":"您之前有盆腔炎病史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050895158},{"body":{"content":"没有盆腔炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050931579},{"body":{"content":"好的，那可能是排卵痛，您可以局部热敷一下，注意保暖，可以再观察看看的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050959911},{"body":{"content":"好的，那还要考虑怀孕嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051008294},{"body":{"content":"先测孕？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051020140},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051027167},{"body":{"content":"不一定怀孕，但是测试没有怀孕更放心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051037356},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051037470},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051040202},{"body":{"content":"不会有其他炎症吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051048400},{"body":{"content":"如果您腹痛、腰疼一直有不缓解，也有可能是有盆腔炎的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051107536},{"body":{"content":"这个是需要到线下医院让医生给您做触诊检查判断的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051117975},{"body":{"content":"那观察几天没缓解需要去医院呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051179711},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051214935},{"body":{"content":"如果一直不缓解有加重就建议医院检查了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051232131},{"body":{"content":"两三天后不缓解去可以吗，还是四五天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051335040},{"body":{"content":"观察2-3天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051361757},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051367274},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051398565},{"body":{"content":"注意休息、少熬夜；别吃生冷、刺激食物。睡前用温水泡泡脚，注意保暖；","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051585920},{"body":{"content":"您后续如果还有需要咨询的问题，可以在京东APP搜索“京东医生王轩”，就可以找到我。欢迎您随时留言咨询，我看到后**时回复您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051587787},{"body":{"content":"关闭问诊时间临近，希望我的建议能够帮助到您，感谢您的信任，如果您没有其他问题咨询，一会儿就结束问诊了，欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051589549}]

女25岁

2022.05.20

[{"body":{"content":"您好，请问这种情况出现多久了？有哪些症状呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965495127},{"body":{"content":"男性的阴茎头有hpv病毒吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965534199},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965551730},{"body":{"content":"请问有过高危性行为吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965559609}]

男20岁

2022.05.20

[{"body":{"content":"您好，我是皮肤科副主任医师刘立红医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050872675},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050881855},{"body":{"content":"请问您是线下正规医院确诊银屑病了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050909724},{"body":{"content":"还没去正规医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050952535},{"body":{"content":"您这种情况具体多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050964340},{"body":{"content":"有12个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050979696},{"body":{"content":"皮疹都出现在哪些部位？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051017396},{"body":{"content":"脚眼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051034877},{"body":{"content":"除了您上传的这个部位，其他部位有类似的情况吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051065350},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051087211},{"body":{"content":"两只脚对称出现的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051121857},{"body":{"content":"就一个脚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051143997},{"body":{"content":"白色的鳞屑是一直都有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051180016},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051227443},{"body":{"content":"您的情况不能排除是银屑病的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051245218},{"body":{"content":"请问您有治疗过吗？具体用过什么药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051248450},{"body":{"content":"外用的药膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051286448},{"body":{"content":"为了避免重复用药，您记得药名吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051301650},{"body":{"content":"现在想用这个药，但要处方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051375030},{"body":{"content":"为了用药安全，请问您有药物过敏史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392628},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051462816},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051473666},{"body":{"content":"**********是对症的，可以使用，稍等给您开具处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051481613},{"body":{"content":"好好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051492740},{"body":{"content":"上面给您开具了处方单，您往上翻看一下，如果需要可以点击处方单按照提示线上预约购买。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051526668},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051599253},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051607094},{"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建议的药品，如在用药过程中出现不适，请您及时上线咨询或去医院就诊。建议定期复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051615901},{"body":{"content":"建议您尽量避免感冒，避免外伤，平时避免搔抓，避免热水烫洗，以免刺激加重病情，饮食清淡，忌辛辣刺激食物，避免饮酒，避免熬夜，多吃蔬菜和水果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051647879},{"body":{"content":"请问您还有其他问题需要咨询吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051827225},{"body":{"content":"如果您没有其他问题，我将结束问诊，希望我的建议能够帮助到您。请您在对话结束后给予五星好评，您的好评是对我工作最好的肯定和鼓励，欢迎您有问题随时上线咨询。祝您及家人身体健康。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051992932}]

男70岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050397365},{"body":{"content":"医生你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050404400},{"body":{"content":"有什么感觉吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050404539},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050407189},{"body":{"content":"就是晚上发现这里长了好多小红点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050435851},{"body":{"content":"我今天这个地方背了比较重的东西","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050464651},{"body":{"content":"就这块附近长了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050474395},{"body":{"content":"医生怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050479707},{"body":{"content":"看照片考虑毛周角化症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050482558},{"body":{"content":"这是啥","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050483109},{"body":{"content":"这个可以不用管它","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050491327},{"body":{"content":"它会自己消掉吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050549905},{"body":{"content":"一般不会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050556356},{"body":{"content":"好多，好丑的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050556559},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050559324},{"body":{"content":"那怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050562020},{"body":{"content":"就一直长成那样了吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050571722},{"body":{"content":"可以试试外用中药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050572972},{"body":{"content":"用什么药呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050580495},{"body":{"content":"可以外用*******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050598936},{"body":{"content":"这病严重的吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050610179},{"body":{"content":"不严重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050618999},{"body":{"content":"咋感觉拿点重的东西就会有这病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050627274},{"body":{"content":"我的手也有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050639146},{"body":{"content":"但是少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050643136},{"body":{"content":"偶尔会发现一颗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050650050},{"body":{"content":"也可以观察一段时间","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050653800},{"body":{"content":"现在是一大片","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050657317},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050660107},{"body":{"content":"一般不用理它是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050668916},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050679303},{"body":{"content":"这病会遗传吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050681228},{"body":{"content":"有遗传","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050693663},{"body":{"content":"如果母亲有这病，小孩会有吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050695174},{"body":{"content":"不一定","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050710700},{"body":{"content":"医生，拿药怎么用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050720426},{"body":{"content":"那药怎么用？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050728221},{"body":{"content":"一天一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050731943},{"body":{"content":"为了您的用药安全，请问您是否有药物过敏史？肝肾功能是否正常？是否有其他疾病史?是否正在服用药品？是否在备孕期、妊娠期或哺乳期","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050735571},{"body":{"content":"直接涂就好了吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050737947},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050750092},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050761979},{"body":{"content":"直接外用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050766182},{"body":{"content":"好的，我已经下单了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050865137},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050869704},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050940905}]

女26岁

2022.05.20

[{"body":{"content":"你好，有没有做过腰椎磁共振，腿痛常见的就是腰椎间盘突出压迫神经引起的疼痛。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965387414},{"body":{"content":"可以对症用一些营养神经的药物。常用的****，*****，B6。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965403426},{"body":{"content":"运动来把腿跳伤一年，理疗一年之后好了3个月，冬天受凉又疼了1年半没有好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965739100},{"body":{"content":"怎么回事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965762185},{"body":{"content":"一般是关节的问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965806619},{"body":{"content":"？？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965810468},{"body":{"content":"可以做个膝关节的磁共振","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965817975},{"body":{"content":"做了关节没事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965838358},{"body":{"content":"那到底是哪个地方痛呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965898411},{"body":{"content":"你可以做个腰椎磁共振","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965916581},{"body":{"content":"臀部，膝盖，裸关节也不舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965916723},{"body":{"content":"应该腰椎的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965925849},{"body":{"content":"你跳的时候也容易伤到腰椎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965944407},{"body":{"content":"做了腰椎也没问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965961416},{"body":{"content":"臀部，膝盖，裸关节走路时也疼，不走路也疼怎么回事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966014277},{"body":{"content":"如果是没问题，只是单纯的痛，可以做针灸理疗，有助于好转","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966016307},{"body":{"content":"走路疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966107557},{"body":{"content":"所以现在就是治疗的问题，去做一下理疗，有些人效果会很好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966143588},{"body":{"content":"感觉就不能多走，一多走就难受的走不动","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966172574},{"body":{"content":"嗯，可以理解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966198318},{"body":{"content":"检查是神经紊乱睡觉不行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968374876},{"body":{"content":"怎么治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968380565},{"body":{"content":"可以吃点*****看看。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968425908},{"body":{"content":"这个药起什么作用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968511839},{"body":{"content":"这个是改善睡眠的作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968684790},{"body":{"content":"吃*****1个月了，吃上睡，不吃就不睡，怎么办能不能在跟上吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968790997},{"body":{"content":"？？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968981828},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652969002316},{"body":{"content":"这个可以长期吃？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652969027766},{"body":{"content":"就是中成药没有什么副作用的，可以长期吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652969052565}]

女53岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049655968},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049673944},{"body":{"content":"家里老人，身上一到夏天就痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049690746},{"body":{"content":"其他季节没有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049704566},{"body":{"content":"这次几天了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049736451},{"body":{"content":"有一个月左右了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049759393},{"body":{"content":"和季节有关","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049784806},{"body":{"content":"过敏导致的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049790056},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049790428},{"body":{"content":"可以口服*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049808166},{"body":{"content":"过敏？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049811885},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049849017},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049857953},{"body":{"content":"平时应该注意什么啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049878705},{"body":{"content":"没有什么注意的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049890619},{"body":{"content":"有没有外用的药呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049929274},{"body":{"content":"可以用*******兑水洗澡","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049967391},{"body":{"content":"好，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049987578},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050009781},{"body":{"content":"为了您的用药安全，请问您是否有药物过敏史？肝肾功能是否正常？是否有其他疾病史?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050025628},{"body":{"content":"肝肾功能正常，只有皮肤痒的历史。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050081103},{"body":{"content":"开了两盒，可以兑水洗澡","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050137337},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050156673},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050182245}]

男80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":1652879070773},{"body":{"content":"一直持续的气短 呼吸困难 干呕 **","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879110703},{"body":{"content":"可以说得更具体，比如发生的时间？有多久了？和以前有区别吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879160653},{"body":{"content":"一直有 隔半小时就会有一会 然后又停一会 再继续 有两三个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879204774},{"body":{"content":"以前没那么频繁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879215110},{"body":{"content":"现在每天都会","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879220435},{"body":{"content":"睡眠情况或者食欲如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879306001},{"body":{"content":"没什么食欲 睡眠一般","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879352948},{"body":{"content":"想吃东西 但是吃不进 吃两口就不想吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879371233},{"body":{"content":"还有时候全身无力 用不上力气要不然就是很想用力抓着东西","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879423679},{"body":{"content":"目前是高三阶段？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879660388},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879710079},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881191975},{"body":{"content":"医生？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881260404},{"body":{"content":"依据京东健康服务要求，首次开药，需要提供既往病历和处方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884182789},{"body":{"content":"我们团队正在参加全国科普视频大赛，投票通道见二维码。我们是56号作品，共有四个视频，请全部点赞。一个视频链接请点一个赞（多点无效）。截止时间是7月3日24：00。感谢您的支持 。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1656039263361},{"body":{"content":"围绕青少年问题，我们团队制作了科普视频，正在参加全国科普大赛复赛，截止时间是7月3日24时https://pro.m.jd.com/mall/******/4********************9******/index.html欢迎您点赞支持（一个视频点一个赞，多点无效）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1656846356210},{"body":{"content":"围绕青少年问题，我们团队制作了科普视频，正在参加全国科普大赛复赛，截止时间是7月3日24时https://pro.m.jd.com/mall/******/4********************9******/index.html欢迎您点赞支持（一个视频点一个赞，多点无效）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1656847802846}]

女19岁

2022.05.20

[{"body":{"content":"您好，我是妇产科医生汪娟，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051184027},{"body":{"content":"收到，请稍等，我正在详细阅读您的报告单。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051195833},{"body":{"content":"您****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051204359},{"body":{"content":"看到了您上面的检查结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051241766},{"body":{"content":"**还可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051247510},{"body":{"content":"您目前有阴道出血或腹痛吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051255574},{"body":{"content":"左下腹偶尔有一点点隐隐痛的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051280873},{"body":{"content":"平时月经规律吗？多少天来一次？最后一次月经哪天来的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051280943},{"body":{"content":"平时月经不规律，有时候差不多两个月才来一次，最后一次来月经是上个月的4号","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051322830},{"body":{"content":"嗯，那目前停经有46天，但从超声看应该没有这么长时间，考虑近期受孕的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051383789},{"body":{"content":"从超声看目前36天左右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051443109},{"body":{"content":"请问医生，那早期有什么注意的事项吗，我这是第一胎，不知道有什么该要注意的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051457791},{"body":{"content":"**吃上了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051473869},{"body":{"content":"吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051483976},{"body":{"content":"昨天检查怀孕了之后就开始吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051495963},{"body":{"content":"嗯嗯。继续用上，如无用药禁忌，后续保持生活作息规律，心情愉悦，饮食清淡，劳逸结合，保持大便顺畅，暂禁性生活，勿提重物，定期产检。如有阴道出血或腹痛需要及时线下医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051551343},{"body":{"content":"好的，那饮食上有什么注意的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051586190},{"body":{"content":"辛辣刺激的及冰冻的食物不要吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051630005},{"body":{"content":"别的可以适量都吃点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051641548},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051667325},{"body":{"content":"不客气，请问还有什么可以帮助到您的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051690420},{"body":{"content":"没有了，谢谢医生，麻烦医生了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051706356},{"body":{"content":"好的，希望我的建议能够帮助到您，祝您生活愉快，孕期顺利，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051791115}]

女24岁

2022.05.20