刘继帅

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965819803},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965831017},{"body":{"content":"哺乳期可以吃******不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965847471},{"body":{"content":"人呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965882773},{"body":{"content":"是有这个药是吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965910565},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965938829},{"body":{"content":"您有什么症状表现呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965940368},{"body":{"content":"肚子疼，拉肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965978061},{"body":{"content":"这个是中药**药，可以吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966046918},{"body":{"content":"哺乳期可以吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966059422},{"body":{"content":"肚子痛厉害还是需要医院看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966080043},{"body":{"content":"需要停止哺乳么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966195557},{"body":{"content":"孩子多大？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966219482},{"body":{"content":"还没满月呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966229372},{"body":{"content":"15天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966238405},{"body":{"content":"这个是中成药，一般没有什么问题。如果不放心需要到医院就诊，根据情况用药治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966294171},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966345989},{"body":{"content":"药里面是中药 **为主成分的，****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966412309}]

女26岁

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":"您好，京东大药房药师工号0089，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050857239},{"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":1653050871627},{"body":{"content":"我脚的第三个指甲盖上有白色的点 这个是灰指甲吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050884376},{"body":{"content":"可以用的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050891047},{"body":{"content":"请问有图片看一下吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050904444},{"body":{"content":"我这个属于灰指甲吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050904910},{"body":{"content":"可以上面图片看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050918505},{"body":{"content":"如果有图片看更好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050941699},{"body":{"content":"是灰指甲的一种。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050972913},{"body":{"content":"坚持用药两个月以上。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050978108},{"body":{"content":"严重吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050995325},{"body":{"content":"中等的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051001623},{"body":{"content":"饮食上不要吃辣的冷的食物和鱼虾，海鲜等发物。日常多喝温水，排出身上的毒素。晚上不能熬夜，22点之后要入睡。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051006699},{"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7天无效果或病情加重，请及时咨询医生师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051052515},{"body":{"content":"我这个用上面那个连接的要药就可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051063068},{"body":{"content":"可以用的。是对症这样的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051082541},{"body":{"content":"这个怎么用？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051107147},{"body":{"content":"一天几次?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051114152},{"body":{"content":"我这个会传染给孩子吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051123125},{"body":{"content":"早晚一次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051128622},{"body":{"content":"会有传染性。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051134189},{"body":{"content":"不要让别人穿自己的鞋子。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051141256},{"body":{"content":"直接涂在指甲盖上吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051149654},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051158130},{"body":{"content":"要用多久？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051158331},{"body":{"content":"两个月以上。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051163850},{"body":{"content":"这个是膏状的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051175568},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051193069},{"body":{"content":"您看还有**药理问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051224145},{"body":{"content":"这个药只能治灰指甲吗脚气管用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051254429},{"body":{"content":"吸收好，就是效果快。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051274038},{"body":{"content":"也治脚气。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051302428},{"body":{"content":"坚持用药就可以。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051393673},{"body":{"content":"您看还有**药理问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051409916},{"body":{"content":"您好，请问您咨询的是这个药品吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051474898},{"body":{"content":"很高兴为您服务，请对我本次服务做出评价，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":1653051512387}]

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":1652965172866},{"body":{"content":"你好，我想问一下十二岁的小女孩一般子宫厚度是多少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965241103},{"body":{"content":"你这个是要去咨询妇科的，我们这边是儿科。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965301296}]

女12岁

2022.05.20

[{"body":{"content":"您好，我是主治医师许奇峰，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049832526},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049835926},{"body":{"content":"可以吃这款巧克力吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049883034},{"body":{"content":"一般情况下是不建议，容易升高血糖","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049888896},{"body":{"content":"无糖的也不能吃啊？?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049921498},{"body":{"content":"该产品是高热量的，容易升高血糖","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050478552}]

女

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是眼科张医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051014952},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051015424},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051026568},{"body":{"content":"是需要开具 ********吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051035496},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051045979},{"body":{"content":"好的，看到了宝宝线下医院的药物处方单","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051065444},{"body":{"content":"为用药安全，请问宝宝有没有药物过敏史？肝肾功能有没有异常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051069746},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051074877},{"body":{"content":"需要开具几盒呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051097291},{"body":{"content":"她已经用过这个药了，然后拿着到处涂","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051098387},{"body":{"content":"两盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051102659},{"body":{"content":"药污染了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051111243},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051120501},{"body":{"content":"请稍等，一会这个页面可以看到处方单，点击预约药品即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051122683},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051131871},{"body":{"content":"用药前请严格按说明或医嘱来使用药物，如在用药过程中 如出现皮疹、皮肤瘙痒、发热等过敏反应和 任何不适或症状没有明显改善，立即停药并及时线下医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051135310},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051148364},{"body":{"content":"处方审核通过了，点击处方单—查看详情—预约药品即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051182245},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051275624},{"body":{"content":"我需两盒，现在是四盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051291891},{"body":{"content":"你直接开一盒吧，它的链接是两盒的量","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051344990},{"body":{"content":"这边打开处方显示给宝宝开具的是2盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051374593},{"body":{"content":"2×2是四盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051439166},{"body":{"content":"你给我开一盒吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051466451},{"body":{"content":"因为一次问诊只能开具一次处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051478043},{"body":{"content":"这样吧，您按照以下的方法购药看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051491786},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051507963},{"body":{"content":"第一、点进上方的处方单-截图保存在手机里","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051508548},{"body":{"content":"第二、********，点药物后的小车 把药物加入购物车，在购物车里购买药物，上传截图的处方，预约药物即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051530496},{"body":{"content":"我现在在找另一位医生问诊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051531527},{"body":{"content":"您按照这个方法就可以购药了，不需要再重新问诊开具处方了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051555860},{"body":{"content":"在用药观察3到5天如果病情没有缓解或者出现加重的情况，可以线上复诊或线下公立医院眼科就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051730444},{"body":{"content":"希望我的建议能够帮助到您，同时感谢您的信任与支持。之后有任何其他问题，可以在京东APP搜索“京东医生张茜”就可以找到我，祝宝宝早日恢复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051737466}]

女3岁

2022.05.20

[{"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、儿童生长发育相关问题的需要，京东平台为您准备了儿科专家一对一服务及专属福利","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050267136},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050269292},{"body":{"content":"宝宝3个多月吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050280206},{"body":{"content":"您好！是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050296372},{"body":{"content":"不建议吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050304638},{"body":{"content":"等再大一点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050315963},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050332861},{"body":{"content":"一般吃辅食最早不早于4个月。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050346601},{"body":{"content":"很高兴为您服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050353421},{"body":{"content":"请问您是否还有其他育婴问题需要咨询","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050355357},{"body":{"content":"如果暂时没有别的话，能不能麻烦你点击对话框右上角“表扬医生”按纽。给我一个好评，谢谢您的支持","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050360869}]

女

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，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":1652965432936},{"body":{"content":"HPV病毒可以导致湿疣，有传染性，正常人没有不洁性接触史不会得的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965516151}]

男24岁

2022.05.20

[{"body":{"content":"药名，厂家，规格及几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878668253},{"body":{"content":"您好刘主任 上次跟你问诊过 ***一日一片的剂量出现勃起障碍 您建议我降半片 经过一个星期的降药 现在情况改善了很多 有晨勃了 也能勃起 但还是差点意思 还是没有性欲 勃起的硬度还是差一些 请问该怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878802100},{"body":{"content":"一片是多少mg的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652885475581},{"body":{"content":"50ng","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652923981989},{"body":{"content":"可以停一周看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652926027792}]

男25岁

2022.05.20