刘继帅

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049896493},{"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、科学备孕相关问题的需要，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":1653049897757},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049900549},{"body":{"content":"三件套怎么用的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049931237},{"body":{"content":"请问宝宝多大了呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049943009},{"body":{"content":"9个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049951957},{"body":{"content":"原液是倒进洗澡水里给宝宝泡澡祛痱止痒。防蚊液直接喷涂于皮肤上防止蚊虫叮咬，止痒凝露是宝宝被蚊虫叮咬后涂抹的，可以快速止痒**哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049996958},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050019927},{"body":{"content":"***和****都是可以直接喷涂的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050023234},{"body":{"content":"不客气哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050026644},{"body":{"content":"您还有问题咨询吗，如果方便的话麻烦右上角给点个评价，谢谢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050031211},{"body":{"content":"麻烦您帮我点一下星星，非常感谢您的支持，祝您生活愉快，祝宝宝健康成长?。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050034975}]

女

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0493，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049800103},{"body":{"content":"孩子多大了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049803766},{"body":{"content":"15岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049815991},{"body":{"content":"为了您孩子的用药安全，特殊情况请提前告知，如：（其他慢性病史、是否有过敏史），如果没有则回复“无”","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049829504},{"body":{"content":"脸，背都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049837336},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049841547},{"body":{"content":"方便发张照片看下症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049849486},{"body":{"content":"背上的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049860570},{"body":{"content":"稍等，我看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049865027},{"body":{"content":"请问针对您孩子的症状，最近是否使用过药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049939982},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049952101},{"body":{"content":"好的，稍等帮您推荐一下药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049955378},{"body":{"content":"您可以参考一下这个产品，对您说的情况比较合适","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049986102},{"body":{"content":"**\n用法用量，一天一次，涂抹在患处","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049989696},{"body":{"content":"这个不含**等成分的，孩子也可以使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050001251},{"body":{"content":"脸上也可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050012398},{"body":{"content":"是 的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050030952},{"body":{"content":"脸上身上都可以用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050037282},{"body":{"content":"好的 非常感谢您！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050055314},{"body":{"content":"您太客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050067629},{"body":{"content":"建议您孩子平时少吃油腻、刺激性食物，近期不吃鱼虾蟹等发物，不要挤压患处，以免继发感染，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050087754},{"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":1653050233290},{"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":1653050234957}]

女

2022.05.20

[{"body":{"content":"您好，我是住院医师狄华，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049936951},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049940591},{"body":{"content":"Lindt*****排装85%可可黑巧克力100g","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049961598},{"body":{"content":"低血糖的能不能吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049961882},{"body":{"content":"低血糖可以吃，加糖一起吃更好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049984340},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049990825},{"body":{"content":"不客气哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050264909}]

女

2022.05.20

[{"body":{"content":"说说你的情况怎么样包皮过长。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652969488088}]

男18岁

2022.05.20

[{"body":{"content":"您好，我是主治医师申传莱，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050085875},{"body":{"content":"你闹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050089687},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050094519},{"body":{"content":"\n血糖多少","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050099138},{"body":{"content":"早晨空腹7.5左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050191862},{"body":{"content":"确诊几年了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050209728},{"body":{"content":"10多年","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050220504},{"body":{"content":"这款可以服用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050289660},{"body":{"content":"无糖","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050293009},{"body":{"content":"控制血糖要控制主食量，每日最多400g\n\n少喝粥 淀粉类食物少吃\n如土豆 ** 粉条粉皮等\n按时服药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050305869}]

女

2022.05.20

[{"body":{"content":"冷敷抬高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049760432},{"body":{"content":"必须下地活动，避免长时间走路","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049765719},{"body":{"content":"先冷敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049771413},{"body":{"content":"嗯好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049814288},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049829195},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049839550},{"body":{"content":"祝早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049841186},{"body":{"content":"48小时后热敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049851954},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049863238},{"body":{"content":"不用客气，有问题就给我留言。也感谢您的咨询，如果您对我的服务满意，请帮忙评价一下满意请打五星，您的鼓励对我很重要。谢谢您对我工作的支持和鼓励。祝您健康！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050069083}]

女37岁

2022.05.20

[{"body":{"content":"您好，我是皮肤科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051288686},{"body":{"content":"鼻子黑头肉眼可见","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051291720},{"body":{"content":"为了方便医生对病情做出正确的判断，您能发一个异常地方的图片吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051292070},{"body":{"content":"皮肤表面黑色素太多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051305904},{"body":{"content":"用那个洗面奶好呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051314445},{"body":{"content":"目前方便拍一个面部的图片吗，我帮您看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051330102},{"body":{"content":"鼻子有事容易出油","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051335498},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051338792},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051346597},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051401807},{"body":{"content":"目前有用药治疗过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051405926},{"body":{"content":"相机看不见","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051407458},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051410416},{"body":{"content":"有好用的洗面奶嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051418841},{"body":{"content":"目前您的情况考虑黑头粉刺的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051425760},{"body":{"content":"请问有无肝肾功异常、药物过敏史、相关用药禁忌及其他疾病？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051429951},{"body":{"content":"上述情况有没有呢，这边给您建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051432168},{"body":{"content":"不用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051437902},{"body":{"content":"你介绍个洗面奶吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051447709},{"body":{"content":"目前主要是注意局部皮肤清洁及**，可以的话可以适当用点改善油脂分泌及局部对症的药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051458696},{"body":{"content":"如果是洗面奶","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051461047},{"body":{"content":"可以使用这种","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051470824},{"body":{"content":"建议您平时要清淡饮食，避免进食辛辣刺激，油腻及过甜的食物，同时做好面部清洁，避免抠抓挤压，生活规律，避免熬夜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051560745},{"body":{"content":"其他还有什么可以帮到您吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051562072},{"body":{"content":"可以去黑头嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051570441},{"body":{"content":"去黑头的话还是建议用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051582777},{"body":{"content":"洗面奶的作用是比较小的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051588161},{"body":{"content":"用这个还用洗面奶嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051624854},{"body":{"content":"还是建议使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051636376},{"body":{"content":"平时的护肤也比较重要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051642392},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051644590},{"body":{"content":"您没有药物禁忌吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051651154},{"body":{"content":"平时保养都用什么呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051654351},{"body":{"content":"我感觉我脸越来越油了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051678169},{"body":{"content":"之前还不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051682790},{"body":{"content":"是的，所以可以建议用点药物来改善一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051696192},{"body":{"content":"没有上述禁忌的情况下建议您 搭配维生素B6片 口服 每次2片20mg 每天一次 缓解油脂分泌过多情况，同时局部黑头处点涂****** 晚上避光使用一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051738971},{"body":{"content":"去黑头怎么去呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051748088},{"body":{"content":"柔和点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051751882},{"body":{"content":"*****主要是改善油脂分泌，******可以改善局部黑头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051774161},{"body":{"content":"平时用洗面奶洗脸后适当使用水乳面霜就可以的，做好保湿**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051806442},{"body":{"content":"那个洗面奶用着好点也","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051871766},{"body":{"content":"目前给您推荐的可以控油祛痘","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051891267},{"body":{"content":"效果还是可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051896234},{"body":{"content":"配合药物一起使用，一般2周左右会有一定的改善","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051914931},{"body":{"content":"后续您可以根据药物效果找我复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051922546},{"body":{"content":"、治疗期间您有其他问题需要问诊咨询，打开京东APP，搜索我的名字即可点诊我为您服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051929213},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051946528},{"body":{"content":"后续用药前请仔细阅读药品说明书中禁忌，注意事项，如无禁忌及注意事项中提及的问题可使用，使用请严格遵循说明书用法用量，如在用药过程中出现不适则请及时停药，同时上线咨询或线下就诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051958164},{"body":{"content":"如果没有其他问题，这边就先帮您关闭问诊了，希望我的建议能够帮助到您，非常感谢您的信任","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051959684}]

男19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":1653051209087},{"body":{"content":"先暂停 服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051219054},{"body":{"content":"这个活血的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051223157},{"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":1653052135367},{"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":1653052136419}]

女

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","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049671056},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049683371},{"body":{"content":"不可以喂奶","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049692432},{"body":{"content":"有传染性","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049695215},{"body":{"content":"但是他不吃奶粉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049725839},{"body":{"content":"他可以跟我一起睡吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049754937},{"body":{"content":"不可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049775192},{"body":{"content":"容易得水痘","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049780172},{"body":{"content":"建议不要一个房间","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049786284}]

女32岁

2022.05.20