刘继帅

[{"body":{"content":"您好，我是儿科医生麻大夫，您看有什么可以帮您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050386139},{"body":{"content":"您好，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050391535},{"body":{"content":"宝宝有那些不舒服症状表现吗，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050398265},{"body":{"content":"小孩消化不好，上次在医院开了**胃的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050424381},{"body":{"content":"这里处方能开吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050436735},{"body":{"content":"不爱吃饭，大便干","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050455601},{"body":{"content":"从小脾胃一直不好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050475668},{"body":{"content":"在给您开具处方之前需要先跟您确认一些情况，希望您能够理解。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050483987},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050494692},{"body":{"content":"*******10ml*10支/盒----您是要开具这个药物吗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050506842},{"body":{"content":"宝宝 之前服用 *******效果怎么样？宝宝既往有无药物过敏史？有无肝肾功能损害？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050524972},{"body":{"content":"吃过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050544168},{"body":{"content":"根据您提供病史资料，考虑诊断脾胃不和。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050587323},{"body":{"content":"*******。 属于处方药物，请问您有 既往 线下就诊记录、处方、物理检查单、病历等资料吗？您辛苦上传一下宝宝线下病例资料，谢谢。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050595810},{"body":{"content":"您好，关注我们对话吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051379479},{"body":{"content":"您好，如果没有线下诊疗资料，您可以找社区医生开具处方后再线上购药，或者线下购药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392062},{"body":{"content":"后续如果您还有其他问题需要咨询，可以在京东APP，搜寻--京东医生麻建辉，就可以找到我。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051873403}]

女4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":1653050018196},{"body":{"content":"收到您上传的图片了，您稍等，我帮您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050019959},{"body":{"content":"您好，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050026720},{"body":{"content":"请问您发现这种症状具体有多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050053869},{"body":{"content":"病情发展过程是先出现图四，然后图三，然后图二，然后图一，图四是最初出现的，现在是最严重的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050098497},{"body":{"content":"最开始出现是去年12月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050117337},{"body":{"content":"哪1张是现在的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050149609},{"body":{"content":"现在的都是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050157812},{"body":{"content":"目前有瘙痒，疼痛的感觉吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050179036},{"body":{"content":"首先，照片都是刚拍的，左脚上的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050188605},{"body":{"content":"有，痒，疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050197659},{"body":{"content":"我以为是脚气，用了一个月***，不管用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050214967},{"body":{"content":"是一只脚还是两只脚都有？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050241203},{"body":{"content":"我现在开始怀疑是不是湿疹或者混合之类的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050243684},{"body":{"content":"只有左脚有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050249671},{"body":{"content":"您的脚趾缝有脱皮脱屑的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050260027},{"body":{"content":"基本没有，我是汗脚，但没有脱皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050295605},{"body":{"content":"最近一个月每天晚上睡前涂抹***，每天换一双鞋垫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050326186},{"body":{"content":"患处目前是否有流水、破溃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050345241},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050351916},{"body":{"content":"根据您的图片和描述考虑 皮炎可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050425338},{"body":{"content":"我帮您调整一下用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050428696},{"body":{"content":"图一和图四皮肤下有很多肉眼可见的小红点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050429529},{"body":{"content":"皮肤上有好几个小孔，会从里面渗出液体","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050471714},{"body":{"content":"之前这个部位有水泡吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050473639},{"body":{"content":"最初的时候有过，一个疙瘩一样的东西","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050494112},{"body":{"content":"最开始的时候脚趾缝有脱皮吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050529653},{"body":{"content":"手指上有一个，就是最初跟脚底差不多时间出现的，这样的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050567070},{"body":{"content":"收到了，您稍等，我帮您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050595326},{"body":{"content":"一直都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050599022},{"body":{"content":"之前的脚上的疙瘩是硬的还是软的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050620259},{"body":{"content":"手指上这个没有恶化，它只是一直有个包，软的包","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050632265},{"body":{"content":"脚上的之前也是软的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050652434},{"body":{"content":"不是那种柔软，是硬硬的软","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050655340},{"body":{"content":"嗯，像青春痘那种疙瘩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050670334},{"body":{"content":"青春痘那种柔软度吧，大概是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050703282},{"body":{"content":"目前从图片来看是属于皮炎湿疹样改变的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050731498},{"body":{"content":"***先不要用了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050745059},{"body":{"content":"需要换个药物治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050750130},{"body":{"content":"根据上述情况我可以给您一些用药建议。\n为了用药安全，请问您有无药物过敏史及肝肾功能异常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050750863},{"body":{"content":"我也越来越觉得不像脚气","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050751035},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050762372},{"body":{"content":"好的， 稍等2分钟 我这边给您发送药物链接，用药前请您仔细阅读药品说明书中禁忌，注意事项，不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050843486},{"body":{"content":"好的，它也适用于我手上的这个包么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050865786},{"body":{"content":"您手部这个目前不太典型， 药物不适合的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050904527},{"body":{"content":"药物只是治疗目前瘙痒疼痛的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050905475},{"body":{"content":"皮肤破损的这一块呢，有没有什么方法让它变好？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050937187},{"body":{"content":"建议您可以外用 ******* 沾湿纱布湿敷 每天1次 每次 10分钟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050992733},{"body":{"content":"＋******每天两次治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050993162},{"body":{"content":"*******就有 **祛腐的作用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051025874},{"body":{"content":"可以治疗目前这种皮肤病损的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051053493},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051124294},{"body":{"content":"您太客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051133400},{"body":{"content":"您可以先点击“处方单”-查看详情-预约，稍后再给您一些生活建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051135302},{"body":{"content":"我刚才已经买完您链接里的药品了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051154092},{"body":{"content":"好的，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051162048},{"body":{"content":"缴费也完成了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051165144},{"body":{"content":"主要是 建议您穿透气性好的鞋袜，避免焐热，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051169579},{"body":{"content":"保持足部干燥， 一定要避免抠抓刺激","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051174563},{"body":{"content":"我每天会用这个泡脚，以后还可以么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051220993},{"body":{"content":"这个不是临床常用的药物，个人是不建议使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051224703},{"body":{"content":"特别是目前这种疼痛的情况，不要使用 了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051231564},{"body":{"content":"以免刺激加重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051234448},{"body":{"content":"嗯，那我就正常的洗脚完事敷药就可以了是么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051260215},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051270815},{"body":{"content":"嗯嗯，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051277316},{"body":{"content":"我还有什么其他的注意事项不？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051291616},{"body":{"content":"用这种，无菌纱布沾湿******* 敷在脚部患处","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051298787},{"body":{"content":"避免加重感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051301828},{"body":{"content":"基本整个脚底就都需要了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051316070},{"body":{"content":"***是敷完睡前再用么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051395786},{"body":{"content":"纱布可以展开使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051397528},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051400348},{"body":{"content":"是早晚各一次吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051416502},{"body":{"content":"敷完药，晾干后在涂抹 *****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051425661},{"body":{"content":"***** 早晚各1次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051428631},{"body":{"content":"******* 每天一次就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051432548},{"body":{"content":"嗯嗯，好的，知道了，谢谢您，我没有问题了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051453672},{"body":{"content":"不客气，能帮到您是我的荣幸。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051471292},{"body":{"content":"给您发送了一张我的排班表 您可以先保存在手机相册中 后期按照我上班的时间 打开京东app 就可以找到我复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051478689},{"body":{"content":"好的，谢谢，已保存","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051507047},{"body":{"content":"抱歉打错字了，是敷完药，晾干后在涂抹 ******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051510827},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051519377},{"body":{"content":"好的 ，如果没有其他问题，我就结束问诊了，希望我的建议能帮助到您。感谢您的信任，祝您和家人平安健康，晚安","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051531055}]

男42岁

2022.05.20

[{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050028806},{"body":{"content":"三四天吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050037099},{"body":{"content":"摸着大拇指那里是软的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050045554},{"body":{"content":"基本不会疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050046861},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050059117},{"body":{"content":"肿了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050064921},{"body":{"content":"按着是软的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050097454},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050103758},{"body":{"content":"刚刚还破了出黄水了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050121104},{"body":{"content":"如果按着是软的 里面有脓的话可能就得去医院切开治疗了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050145966},{"body":{"content":"有脓吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050158513},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050171989},{"body":{"content":"吃过***吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050232238},{"body":{"content":"***的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050236670},{"body":{"content":"没吃过***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050264375},{"body":{"content":"这是什么情况？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050288801},{"body":{"content":"是甲沟炎吗还是别的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050298741},{"body":{"content":"这样 我建议您吃几天*** 外用*** 如果持续不好转 建议您去医院切开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050310990},{"body":{"content":"看着怀疑甲沟炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050321946},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050388141},{"body":{"content":"用**消毒有用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050404046},{"body":{"content":"不要用**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050416351},{"body":{"content":"**可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050577071},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050646669}]

男28岁

2022.05.20

[{"body":{"content":"药吃了一个多月，咋感觉没效果呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967270903},{"body":{"content":"目前主要是什么重要，和前面相比怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968917330},{"body":{"content":"感觉还是射精快，中途疲软","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652969326209},{"body":{"content":"硬度不够","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652969348009},{"body":{"content":"尿频尿急尿不尽或者尿痛尿无力尿分叉尿滴白有哪些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652969497527},{"body":{"content":"尿不尽，无力分叉 痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653018804405},{"body":{"content":"这是前列腺炎的症状，有检查治疗过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018827420},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051447993},{"body":{"content":"有尿频尿急尿不尽或者尿痛尿无力尿分叉尿滴白吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051499893}]

男25岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050205207},{"body":{"content":"请问是怎么受伤的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050217262},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221825},{"body":{"content":"小孩玩耍，不小心用棍棒碰到眼睛了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050261065},{"body":{"content":"昨天这个时候就一点血丝，现在就是图片上的症状了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050301978},{"body":{"content":"有没有视力下降？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050304757},{"body":{"content":"没有，除了一点点涩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050336388},{"body":{"content":"这个问题不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050344926},{"body":{"content":"没有其他症状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050356345},{"body":{"content":"就是结膜下的小血管受外力撞击之后破裂了导致的结膜下出血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050375996},{"body":{"content":"就是血丝血块多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050381832},{"body":{"content":"1-2天内单位会有逐渐扩大的趋势","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050404756},{"body":{"content":"需要进医院治疗吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050412595},{"body":{"content":"不需要的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050423702},{"body":{"content":"这个血块3-4周会自己吸收","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050435641},{"body":{"content":"48小时内建议您用冰袋冷敷一下眼睛促进**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050455062},{"body":{"content":"48小时候可以热敷促进积血吸收","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050467620},{"body":{"content":"昨天不明显，**一直在封控状态，昨天就没有去看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050478335},{"body":{"content":"需要***消毒杀菌之类的吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050511077},{"body":{"content":"您如果觉得实在不舒服可以用一点*******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050536958},{"body":{"content":"症状不明显的话不需要特殊处理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050550412},{"body":{"content":"不舒服到是不明显，不然昨天就开就医证明去医院看了，就是稍微有点涩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050611544},{"body":{"content":"那不需要特殊处理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050657921},{"body":{"content":"这几天尽量少用眼就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050669522},{"body":{"content":"3-4周积血就能吸收完了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050683825},{"body":{"content":"今天可以用冰袋敷一下**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050706072},{"body":{"content":"饮食有什么要求注意的吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050708917},{"body":{"content":"好的，一会我去冰敷一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050733257},{"body":{"content":"不要吃辛辣的就好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050757726},{"body":{"content":"这个可以滴吗医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050786167},{"body":{"content":"这不不需要哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050790759},{"body":{"content":"这个是降眼压的，不对症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050797576},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050806395},{"body":{"content":"谢谢医生了，**封控出不去，麻烦您了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050851738},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050858813},{"body":{"content":"你们都辛苦了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050881845}]

男34岁

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":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965669409},{"body":{"content":"宝宝这样的情况有多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965680363},{"body":{"content":"就今天早晨","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965701026},{"body":{"content":"好的，看不出有蚊虫叮咬的痕迹吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965852017},{"body":{"content":"暂时看不出来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965894996},{"body":{"content":"好像也有一个小红点点，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965908714},{"body":{"content":"哦，可以先用**消毒，在涂上***看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965948058},{"body":{"content":"出现红肿还是考虑炎症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965963503}]

男1岁7个月

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":1653050140253},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050163868},{"body":{"content":"请问这个是什么情况？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050204097},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050207060},{"body":{"content":"我先了解下您的具体情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050218346},{"body":{"content":"是否有明显耳内疼痛、瘙痒，分泌物，耳堵闷感或耳道流水，有耳鸣、眩晕、听力下降的症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050224848},{"body":{"content":"不知道啊。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050242433},{"body":{"content":"我妈有阿尔茨海默症","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050267984},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050272626},{"body":{"content":"这个情况多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050273400},{"body":{"content":"有分泌物吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050276786},{"body":{"content":"一年了吧，之前没发现。去年掏出很多耳屎。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050287149},{"body":{"content":"今年发现有结痂。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050304791},{"body":{"content":"您之前是否在线下医院就诊过，做过哪些检查或治疗，效果如何","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050312752},{"body":{"content":"好像没有水流出来。平时洗澡都是我爸给她洗澡。也不知道有没有水流进去。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050341971},{"body":{"content":"没有给耳朵做过治疗。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050350895},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050395977},{"body":{"content":"之前有用药吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050401413},{"body":{"content":"症状是持续性还是间断性","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050408340},{"body":{"content":"没有用过药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050411808},{"body":{"content":"好像有一个月这样子，发现有结痂","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050433802},{"body":{"content":"根据您的描述和照片，考虑外耳道炎 的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050449307},{"body":{"content":"可以对症治疗改善看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050452946},{"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":1653050454637},{"body":{"content":"我是最近拿金属的耳耙给她掏耳屎的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050464208},{"body":{"content":"不知道是不是掏得过度了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050478304},{"body":{"content":"就是想尽量能涂点药。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050493082},{"body":{"content":"吃药的话，不配合","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050509977},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050584507},{"body":{"content":"有上述过敏史等情况吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050587054},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050612830},{"body":{"content":"建议先使用**蘸取****把分泌物结痂擦拭清洁一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050725933},{"body":{"content":"清洁干净之后","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050732593},{"body":{"content":"建议局部使用小**蘸取*******(Ⅱ)，有**、抗菌的功效，一天2次局部涂抹治疗改善","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050756269},{"body":{"content":"先使用一周看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050760890},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050780486},{"body":{"content":"您客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050801437},{"body":{"content":"这个如果不用药，会不会自己好？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050804968},{"body":{"content":"这个药物是处方药，给您开具处方参考一下用药，需要的时候可以线上使用或者线下参考购买。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050806598},{"body":{"content":"您稍等，处方开具需要2-3分钟，马上给您开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050808480},{"body":{"content":"避免症状加重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050990908},{"body":{"content":"建议对症治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050992925},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051075692},{"body":{"content":"您好，处方已开好，您可以直接点击处方预约购药了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051298239},{"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":1653051299684},{"body":{"content":"有问题您随时复诊咨询我，您在京东健康首页，看病，直接搜索我的名字，就可以找到我","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051606614},{"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":1653051609484},{"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":1653051610510},{"body":{"content":"建议您方便还是需要线下医院检查一下耳内镜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051628589},{"body":{"content":"排除耳内其他病症影响的可能性","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051634897}]

女64岁

2022.05.20

[{"body":{"content":"您好，我是儿科副主任医师石莉医生，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":1653050147784},{"body":{"content":"一天几次大便？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050153513},{"body":{"content":"前天晚上两次，昨天两次 今天两次。拉水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050237245},{"body":{"content":"精神状态好不好？食欲好不好？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050261359},{"body":{"content":"都好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050265337},{"body":{"content":"那就是有一些消化不了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050277754},{"body":{"content":"喂一点鞣酸蛋白酵母散","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050283350},{"body":{"content":"吃了这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050302281},{"body":{"content":"昨天开始吃的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050315682},{"body":{"content":"要不要吃**➕这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050350841},{"body":{"content":"这个就加上****，水样便的话。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050357678},{"body":{"content":"哪个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050374787},{"body":{"content":"他就是水样便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050382321},{"body":{"content":"哪两个搭配？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050397607},{"body":{"content":"****和上面那个***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050407257},{"body":{"content":"这干吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050451442},{"body":{"content":"这个吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050476661},{"body":{"content":"这个******和您喂的那个都属于***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050485291},{"body":{"content":"我说的是鞣酸蛋白酵母散","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050497121},{"body":{"content":"*****➕**吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050584245},{"body":{"content":"如果是喂鞣酸蛋白酵母散就喂这一种就行。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050611185},{"body":{"content":"如果喂***就加上****。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050631836},{"body":{"content":"好的，可以开我开处方吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050645120},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050654250},{"body":{"content":"开****吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050663332},{"body":{"content":"***和***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050673695},{"body":{"content":"根据上述情况我可以给您一些用药建议。为用药安全，请问是否有严重药物过敏史或者药物严重不良反应？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050687570},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050715722},{"body":{"content":"用药前您仔细阅读药品说明中禁忌注意事项，如果无禁忌，没有过敏史，没有不适，可使用我为您开的药品，如果您在应用过程中出现不适，请及时上线咨询或者是线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050769307},{"body":{"content":"您别太着急，可以参考上面给您的指导，结束后麻烦您可以给我一个评价，如果后续还有问题，欢迎您随时找我咨询，后期可以直接平台搜索我的名字：**,如果期间有过敏等不良反应，症状持续加重等，建议尽快去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050806832},{"body":{"content":"医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051054062},{"body":{"content":"****怎么吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051067008},{"body":{"content":"****一次一袋，一天2~3次，空腹吃。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051102872},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051109377},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051115992},{"body":{"content":"***和**间隔时间要多久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051120601},{"body":{"content":"两个小时","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051128580},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051139071},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051160374},{"body":{"content":"可以喝牛奶吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051232236},{"body":{"content":"少喝点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051250517},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051271631},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051283653}]

男4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":1653047863538},{"body":{"content":"结婚几年没孩子 怀过一次 没胎心","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653047905267},{"body":{"content":"后来**过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653047915960},{"body":{"content":"后来**过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653047921312},{"body":{"content":"后来**过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653047969892},{"body":{"content":"做过相关检查吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653048257411}]

女32岁

2022.05.20