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":"尊敬的PLUS会员，您好，我是耳鼻喉科郝医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050298553},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050299022},{"body":{"content":"您的症状多长时间了，有没有用药，用药后有没有缓解？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050308929},{"body":{"content":"我耳朵疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050308937},{"body":{"content":"没有用药，持续的痛感有2天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050329507},{"body":{"content":"是 耳廓那吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050353106},{"body":{"content":"还是耳朵里边疼痛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050415560},{"body":{"content":"里面哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050430758},{"body":{"content":"现在感觉脸都有点痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050445674},{"body":{"content":"您有挖耳或是洗头洗澡外耳道进水的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050462708},{"body":{"content":"外面是摸到也痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050470268},{"body":{"content":"没有进水的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050477284},{"body":{"content":"考虑是发炎了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050517119},{"body":{"content":"我看有耳鸣或是听力下降吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050537915},{"body":{"content":"现在没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050548135},{"body":{"content":"局部有泡吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050560289},{"body":{"content":"也没有，就是有个洞","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050575646},{"body":{"content":"以前哪有小眼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050612069},{"body":{"content":"以前没有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050624725},{"body":{"content":"这个是左边耳朵","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050642776},{"body":{"content":"您可以先用些口服的***加*****对症治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050669527},{"body":{"content":"为了您的用药安全，请问您有没有药物过敏史？有没有在备孕期、孕期或哺乳期？肝肾功能有没有异常？或是其他用药禁忌的情况，如果有请提前说明。没有异常回“无”即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050675952},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050684082},{"body":{"content":"建议******* 每次1粒每天2次， 局部涂抹******日3次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050714181},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050732805},{"body":{"content":"建议您清淡饮食避免辛辣及刺激性食物，耳部避免碰水","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050770314},{"body":{"content":"很高兴能为您解答，希望我的建议对您所帮助，但是网络问诊毕竟有一定的局限性，如果病情变化或是病情恢复不理想，建议您及时复诊或去专科就诊，不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050773129},{"body":{"content":"收到。谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050992304}]

女43岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050015860},{"body":{"content":"有什么可以帮到你的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050020634},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050027922},{"body":{"content":"有多长时间了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050041968},{"body":{"content":"有没有使用改善睡眠药物治疗，效果如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050047708},{"body":{"content":"患者77岁 女 无精神病史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050062178},{"body":{"content":"晚上睡觉总是说梦话，而且时常会大声喊叫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050083264},{"body":{"content":"您看这种情况可能是什么原因导致的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050119544},{"body":{"content":"平时有没有感觉全身无力，不愿意活动？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050159947},{"body":{"content":"这种现象有多长时间了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050184561},{"body":{"content":"突然出现的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050192023},{"body":{"content":"这种状况有些年了，一直没太在意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050230467},{"body":{"content":"没有不愿意活动","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050251206},{"body":{"content":"精神状态还挺好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050259244},{"body":{"content":"白天是正常的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050267219},{"body":{"content":"白天很正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050289403},{"body":{"content":"以前有什么疾病？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050308938},{"body":{"content":"主要是晚上睡觉不紧说梦话，喊，还手脚乱动","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050317092},{"body":{"content":"没有精神类疾病的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050325951},{"body":{"content":"曾经有过突然发生的强烈不适感或心慌、眩晕、感到憋气或呼吸困难等症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050336992},{"body":{"content":"心脏不太好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050340716},{"body":{"content":"心慌 呼吸和困难 偶尔会有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050377017},{"body":{"content":"毕竟岁数在那了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050384975},{"body":{"content":"最近有没有压力增大？\n思虑过多，精神紧张等表现？ ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050389309},{"body":{"content":"这个是有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050396735},{"body":{"content":"老人心思比较重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050403645},{"body":{"content":"之前跟老伴总生气","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050422826},{"body":{"content":"情绪有没有波动？有没有容易生气发怒等，不易控制自己的情绪？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050433781},{"body":{"content":"会有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050440827},{"body":{"content":"但去年老伴去世了，这回基本不生气了，但这个病根留下了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050496464},{"body":{"content":"根据你提供的资料，目前考虑两方面问题 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050514044},{"body":{"content":"您看吃什么药或者怎样能对这种状况有缓解","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050516839},{"body":{"content":"第一，首先去医院神经内科门诊就诊，化验血常规，血糖，肝肾功能，甲状腺功能，查头颅CT，明确身体本身有没有问题。 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050551156},{"body":{"content":"如果检查没有问题，可以口服****，*****等治疗观察一下效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050607954},{"body":{"content":"好的，神经性的可能大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050626918},{"body":{"content":"可以吃**么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050634655},{"body":{"content":"第二，需要排查一下有没有焦虑等精神心理问题。 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645672},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050658470},{"body":{"content":"需要药物治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050663775},{"body":{"content":"**意义不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050671382},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050676368},{"body":{"content":"不过，在诊断焦虑问题前，必须先除外身体本身疾病。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050698859},{"body":{"content":"嗯嗯，明白","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050708573},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050712867},{"body":{"content":"谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050720067},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050728783},{"body":{"content":"那***吃什么对脑细胞好些呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050734096},{"body":{"content":"考虑出现的症状时间比较长，需要药物治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050772106},{"body":{"content":"***作用不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050782890},{"body":{"content":"那要是辅助营养呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050785297},{"body":{"content":"意义不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050814411},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050883307},{"body":{"content":" 多谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050896464},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050896594},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050900794}]

女41岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050075382},{"body":{"content":"你挂错科了，这是颌面外科的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050114499},{"body":{"content":"不是骨科专业的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050120674},{"body":{"content":"不是助手配对的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050178430},{"body":{"content":"那我该怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050249341},{"body":{"content":"重新挂科还是您能帮我开药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050336412},{"body":{"content":"你找客服看能不能给你转科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050709911},{"body":{"content":"这样你也能省点钱","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050725296}]

男35岁

2022.05.20

[{"body":{"content":"余医生这个上次您开了药娃儿吃完了，现在还是喊累，中途感冒了一次，最近又感冒有点支气管炎，这个药还能继续开着吃吗？感觉他呼吸声音比平时大一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652876518865},{"body":{"content":"因为最近回区县了，上来不方便也就没有带上来儿童医院来看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652876665617},{"body":{"content":"这个是最近在地方查血的结果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652876713597},{"body":{"content":"什么问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879311767},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879315328},{"body":{"content":"上面的内容要重复发一遍吗？，可以看见不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879347728},{"body":{"content":"病历发给我看一下，现在用的什么药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879351169},{"body":{"content":"之前在您那里开了一个疗程的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879392288},{"body":{"content":"现在小朋友还是喊累，中途有感冒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879408259},{"body":{"content":"这几天又有一点感冒，喊累得比较频繁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879427564},{"body":{"content":"你再继续吃一个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879473745},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879487683}]

男2岁6个月

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":1653050806963},{"body":{"content":"请问医生在吗?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050903303},{"body":{"content":"在的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050913454},{"body":{"content":"方便上传清晰的患处图片吗？以便更好地为您分析病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050917115},{"body":{"content":"发际线吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050928378},{"body":{"content":"对的，或者发量比较稀疏的部位","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050945827},{"body":{"content":"您看我都快秃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050986862},{"body":{"content":"主要是前面","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051007730},{"body":{"content":"收到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051008188},{"body":{"content":"您家里有遗传的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051011148},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051016910},{"body":{"content":"根据您的图片及描述考虑是脂溢性脱发","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051036030},{"body":{"content":"我爷爷是秃顶","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051037530},{"body":{"content":"那是遗传问题可以治疗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051070591},{"body":{"content":"目前考虑是脂溢性脱发的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051072776},{"body":{"content":"遗传基因是改变不了的，但是可以用药控制和缓解症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051084087},{"body":{"content":"应该怎么治疗啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051117557},{"body":{"content":"根据您的情况可以给您用药建议，为用药安全，请问您是否有严重药物过敏史或者药物严重不良反应？近期肝肾功能是否正常？是否有慢性疾病？ 如没有，可以直接回复“否”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051131286},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051137625},{"body":{"content":"建议您口服*****，外用******治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051199561},{"body":{"content":"平时的***可以换成*****吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051254933},{"body":{"content":"用药前请您仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用我为您开具的药品，如您在用药过程中出现不适，请您及时上线咨询或去医院就诊。建议您定期复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051267574},{"body":{"content":"稍后可以给您推荐一种***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051280416},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051354247},{"body":{"content":"谢谢医生！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051359453},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051376322},{"body":{"content":"可以给您开具处方方便您线上购药，如果需要稍后可以直接点击处方单预约购买","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051380747},{"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":1653051445699},{"body":{"content":"******是是非处方药，您可以自己购买","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051457350},{"body":{"content":"建议您避免辛辣刺激油腻饮食，均衡饮食，多吃高蛋白的食物，蔬菜和水果，适当锻炼身体，避免头皮长时间暴露在阳光下，避免熬夜，焦虑，精神紧张等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051569208},{"body":{"content":"请问您还有其他问题需要咨询吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051744111},{"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":1653051832312}]

男21岁

2022.05.20

[{"body":{"content":"您好，我是副主任医师石红梅，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049741718},{"body":{"content":"医生你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049754985},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049755082},{"body":{"content":"我测两次第二个都没颜色","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049767490},{"body":{"content":"你好，有什么问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049774397},{"body":{"content":"你好，结果是阴性","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049822940},{"body":{"content":"显示的是没有怀孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049838239},{"body":{"content":"第二个窗口为啥没反应","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049840781},{"body":{"content":"都给我整无语了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049850057},{"body":{"content":"您好，您可以拍一下说明书吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049887205},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049924734},{"body":{"content":"您好，我是医生，早孕试纸的生产厂家非常多，其制动过程，结果显示也不是完全相同的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049929298},{"body":{"content":"五秒也有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049942314},{"body":{"content":"第二个质控窗就是没反应","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049955929},{"body":{"content":"你好，这种结果，建议您进行复查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050014066},{"body":{"content":"质控窗口没有正确显示，这个结果的参考意义比较小","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050042337},{"body":{"content":"那是晚上测还是早上测","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050075512},{"body":{"content":"影响大吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050084083},{"body":{"content":"你好，正常情况下，早孕试纸检测，是用晨尿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050116321},{"body":{"content":"晨尿相对于其他时间的尿液是比较浓缩的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050136155},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050168093},{"body":{"content":"如果第二个窗口还是没有咋整呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050177218},{"body":{"content":"质控窗口不显示，结果就不是那么可靠，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050204048},{"body":{"content":"希望对您有所帮助","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050277881}]

女

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0081，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051236153},{"body":{"content":"你干活的时候一直要用眼，所以眼睛干涩疼，还有点儿红，该用什么***呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051257512},{"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":1653051282432},{"body":{"content":"性别女，年龄50。没有其他病史。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051458997},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051463229},{"body":{"content":"该用什么***啊，医生？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051652429},{"body":{"content":"这个药物看下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051662985},{"body":{"content":"功能主治】 用于缓解眼睛疲劳、结膜充血以及眼睛发痒等症状。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051894673},{"body":{"content":"【用法用量】 滴眼，一次1～2滴，一日3～4次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052020068},{"body":{"content":".打开后应在4周内用完，逾期请勿使用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052080547},{"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3-4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":1653052092811},{"body":{"content":"您好，您看还有其他药理问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052098010},{"body":{"content":"没有没有，谢谢，谢谢。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052155151},{"body":{"content":"很高兴为您服务，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":1653052188223}]

女

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0364，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051022825},{"body":{"content":"请问还有别的什么症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051028487},{"body":{"content":"好像没有了吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051072503},{"body":{"content":"请问这种情况有多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051081014},{"body":{"content":"今年开始的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051101595},{"body":{"content":"是不是经常看看手机之类的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051112506},{"body":{"content":"去年好像没有这么怕光吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051118944},{"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？是为本人用药咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051128668},{"body":{"content":"是有时候经常看手机","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051141279},{"body":{"content":"女，23岁，本人用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051156649},{"body":{"content":"为了您 的用药安全，特殊情况请提前告知，如：（糖尿病、肝肾等其他慢性病史、备孕期、孕期、哺乳期、是否有过敏史）、如果没有则回复“无”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051233158},{"body":{"content":"没有过敏史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051433031},{"body":{"content":"但是不知道有没有怀孕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051445098},{"body":{"content":"月经有推迟 吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051458067},{"body":{"content":"我的经期还要过两三天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051465732},{"body":{"content":"那建议您等月经过后再服用药物了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051531675},{"body":{"content":"是口服的药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051560566},{"body":{"content":"口服和外用都可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051579224},{"body":{"content":"都建议等经期过后再用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051589592},{"body":{"content":"可以用这个珍珠明目 滴眼液来缓解症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051735955},{"body":{"content":"为了安全注意要在确定没有怀孕的情况下使用哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051759297},{"body":{"content":"如果怀孕滴这个是有副作用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051793861},{"body":{"content":"这个不一定的，但为了安全怀孕期是不建议随便使用药物的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051824258},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051845752},{"body":{"content":"不客气，用我的专业帮到您我非常高兴!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051887876},{"body":{"content":"生活和饮食注意：注意用眼保健，晚上早休息，注意消除引起症状的原因。多吃含****的食物，多吃含****的食物，如**、**、**等。**可以明目，也可以。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051892478},{"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3天无效果或病情加重，请及时咨询医师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051897184},{"body":{"content":"您好，您看还有其他问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051898803},{"body":{"content":"很高兴为您服务，请对我本次的服务做出评价，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":1653052105079}]

女

2022.05.20

[{"body":{"content":"您好贺医生 我要买药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011373161},{"body":{"content":"我觉得我最近状态还可以 我考虑适当减药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011393046},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011399024},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011411803},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011411803},{"body":{"content":"买什么药物？几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011411804},{"body":{"content":"减药最好，找一下，当地医生","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011428542},{"body":{"content":"面诊检查一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011430363},{"body":{"content":"不要自己减药，容易复发","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011447299},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011514275},{"body":{"content":"4盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011520574},{"body":{"content":"这个药的副作用我一直很担心 因为吃太久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011531210},{"body":{"content":"定期去医院检查就可以了，一般没事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011554417},{"body":{"content":"感觉现在记忆力各方面变差","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011554924},{"body":{"content":"您是患者什么人？病情稳定吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011556592},{"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":1653011558137},{"body":{"content":"本人","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011569141},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011615655},{"body":{"content":"目前我觉得状态还可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011631334},{"body":{"content":"那贺医生你就给我开药吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011650751},{"body":{"content":"我到时候再去找医生看一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011661407},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011681831},{"body":{"content":"***4盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011695321},{"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":1653011697905},{"body":{"content":"下次买药前，您在【京東app】，搜【***】，图文问诊挂号，就可以给您开药了！最新上线【私人医生】服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011699765},{"body":{"content":"ok","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011896743},{"body":{"content":"帮我点右下角【加号➕】或者右上角的表扬医生，请给我一个好评，【写几个字】就行！或者在结束问诊的时候写评语！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011902879},{"body":{"content":"我只能买预约药品吗 可以买其他的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653012007927},{"body":{"content":"我把你这个处方单下载下来 京东大药房的药都可以买？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653012022901},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653012028553},{"body":{"content":"自己截图处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653012051835},{"body":{"content":"自己留着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653012054790}]

女44岁

2022.05.20