刘继帅

[{"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","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965712672},{"body":{"content":"请问您现在怀孕多少周了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965717615},{"body":{"content":"你好。我昨天刚怀孕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965722788},{"body":{"content":"血糖正常吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965724173},{"body":{"content":"正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965730350},{"body":{"content":"平时的血糖正常，刚刚怀孕可以喝奶茶，但是注意适量","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965746451},{"body":{"content":"我上班累了。我就去买*****喝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965768212},{"body":{"content":"孕期不建议喝浓茶、饮料等，但是如果偶尔一次比较少量的也是可以的，注意适量","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965815420}]

女32岁

2022.05.20

[{"body":{"content":"您好，请详细说一下您的疑问","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878824388},{"body":{"content":"就是阴道分泌物粉末状，特别痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879832895},{"body":{"content":"去医院开过吃的药，塞的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879884910},{"body":{"content":"都用过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879890662},{"body":{"content":"比原来轻点了，但是还是刺挠痒，白色粉末状，跟豆腐渣似的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879925233},{"body":{"content":"2月份化验的时候，是这样的白带吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879952972},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879973891},{"body":{"content":"具体都用了哪些药呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880009728},{"body":{"content":"**挫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880046566},{"body":{"content":"赛过***用，塞完便秘。大便出血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880095862},{"body":{"content":"还有，具体忘了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880111816},{"body":{"content":"吃的****吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880152721},{"body":{"content":"去医院看，就是里面有一层白膜，老出粉末状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880170542},{"body":{"content":"爱过一盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880182748},{"body":{"content":"吃过一盒，没有了，没吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880194138},{"body":{"content":"***塞了几天呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880199796},{"body":{"content":"感觉这个药吃了火大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880205579},{"body":{"content":"那个赛过三四天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880219448},{"body":{"content":"后来就没有再塞药了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880230221},{"body":{"content":"便秘，大便总出血，就没敢在塞","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880252129},{"body":{"content":"塞了火大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880263439},{"body":{"content":"这个怎么这么反复啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880282191},{"body":{"content":"您的便秘症状和塞药没有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880313531},{"body":{"content":"没塞的时候没事啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880328114},{"body":{"content":"应该是霉菌性阴道炎合并细菌性阴道病，本次建议塞药+口服，更换其他药物，需要坚持治疗至少一周","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880348951},{"body":{"content":"稍等给您发用药方法","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880363430},{"body":{"content":"用啥药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880364624},{"body":{"content":"现在疫情严重了，也没法去医院买药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880385067},{"body":{"content":"京东现在也不送","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880400144},{"body":{"content":"还赛过一个往外拽的，带绳的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880447173},{"body":{"content":"口服的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880455946},{"body":{"content":"也不管用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880461217},{"body":{"content":"治疗建议：\n1.口服****，每日2次，每次2片，一共吃7天，这个不受月经期影响。\n2.同时，*************/****，每晚1粒阴道用，7天。用药后垫卫生巾，免得弄脏衣裤。月经干净后再连用7天，巩固治疗。\n3.用药期间不要同房。瘙痒时可以用较冷的水坐浴，可以明显缓解瘙痒症状，不能用热水烫，会肿。\n4.不要做阴道冲洗，因为阴道有自净的功能，冲洗会破坏环境。\n5.穿透气裤子，不要久坐。\n6.月经期勤换卫生巾，白天2小时换一次。\n7.适当锻炼增强免疫力，对预防阴道炎复发有一定好处。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880489031},{"body":{"content":"如果京东不能送，可以看看其他平台，或者和社区申请买药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880587389},{"body":{"content":"治疗建议：\n1.口服****，每日2次，每次2片，一共吃7天，这个不受月经期影响。\n2.同时，*************，每晚1粒阴道用，7天。用药后垫卫生巾，免得弄脏衣裤。月经干净后再连用7天，巩固治疗。\n3.用药期间不要同房。瘙痒时可以用较冷的水坐浴，可以明显缓解瘙痒症状，不能用热水烫，会肿。\n4.不要做阴道冲洗，因为阴道有自净的功能，冲洗会破坏环境。\n5.穿透气裤子，不要久坐。\n6.月经期勤换卫生巾，白天2小时换一次。\n7.适当锻炼增强免疫力，对预防阴道炎复发有一定好处。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880611028},{"body":{"content":"是这两种药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880991871},{"body":{"content":"对","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881026321},{"body":{"content":"不用管哪个厂家","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881064154},{"body":{"content":"不用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881146325},{"body":{"content":"我每天都要用水洗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881152939},{"body":{"content":"水洗外阴就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881187659},{"body":{"content":"要是来月经了，就不能塞了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881199156},{"body":{"content":"估计快来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881206782},{"body":{"content":"吃药不受月经影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881225103},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881236694},{"body":{"content":"塞药塞到来月经，然后月经后不要等症状复发，也不要同房，继续塞药一周","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881243206},{"body":{"content":"能加个微信吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881245747},{"body":{"content":"抱歉平台要求不可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881262104},{"body":{"content":"我之前赛过一个**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881269055},{"body":{"content":"后续假如有疑问，可以选择追问包","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881278041},{"body":{"content":"忘记啥名了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881279625},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881287153},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881294016},{"body":{"content":"什么样子的**，塞了以后怎样了呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881300094},{"body":{"content":"我忘记了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881335770},{"body":{"content":"没起啥作用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881345116},{"body":{"content":"这个************应该是效果比较好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881500303},{"body":{"content":"先用用看吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881506084},{"body":{"content":"得坚持用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881514338},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881556468},{"body":{"content":"还有盒装的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881720093},{"body":{"content":"用瓶装的，还是盒装的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881734928},{"body":{"content":"瓶装的吧，更便宜应该","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881898474},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881926245},{"body":{"content":"您给开的是这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882871258},{"body":{"content":"都可以的，这都是很普通的药，品牌不重要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882950158},{"body":{"content":"那就买这种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883119713},{"body":{"content":"第一个买3盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883128464},{"body":{"content":"是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883134145},{"body":{"content":"我按您这个下单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883147529},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883186232},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883195851},{"body":{"content":"早点休息","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883202045},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883212863},{"body":{"content":"怎么显示一个药是疫情有关，不会手机弹窗吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884037998},{"body":{"content":"不应该啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884056176},{"body":{"content":"我已经下单了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884102991},{"body":{"content":"***和疫情无关","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884103597},{"body":{"content":"*","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884107673},{"body":{"content":"不过现在天天核酸，不会弹窗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884115231},{"body":{"content":"您快休息吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884116078},{"body":{"content":"好的?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884120414},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884121125},{"body":{"content":"晚安","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884126346},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884130280},{"body":{"content":"您***，那个药我看24号才能发","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652920824313},{"body":{"content":"那先塞几天***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652927872667},{"body":{"content":"那个也没拿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652929531711},{"body":{"content":"那只能先洗洗了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652929576590},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652931563618},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652931571572},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652931576532},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967383148},{"body":{"content":"那个不发货","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967400728},{"body":{"content":"这个美团可以送","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967412549},{"body":{"content":"这款药可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967421386},{"body":{"content":"可以的，一样的成份","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967590673},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967785473},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967807082}]

女46岁

2022.05.20

[{"body":{"content":"您好，我是全科医生李宛霖，非常高兴由我为您提供咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050621543},{"body":{"content":"李医生介绍：12年毕业于西南医科大学临床医学,从业十年，一次性通过内科主治、全科主治。擅长社区常见病包括：心血管、内分泌、呼吸科、消化道疾病，婴幼儿喂养，以及皮肤科、妇科、男科、五官科常见疾病的诊治。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050622675},{"body":{"content":"请问是否有其他基础疾病，在用药，是否有肝肾功异常，药物过敏？（例行询问用药禁忌）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050634683},{"body":{"content":"我想买几盒***。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050658990},{"body":{"content":"开几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050667592},{"body":{"content":"癫痫多长时间检查一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050718689},{"body":{"content":"原来在**检查了，疫情期间有一年多没给孩子检查啦。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050740611},{"body":{"content":"开六盒吧。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050765129},{"body":{"content":"一般是3-6个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050770163},{"body":{"content":"那我们这个不会有什么问题吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050788143},{"body":{"content":"如果没有发作，一般说明药物控制可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050807940},{"body":{"content":"平常挺好的，今天有点儿发热，发作了一次。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050844752},{"body":{"content":"不知道是药量不高，还是发热引起的。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050858705},{"body":{"content":"如果发作了，必须线下复诊调药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050859554},{"body":{"content":"嗯嗯，好的，明天去化验一下。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050882482},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050898192},{"body":{"content":"我这边先给您开2盒吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050907057},{"body":{"content":"请问是否有其他基础疾病，在用药，是否有肝肾功异常，药物过敏？（例行询问用药禁忌）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050914408},{"body":{"content":"这些用药禁忌都没有对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920395},{"body":{"content":"我们孩子大了两盒吃不了几天。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050920766},{"body":{"content":"现在吃的多大计量的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050933035},{"body":{"content":"一颗半","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050947625},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050957928},{"body":{"content":"尽量给您多开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050961028},{"body":{"content":"这些用药禁忌都没有对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050967303},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050981148},{"body":{"content":"这可以了吗？我怎么下单呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051066309},{"body":{"content":"处方已经审核通过，您可以直接点击处方购买\n在上面，有个绿色的小卡片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051092784},{"body":{"content":"好的，谢谢。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051108775},{"body":{"content":"您直接点击我给您开的处方，付款就可以，就是那个绿色的卡片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051110722},{"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，比如：皮疹、皮肤瘙痒、发热等不适，请您及时停药并线上咨询或去医院就诊。不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051112681},{"body":{"content":"生活建议：保持良好情绪睡眠，适当运动，避免情绪激动，避免强光强声刺激，避免长期辛辣食物刺激，线下神经内科就诊，规律药物治疗，不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051417814},{"body":{"content":"后续如果还需开药，可以直接找我，我这边有您之前的问诊记录，开药会比较方便快捷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051712080},{"body":{"content":"如果没有其他问题，我这边就给您关诊了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051753486},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任，祝您工作生活愉快","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051755197}]

男16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、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":1653050114331},{"body":{"content":"您好，很高兴为您服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050116283},{"body":{"content":"您好，非常抱歉哈，这款没有增品的哈。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050157918},{"body":{"content":"母乳喂养妈妈不要吃油腻辛辣刺激的食物。\n\n奶粉喂养两餐之间给宝宝喂点温开水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050179124},{"body":{"content":"平时给宝宝多吃水果，蔬菜，容易消化的食物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050186334},{"body":{"content":"您可能忙，没关系我一直都在。您有问题随时找我，我会第一时间回复到您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050188377}]

女

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024099804},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024104129},{"body":{"content":"小便时尿道刺痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024112817},{"body":{"content":"出现这种情况多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024114158},{"body":{"content":"今天刚开始","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024122025},{"body":{"content":"有没有尿道口分泌物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024144463},{"body":{"content":"总是湿湿的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024163882},{"body":{"content":"近期有没有性生活?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024167058},{"body":{"content":"两周前有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024227477},{"body":{"content":"还有没有其他不适症状?\n","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024236416},{"body":{"content":"最近没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024238591},{"body":{"content":"没有其他不适症状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024251457},{"body":{"content":"考虑是泌尿道感染了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024254284},{"body":{"content":"建议到线下医院检查一下尿常规，泌尿系B超","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024264686},{"body":{"content":"可以药物治疗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024320680},{"body":{"content":"暂时没有时间去医院?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024337282},{"body":{"content":"最好是先检查明确，再用药治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024338245},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024345481},{"body":{"content":"有没有药物过敏史?肝肾功能是否正常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024345918},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024351506},{"body":{"content":"正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024358687},{"body":{"content":"是实名注册的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024366037},{"body":{"content":"不知道","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024372576},{"body":{"content":"不是实名，不能开具处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024375918},{"body":{"content":"***，是你的真实姓名吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024411125},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024417368},{"body":{"content":"治疗期间不要同房，不要喝酒，饮食忌辛辣刺激性食物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024538645},{"body":{"content":"OK","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024557618},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024574659}]

男20岁

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":1653051176918},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051230127},{"body":{"content":"宝宝是双眼都有症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051234152},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051239097},{"body":{"content":"平时宝宝有经常用手揉眼睛的情况吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051267519},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051290655},{"body":{"content":"眼泪在眼睛里存着的时候就会有好多黄色的脓状眼屎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051345952},{"body":{"content":"了解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051390235},{"body":{"content":"宝宝是纯母乳喂养吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051396214},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051400220},{"body":{"content":"症状出现后有给宝宝用药治疗过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051568555},{"body":{"content":"用过几天*** 后来发现不管用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051708066},{"body":{"content":"这个药物一天使用了几次呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051726670},{"body":{"content":"一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051730877},{"body":{"content":"一只眼睛一滴","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051744138},{"body":{"content":"了解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051777058},{"body":{"content":"根据您的描述初步考虑宝宝为泪囊炎伴泪道阻塞的表现","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051789461},{"body":{"content":"眼部分泌物增多是炎症的表现，需要局部用药来**治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051801433},{"body":{"content":"而******是**效果的药物，是对症的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051812262},{"body":{"content":"建议一天3次，一次1滴，给宝宝继续使用5天看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051828013},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051905655},{"body":{"content":"您客气，应该的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051913445},{"body":{"content":"在宝宝眼分泌物增多时，建议用****冲洗眼睛后再用药，有利于促进炎症的恢复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051917801},{"body":{"content":"****跟泪液的成分相似，有轻度**的作用，对眼睛没有刺激，而且这款是小支装****，使用方法跟***是一样的，非常方便卫生","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051996808},{"body":{"content":"使用10分钟后再使用***，不冲突","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052011235},{"body":{"content":"宝宝用药期间，妈妈饮食清淡，增加饮水量，多吃水果蔬菜，避免辛辣刺激的食物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052124025},{"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":1653052179870},{"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":1653052183827}]

男4个月

2022.05.20

[{"body":{"content":"脚指头","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050010986},{"body":{"content":"这个药效果怎么样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050028862},{"body":{"content":"您好，京东大药房药师工号0082号，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050035330},{"body":{"content":"请问您这样多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050040444},{"body":{"content":"不知道","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050046866},{"body":{"content":"近期是否就医诊疗过，近期是否服用过*西药物缓解症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050066008},{"body":{"content":"今天修脚！足疗店的人发现的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050068579},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050074664},{"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":1653050095773},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050112142},{"body":{"content":"根据您现在的症状，可能是灰指甲引起的这些症状，楚甲可以用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050131147},{"body":{"content":"用法用量\n将本品施用于病甲，每7天使用1-2次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050200962},{"body":{"content":"这个啊**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050203228},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050215623},{"body":{"content":"几瓶能好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050216928},{"body":{"content":"大概","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221165},{"body":{"content":"用药注意事项\n1、哺乳期妇女避免使用本品。 2、使用本品前请仔细阅读说明书，严格按照说明书使用本品。 3、本品不得吸入，本品应避免接触粘膜（如口腔，鼻）和皮肤皱褶处。 4、如果不慎将搽剂误入眼内或耳内，立即用水冲洗，就近立即去医院咨询医生或药师。 5、如果误服本品，就近立即去医院咨询医生或药师。 6、甲真菌感染面积较大的患者，如多于2个指（趾）甲、单（趾）感染面积超过指甲面积二分之一的患者需要综合治疗，使用本品前应咨询专科医生。 7、由于缺乏相关的临床研究资料，不推荐用于儿童。 8、老年患者应在医师指导下使用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050231958},{"body":{"content":"建议用药两至三盒左右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050244375},{"body":{"content":"1.养成良好的卫生习惯，不穿他人的鞋袜，不用他人的毛巾、浴巾、不与他人共用面盆、脚盆；2.经常清洗手脚，保持手足清洁**适的湿度；3.避免用手搔抓患部；4.避免进食辛辣刺激性食物和发物，戒烟酒，饮食以清淡为宜，多吃些新鲜蔬菜和水果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050246875},{"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":1653050254523},{"body":{"content":"前一瓶用多久可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050270679},{"body":{"content":"我看量很小","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050278181},{"body":{"content":"根据病甲多少哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050304024},{"body":{"content":"两个大母脚趾","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050325765},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050346703},{"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":1653050762489}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049992457},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050011441},{"body":{"content":"多长时间了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050048420},{"body":{"content":"6.7年了吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050071197},{"body":{"content":"都开始脱发","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050075635},{"body":{"content":"不长头发了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050080197},{"body":{"content":"看照片考虑脂溢性r皮炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050102616},{"body":{"content":"脂溢性皮炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050106844},{"body":{"content":"我没有红斑一类的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050154293},{"body":{"content":"也不痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050157163},{"body":{"content":"我基本头发一天就油了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050168217},{"body":{"content":"可以用****洗头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050195805},{"body":{"content":"少吃辛辣，少熬夜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050202479},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050255027},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050261761}]

男25岁

2022.05.20

[{"body":{"content":"您好！这里是京东医生皮肤科。你描述的情况我已经收到。为了配合确诊病情，请提供清晰度高的图片。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965641012},{"body":{"content":"脚拇指指甲边肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965695458},{"body":{"content":"网诊较为局限，完全要靠清晰度高的图片来判断病情，就和线下医院问诊是一个道理，医生也需要看你的患处，对你的情况进行诊断。希望理解，谢谢配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965708099}]

女28岁

2022.05.20