刘继帅

[{"body":{"content":"帮忙开个处方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878661387},{"body":{"content":"您好，我是马医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878663188},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878664652},{"body":{"content":"你是本人咨询吗？以往有过线下就诊经历吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878665977},{"body":{"content":"您好，请问您之前在线下医院就诊过吗？目前的药物是您本人在服用吗？具体的诊断是什么？有带有患者名字的诊断记录/病历/处方单/检查单等就诊资料吗？请发给我看一下，谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878671786},{"body":{"content":"是的，精神分裂，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878713706},{"body":{"content":"因为精神科药品的特殊性，平台咨询不能代替线下就诊，所以我们只能给要过线下就诊经历诊断明确的病情稳定的开具处方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878726455},{"body":{"content":"不可开方情况：\n１.　用药指导不可以\n２.　门诊缴费凭证不可以\n３.　互联网平台处方凭证不可以\n 4. 取药单不可以\n 5. 发票单不可以\n 6. 非精神心理科提供的凭证不可以！（神经内科规范处方除外）\n以上均缺乏专业认证！！！！！！！\n\n可开方情况（满足一种即可)：\n特别说明：以下可开方情况的专业认证与本次问诊的患者姓名、诊断、药品名称三者必须全部一致，否则不可开方！！！！！！！\n\n１．门诊病历（可无盖章，必须有医生签名）\n２.　住院病历（必须有医院公章）\n３.　出院小结（纸质手写必须有医院公章，电子版可无公章）\n４.　诊断证明（必须有医院公章）\n５.　处方单（必须有医生签名）\n 6· 线下实体医院自有互联网医院处方单（必须有医生签名）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879085715}]

女37岁

2022.05.20

[{"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":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965187595},{"body":{"content":"淋巴癌肿大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965238839},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965275173},{"body":{"content":"淋巴癌肿大，治疗方法？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965310785},{"body":{"content":"是什么样的淋巴癌？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965323324},{"body":{"content":"有没有什么资料图片？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965337592},{"body":{"content":"肿大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965354794},{"body":{"content":"疼痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965370933},{"body":{"content":"没有资料的话只能说个大概，多数是放疗化疗，或者加上手术切除这些办法。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965422939}]

女20岁

2022.05.20

[{"body":{"content":"您好，你能再详细的说一下现有的症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878768015},{"body":{"content":"有没有发烧，局部炎症？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878786767},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879903522},{"body":{"content":"打了三天点滴，有一点消退了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879937101},{"body":{"content":"有没有查血常规呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880041173},{"body":{"content":"没有查。就做了比超，打了**，现在又有点消退了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882693354},{"body":{"content":"那您可以继续坚持治疗，另外还是建议您查个血常规，看看是不是炎症引起淋巴结肿大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882763536}]

男34岁

2022.05.20

[{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务，请稍等，我正在详细阅读您的病情描述。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965432936},{"body":{"content":"HPV病毒可以导致湿疣，有传染性，正常人没有不洁性接触史不会得的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965516151}]

男24岁

2022.05.20

[{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050336462},{"body":{"content":"根据图片考虑是荨麻疹，这个和过敏有关，但是具体什么过敏不好说，这个起的快落的快，消退后不留痕迹，可以口服抗过敏药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050358266},{"body":{"content":"生完孩子半年后就有快1年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050362539},{"body":{"content":"每天晚上吃完晚饭2小时左右?️","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050379844},{"body":{"content":"这个也属于是过敏反应，但是具体什么东西过敏不好说，可以到医院查一个过敏源找找原因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050395658},{"body":{"content":"过几个小时就好了，有时候手臂上，有时候腿部，有时候肚子上","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050423950},{"body":{"content":"手臂和腿上还对称","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050446474},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050458411},{"body":{"content":"不管它能自行消退吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050466236},{"body":{"content":"过几个 小时就没了好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050484689},{"body":{"content":"不管他就好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050493579},{"body":{"content":"这个能治愈吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050545695},{"body":{"content":"最好查查过敏源","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050545984},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050552568},{"body":{"content":"那个不好治愈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050566512},{"body":{"content":"也可以吃吃中药调理调理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050573000},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050626605},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050668849},{"body":{"content":"不要恢心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050678260},{"body":{"content":"好多人生完孩子之后体质改变会起这个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050685137},{"body":{"content":"**时间长了也会好很多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050688808}]

女34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":1653050268329},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050270946},{"body":{"content":"这个要小朋友不小心吃了点有问题吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050299417},{"body":{"content":"这款喷雾主要是植物精油成分，给宝宝喷抹的时候可以按摩促进吸收，（注意避开眼鼻口）\n如果不小心吃到，建议您及时给宝宝簌口，清洁口腔，多喝水，注意观察，如感到不适建议咨询医生哦~</p>","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050334046},{"body":{"content":"请问您还有什么需要咨询的问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050368715},{"body":{"content":"对话结束后，麻烦您对我的服务做个评价，耽误您几秒钟，请点右上角的“表扬医生”按钮。拜托拜托??祝\t生活愉快，宝宝健康快乐成长！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050385344},{"body":{"content":"好的，会有影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050416701},{"body":{"content":"不会的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050425591},{"body":{"content":"观察一下，宝宝没有不适反应就没事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050468150},{"body":{"content":"请问您还有什么需要咨询的问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050500351},{"body":{"content":"对话结束后，麻烦您对我的服务做个评价，耽误您几秒钟，请点右上角的“表扬医生”按钮。拜托拜托??祝\t生活愉快，宝宝健康快乐成长！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050502983},{"body":{"content":"一般会有什么不良反应？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050511171},{"body":{"content":"恶心，呕吐","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050532923},{"body":{"content":"如果都没有就没有事的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050547360},{"body":{"content":"如果这样是不是就要洗胃呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050558403},{"body":{"content":"可能不用，只要不是太多就没事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050579487},{"body":{"content":"主要是小孩只有2岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050604387},{"body":{"content":"还不会说","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050611455},{"body":{"content":"这款不是喷雾的吗，宝宝不是打开喝的吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050619262},{"body":{"content":"让宝宝多喝点水","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050637843},{"body":{"content":"不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050640778},{"body":{"content":"那就应该没事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050659143},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050670333},{"body":{"content":"?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050674866},{"body":{"content":"请问您还有什么需要咨询的问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050682028},{"body":{"content":"对话结束后，麻烦您对我的服务做个评价，耽误您几秒钟，请点右上角的“表扬医生”按钮。拜托拜托??祝\t生活愉快，宝宝健康快乐成长！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050691727}]

女

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","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965025702},{"body":{"content":"能拍个照片看一下吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965047862},{"body":{"content":"身体右侧肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965053284},{"body":{"content":"颜面部肿吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965055421},{"body":{"content":"右侧是上肢和下肢吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965072607},{"body":{"content":"既往有什么基础疾病吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965083725},{"body":{"content":"上肢不肿对吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965143453},{"body":{"content":"按压肿得地方有凹陷吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965163733},{"body":{"content":"从图上看您左侧下肢及脚面是肿的，而不是右侧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965225387},{"body":{"content":"整个右边都是肿的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965257392},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965272777},{"body":{"content":"心脏和肾脏都查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965285570},{"body":{"content":"没有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965292020},{"body":{"content":"我自己拍不到全身","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965311743},{"body":{"content":"单侧水肿考虑血管的问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965318746},{"body":{"content":"哪的血管呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965364390},{"body":{"content":"建议您查下腔静脉及下肢动静脉超声或血管核磁","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965384820},{"body":{"content":"都查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965401080},{"body":{"content":"血管核磁可能更清楚一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965409087},{"body":{"content":"有问题吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965420435},{"body":{"content":"有点静脉曲张。但不足以导致整个右侧的肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965429488},{"body":{"content":"脸的肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965459714},{"body":{"content":"如果水肿部位比较的应该考虑上面血管的问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965459845},{"body":{"content":"胳膊没法拍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965468281},{"body":{"content":"自身免疫抗体谱有没有查过？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965476117},{"body":{"content":"没","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965488092},{"body":{"content":"属于内分泌么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965498738},{"body":{"content":"主要考虑血管的问题，就是全身血管的问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965501139},{"body":{"content":"属于风湿免疫科。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965509879},{"body":{"content":"腰脱或颈椎问题会导致这种问题么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965534492},{"body":{"content":"需要做个全身的血管检查么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965569183},{"body":{"content":"ct或核磁么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965592431},{"body":{"content":"不会的，颈椎和腰椎的问题，它不会引起单侧的颜面的问题，除非是脑神经脑血管堵塞，但是会伴行运动障碍。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965614130},{"body":{"content":"核磁看血管比较清楚。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965625364},{"body":{"content":"需要挂什么科室呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965659792},{"body":{"content":"风湿免疫科么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965671643},{"body":{"content":"可以的，可以挂风湿免疫科，考虑全身血管病变。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965682508},{"body":{"content":"早晨起来手抓不严","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965712402},{"body":{"content":"这就是晨僵现象。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965728966},{"body":{"content":"活动一会才会好一些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965729784},{"body":{"content":"建议到上级比较好的风湿免疫专科就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965746669},{"body":{"content":"就是血管的病变引起的是么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965766140},{"body":{"content":"对血管病变引起的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965788618},{"body":{"content":"好的。我去查查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965807547},{"body":{"content":"一定要到上级最好的风湿免疫专科就诊，这样的话查的比较全面，不延误您的病情。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965838817},{"body":{"content":"之前做了心脏肾脏。。。。好多检查。。都没有解决问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965844364},{"body":{"content":"这种能治不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965855891},{"body":{"content":"目前考虑大血管的病变，具体还要等检查结果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965862258},{"body":{"content":"不要紧张，根据病情制定方案就行了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965874445},{"body":{"content":"一般情况会是做手术还是吃药调理呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965902348},{"body":{"content":"嗯，不会做手术的，主要是内科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965918896},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965935466},{"body":{"content":"等下。我拍个手和胳膊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965999057},{"body":{"content":"手指没有变形，但是皮肤颜色有变化，所以仍考虑风湿免疫类问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966146725},{"body":{"content":"感谢您的回复","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966159379},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966167409},{"body":{"content":"最近会安排做个检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966172223},{"body":{"content":"因为已经折磨我几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966186522},{"body":{"content":"找不到病因","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966198089},{"body":{"content":"放宽心情，积极面对，尽早的明确病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966288526},{"body":{"content":"应该是手机镜像的原因你看着是左边。其实是右边","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966360372},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966380243},{"body":{"content":"有凹陷","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966382190},{"body":{"content":"按下去不回来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966406626},{"body":{"content":"静脉的水肿一般就为凹陷性水肿，血管炎会有这样的表现，血管炎呢，它一般情况下属于也是属于风湿免疫结缔组织病的一种，所以建议您尽快的行，专科检查，专科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966444186},{"body":{"content":"但不回弹的地方只在膝盖以下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966459709},{"body":{"content":"我是做整身的血管检查么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966495949},{"body":{"content":"还是只做右侧呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966515102},{"body":{"content":"我建议您不要只做单项检查，我建议您先走风湿免疫科的专科医院，然后由专科医生给您开一系列的检查，您再去做，检查结果，方便医生进行总体病情评估。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966555759},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966570901},{"body":{"content":"您自己不要再去单独的开检查了，必须让专科医生进行专科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966574409},{"body":{"content":"我明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966577447},{"body":{"content":"感谢您的帮助","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966585320},{"body":{"content":"这就是所谓的一叶障目不见泰山，所以不要自作主张，及时的进行专科诊疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966627887},{"body":{"content":"明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966643652},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966676573},{"body":{"content":"您早点休息。我尽快安排检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966736986},{"body":{"content":"嗯嗯，加油","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966760292}]

女40岁

2022.05.20

[{"body":{"content":"你好！可以的三盒！帮我开一下谢谢?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879148314},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879202549},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879223994},{"body":{"content":"亲，前面开完了，您看到了吗？往前看。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879258858}]

女3岁

2022.05.20