刘继帅

[{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务，我是京东互联网医院神经内科主治医师齐灵铄。请稍等，我正在详细阅读您的病情描述。如有病情或者检查需要补充，您可继续上传","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965474578},{"body":{"content":"您好，能具体描述一下您的情况吗？或者上传一下报告单。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965489015},{"body":{"content":"医生你好，我二十六岁，女性，我经常感到喉咙异物感，然后去查了甲状腺功能，和甲状腺Ｂ超，结果是******* 4","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965593562},{"body":{"content":"稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965631090},{"body":{"content":"您好，您是患者本人吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965692121},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965710334},{"body":{"content":"除了超声您还做过其他检查吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965729403},{"body":{"content":"甲功九项","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965774646},{"body":{"content":"结果正常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965789345},{"body":{"content":"请您帮我看看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965822677},{"body":{"content":"您的这种情况建议您及时线下公立三甲医院，耳鼻喉科就诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965882355},{"body":{"content":"部分医院可能在甲乳科，普外科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965923067},{"body":{"content":"我需要穿刺吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966021897},{"body":{"content":"建议尽快检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966035438},{"body":{"content":"癌变的机率高不高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966058607},{"body":{"content":"目前不好确定","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966074522},{"body":{"content":"您及时检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966082820},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966587351},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966590656},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966598492}]

女26岁

2022.05.20

[{"body":{"content":"您好：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":1653050223537},{"body":{"content":"请稍等一下，我看一下您的产品链接。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050237666},{"body":{"content":"请问可以用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050396400},{"body":{"content":"您好，这一共有两款产品，您看左边的是婴儿可用的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050460016},{"body":{"content":"您选的产品是左边的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050472470},{"body":{"content":"我看您的产品链接，您好像选的是成人款的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050636416},{"body":{"content":"请您拨打客服电话：******，咨询具体的商品及投诉问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050749262},{"body":{"content":"请您打开京东客户端：“我的——客户服务”中寻找客户服务”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050754102},{"body":{"content":"这两条是客服的电话。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050763436},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050900913},{"body":{"content":"很高兴能为您服务，请问还有其他的问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050943262},{"body":{"content":"麻烦您给我一个5星好评呗，谢谢。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050966716},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任！给我个五星好评哦，祝您生活愉快，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051618839}]

女

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":"几天了？痒不痒？之前治疗过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050063069},{"body":{"content":"大概2个礼拜，有点痒，以前没有出现过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050142296},{"body":{"content":"而且只有靠近脖子的位置有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050154390},{"body":{"content":"这里看着怀疑神经性皮炎呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050190004},{"body":{"content":"请问是精神状态导致的吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050215730},{"body":{"content":"不是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050253127},{"body":{"content":"你经常去抓吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050263329},{"body":{"content":"最近出现了才抓","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050275103},{"body":{"content":"这个药可以吗？之前去医院开过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050289412},{"body":{"content":"可以可以用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050472915},{"body":{"content":"但是不能用的时间长了 也就用5-7天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050493441},{"body":{"content":"然后换成弱效激素 或者非激素","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050521352},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050536906},{"body":{"content":"请问这个是弱激素的吗？^_^","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050567780},{"body":{"content":"这个没有激素","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050601658},{"body":{"content":"用第一个5天后换成第二个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050612917},{"body":{"content":"好的，谢谢您。之前脸上有过，当时医生开的，看来是同一个问题^_^","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050654671},{"body":{"content":"是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050725578},{"body":{"content":"谢谢^_^","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050745158},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050777658}]

男29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":1653050529765},{"body":{"content":"建议1-2贴","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050541791},{"body":{"content":"一盒6贴","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050557178},{"body":{"content":"1-2贴就可以完全好了呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050582018},{"body":{"content":"因人而异奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050603138},{"body":{"content":"1-2盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050612306},{"body":{"content":"抱歉 打错字了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050615946},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050633123},{"body":{"content":"掉了后会不会还会疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050721610},{"body":{"content":"**会恢复的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050759372},{"body":{"content":"谢谢您，我先买一盒试试","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050775431},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050832428},{"body":{"content":"不客气奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050838619},{"body":{"content":"请问您是否还有其他医药问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052173863},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任！请对话结束后对我的服务作出评价，祝您生活愉快，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052175595}]

女

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0022，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050635401},{"body":{"content":"您好，请问您有什么用药问题需要咨询^_^","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050636301},{"body":{"content":"急性的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050641881},{"body":{"content":"8月份查的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050658603},{"body":{"content":"感觉前段时间好转了，最近又复发了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050672788},{"body":{"content":"小便有点疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050678083},{"body":{"content":"建议二周一疗程","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050705381},{"body":{"content":"您好，为了您的用药安全，方便药师指导用药，方便提供下用药人年龄、性别等情况吗？是本人用药吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050877596},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050907678},{"body":{"content":"男","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050922592},{"body":{"content":"24岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050925766},{"body":{"content":"//***，口服，一次3片，一日3次。一个月为一个疗程\n【用药注意】饭前服用，服药期间忌酒及辛辣刺激食物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050935826},{"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、是否有过敏史），如果没有则回复“无”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050940666},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050973998},{"body":{"content":"一疗程就可以治愈吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051002936},{"body":{"content":"您好，轻微 的二周一疗程 ，严重复发，一个月一疗程","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051031370},{"body":{"content":"药品的效果与药品的吸收、分布、代谢、排泄等有关。另外患者年龄、性别、体质、以及联合用药情况等 都对药效的体现有影响。所以药效视具体情况而定噢。由于个体差异，不同的人对药物的吸收会有差异，大多数患者见效快，少数患者见效可能会慢一些，一般对症就会有效果的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051032455},{"body":{"content":"我最近熬夜很厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051096502},{"body":{"content":"经常2点睡觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051102939},{"body":{"content":"这个要调整作息哟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051123465},{"body":{"content":"请问与这个有没有联系","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051123870},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051143395},{"body":{"content":"吃这个一点酒不能喝吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051155261},{"body":{"content":"熬夜、喝酒会让人抵抗 下降","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051165026},{"body":{"content":"可不可以喝酒当天不吃药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051165295},{"body":{"content":"当时检查时说我是轻微的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051182961},{"body":{"content":"就是有一点点炎症，并不是太厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051191973},{"body":{"content":"服药禁酒哟，真的不建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051206707},{"body":{"content":"您服用药物也是想得到好的效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051212521},{"body":{"content":"是的，但是总不能避免，我也没有办法","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051230742},{"body":{"content":"用药期间尽量避免 ，因这个一天要吃几次的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051245900},{"body":{"content":"8月份拿的这个药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051300404},{"body":{"content":"我吃了会不舒服，就没有吃完","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051310607},{"body":{"content":"吃这个药胃会不舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051323971},{"body":{"content":"这个是**的，一般尿道 感染 的，我们会建议一起，不是太严重的，就可以不用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051331331},{"body":{"content":"可能您肠胃不耐受","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051337891},{"body":{"content":"好的，那我先吃一个疗程试一试ba","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051378229},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051388710},{"body":{"content":"平时一定注意，尽量尽量哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051394681},{"body":{"content":"还有不要久坐哟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051398280},{"body":{"content":"温馨提示：1、注意清淡饮食，避免吃辛辣、刺激食物，比如**、火锅、烧烤、油炸食物。\n2、在使用***治疗期间，绝对禁止饮酒。\n3、患者需要注意会阴部卫生，保持外阴干燥、清洁。注意多饮水，促进肾脏排出更多的尿液，将泌尿系统中的细菌以及污染物冲刷出体外。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051459051},{"body":{"content":"为了您的健康和用药安全，使用前请仔细阅读药品说明书，按照药品的用法用量正确使用、查看用药禁忌和注意事项，如果为禁忌人群请勿使用，如有任何疑问，请及时咨询医生或药师。请您查看药品说明书中的注意事项，使用 天后如果症状没有改善或出现症状加重的情况，建议尽快线下就医。用药期间禁烟酒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051600616},{"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":1653051601440},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任！请对话结束后对我的服务作出评价，祝您生活愉快，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051604411},{"body":{"content":"祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051607410}]

女

2022.05.20

[{"body":{"content":"您好，我是副主任医师代维栋，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049643180},{"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":1653049655062},{"body":{"content":"这款产品不具有抗过敏的功能，只有营养保健的功能。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049673777},{"body":{"content":"花粉过敏是可以口服的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049680460},{"body":{"content":"你好，心脏病，冠心病，心绞痛，糖尿病适合吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049720664},{"body":{"content":"***吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049736682},{"body":{"content":"可以是合适的产品，对高血压糖尿病心脏病没有影响。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049758577},{"body":{"content":"花粉过敏是什么引起的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049799994},{"body":{"content":"这个是个季节，过敏性疾病是非常常见的，尽量避免接触过敏原。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049822738},{"body":{"content":"除了吃****外用呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049918848},{"body":{"content":"有些痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049934216},{"body":{"content":"可以使用***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049949057},{"body":{"content":"眼角痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049994899},{"body":{"content":"那你必须口服****，过敏性鼻炎，过敏性结膜炎。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050023280},{"body":{"content":"可以开药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050069265},{"body":{"content":"****请你专科就诊 去眼科耳鼻喉科就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050165530},{"body":{"content":"服药期间吃***一起吃没影响吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050174072},{"body":{"content":"*******或者*******。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050224861},{"body":{"content":"****也是可以的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050252411},{"body":{"content":"没有**。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050260531},{"body":{"content":"没有影响的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050268328}]

女

2022.05.20

[{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965172866},{"body":{"content":"你好，我想问一下十二岁的小女孩一般子宫厚度是多少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965241103},{"body":{"content":"你这个是要去咨询妇科的，我们这边是儿科。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965301296}]

女12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

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653019888555},{"body":{"content":"各地价格不一样，一千左右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653019893630},{"body":{"content":"**的医院做心理疾病诊断要多少钱？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653020051879},{"body":{"content":"具体需要，问当地医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653020626158},{"body":{"content":"这里是互联网医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653020630696}]

女14岁

2022.05.20