刘继帅

[{"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":"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":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965056977},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965070453},{"body":{"content":"我想咨询一下无痛人流","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965078131},{"body":{"content":"系统分诊不对，我这是内分泌科～","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965187356},{"body":{"content":"建议咨询妇科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965222241}]

女22岁

2022.05.20

[{"body":{"content":"不用加药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965485742},{"body":{"content":"维持现状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965500767},{"body":{"content":"甲状旁腺癌我是全切","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965686985},{"body":{"content":"甲癌全切","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965710023},{"body":{"content":"维持现状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965825692}]

女40岁

2022.05.20

[{"body":{"content":"你好，我是京东妇产科梁国肖医生，非常高兴由我为您提供医疗咨询服务。请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965819961},{"body":{"content":"建议少喝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965842898}]

女32岁

2022.05.20

[{"body":{"content":"你好，现在是一个什么情况。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965739199},{"body":{"content":"做的什么治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965744708},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965746858},{"body":{"content":"医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965749671},{"body":{"content":"影像所见:垂体上下径为0.7cm，上缘膨隆，垂体信号欠均匀，于垂体左侧部隐约见一小结节状T1WI低信号影，大小约为0.2cmx0.2cm，\t垂体柄居中，动态增强扫描示正常垂体明显均\t匀强化，垂体内病灶呈低信号，并见逐渐及度强化现象。鞍底骨质未见异常，鞍旁及鞍上**结构未见异常。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965760367},{"body":{"content":"这个你看一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965766710},{"body":{"content":"有什么不舒服没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965783320},{"body":{"content":"泌乳素高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965803036},{"body":{"content":"月经紊乱","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965827635},{"body":{"content":"那考虑还是跟这个垂体有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965830609},{"body":{"content":"是的 就是看报告结果 医生你觉得严重么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965896054},{"body":{"content":"我有点害怕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965906315},{"body":{"content":"不严重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965925272},{"body":{"content":"垂体瘤是常见的良性肿瘤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965940287},{"body":{"content":"是吃药治疗么还是如何","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965954897},{"body":{"content":"可以完全治愈的么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965968697},{"body":{"content":"好的，那就放心许多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965978405},{"body":{"content":"可以先吃药看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965979908},{"body":{"content":"不行再考虑手术","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965990565},{"body":{"content":"好的，一般是吃什么药的呢?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966017295},{"body":{"content":"如果这种做手术 风险应该不会很大的吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966054039},{"body":{"content":"手术微创，风险不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966118253},{"body":{"content":"吃药，吃***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966128551},{"body":{"content":"好的 医生 这种去医院挂号的话，是挂神经外科还是内分泌科好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966261683},{"body":{"content":"内分泌","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966372526},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966419031}]

女22岁

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":1653050405267},{"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":1653050491570},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050494120},{"body":{"content":"可以作为减肥的辅助产品。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050501910}]

女

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":"您好，京东大药房药师工号0580，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051525095},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051529253},{"body":{"content":"请问多大孩子能吃 不缺钙也能吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051543512},{"body":{"content":"3岁以上","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051549893},{"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？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051572902},{"body":{"content":"男孩二岁八个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051598472},{"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":1653051602394},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051609554},{"body":{"content":"可以服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051626536},{"body":{"content":"咀嚼功能怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051640839},{"body":{"content":"这个没问题 主要我看有**的孩子吃不会早熟吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051658732},{"body":{"content":"这款是咀嚼片2岁8个月担心咀嚼不碎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051663356},{"body":{"content":"咀嚼没问题 **这个没问题吗 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051692740},{"body":{"content":"不没问题的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051709358},{"body":{"content":"【主要成份】 **。辅料为蔗糖、玉米淀粉、硬脂酸镁、甜橙油香精。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051724428},{"body":{"content":"嚼服，一次1片，一日2-3次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051760347},{"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":1653051983088},{"body":{"content":"补钙日常多食用富含钙元素的食物，例如虾皮、奶制品、**、奶类、蛋黄等，补钙晚饭后服用吸收好，多晒**有利于钙的吸收哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052060335},{"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。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052064538},{"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":1653052065865}]

女

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049780054},{"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":1653049782685},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049785031},{"body":{"content":"有防尘收纳盒的呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049829640}]

女

2022.05.20