刘继帅

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

女43岁

2022.05.20

[{"body":{"content":"您好，我是主治医师王惠，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049812814},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049815644},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049822798}]

女

2022.05.20

[{"body":{"content":"您好！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050145900},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050155471},{"body":{"content":"非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050169129},{"body":{"content":"低血糖跑步会心脏疼吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050172782},{"body":{"content":"?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221224},{"body":{"content":"低血糖跑步与心脏疼痛没有必然的关系。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050222903},{"body":{"content":"您哪里不舒服吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050242074},{"body":{"content":"近期是否做过相关检查？请发给我看看！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309724},{"body":{"content":"没做过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050372145},{"body":{"content":"之前一直都没事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050382100},{"body":{"content":"是不是最近有氧做多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050403364},{"body":{"content":"请您描述一下心脏疼痛的特点。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050429076},{"body":{"content":"疼痛部位？疼痛诱因？每次疼痛持续时间？疼痛缓解方式？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050550482},{"body":{"content":"咳嗽？咳痰？发热？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050831856},{"body":{"content":"您心脏疼痛，建议您去医院看看，做心脏彩超、心电图，化验肌钙蛋白**常规等，明确原因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051734452},{"body":{"content":"欢迎您随时咨询！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051748962},{"body":{"content":"祝您早日康复！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051876337},{"body":{"content":"与最近有氧做多了无关。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051936307}]

男22岁

2022.05.20

[{"body":{"content":"\n您好，麻烦您给开一下药吧，跟上次的一样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051262054},{"body":{"content":"跟上次开一样的吗？最近病情平稳吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051274742},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051369752},{"body":{"content":"上次一样的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051375177},{"body":{"content":"最近病情平稳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051415870},{"body":{"content":"好的，稍等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051515588},{"body":{"content":"能多开几盒吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051620003},{"body":{"content":"可以多开一盒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051693908}]

女57岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049947159},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049949098},{"body":{"content":"多长时间了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050038060},{"body":{"content":"很长时间","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050058454},{"body":{"content":"好几年","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050061952},{"body":{"content":"腿上也有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050073335},{"body":{"content":"至少十年","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050089095},{"body":{"content":"下胳膊最近有点一扣就烂上胳膊十年多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050126336},{"body":{"content":"看照片考虑毛周角化症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050173144},{"body":{"content":"不用管它","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050177713},{"body":{"content":"但是胳膊腿上都是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050200854},{"body":{"content":"没法去除吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050206137},{"body":{"content":"用药无效","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050219417},{"body":{"content":"其他的呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050231147},{"body":{"content":"没有什么了，不用管它","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050246931},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050254375},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050258397},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050267966}]

男18岁

2022.05.20

[{"body":{"content":"你好，我是朱医生，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":1652965801798},{"body":{"content":"下肢出现红色硬币大小斑块，这种引起的原因比较多，比如真菌感染过敏，建议可以拍个图片给我看一下。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652972364296}]

男60岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653045617169},{"body":{"content":"抑郁症的症状：情绪低落，兴趣减退，精力下降，自卑，自杀，反应迟钝，不爱吃饭，不睡觉或者睡眠多！ 这些症状有几点？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653045621455}]

女14岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010992709},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011000164},{"body":{"content":"都有什么症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011012550},{"body":{"content":"请问厌食症是怎样引起的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011038623},{"body":{"content":"很多人是心理问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011065694},{"body":{"content":"你都有什么问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011072552},{"body":{"content":"你都有什么症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011078864}]

女11岁

2022.05.20

[{"body":{"content":"红肿，肿的很大，摸起来里面很硬，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652877814698},{"body":{"content":"嗯 这是虫咬皮炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878719269},{"body":{"content":"注意近期的饮食和接触物 避免海鲜坚果芒果饮食 注意避免接触动物植物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878721662},{"body":{"content":"孩子有无食物药物过敏史","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878722642},{"body":{"content":"给您一些用药推荐","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878728007},{"body":{"content":"孩子非常的痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878730294},{"body":{"content":"好像没有过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878747459},{"body":{"content":"****口服抗过敏 一次7滴 一天两次 ***一天2次涂抹 **一天两-3次涂抹止痒抗炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878843228},{"body":{"content":"附近药店如果能买到先用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878858059},{"body":{"content":"肿的很大，是红肿，手机拍的颜色不一样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878867632},{"body":{"content":"**不好买就网上购买","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878872708},{"body":{"content":"定期复查 免费随诊 后面可以扫描这个二维码找我复查开药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878881371},{"body":{"content":"用药3天找我复查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878885160},{"body":{"content":"止痒药物可以用***替代","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878902628},{"body":{"content":"好的，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878927311},{"body":{"content":"对 口服的是这个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879088081},{"body":{"content":"外用的您先用***和***吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879100908},{"body":{"content":"好的，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879112470},{"body":{"content":"小区东莞国药只有国产的**********，可以用吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879803607},{"body":{"content":"嗯 可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879840420},{"body":{"content":"外用配合一起图","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879845166},{"body":{"content":"能买到**********也行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879853902},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880621441}]

男6岁

2022.05.20

[{"body":{"content":"您好，我是皮肤科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051288686},{"body":{"content":"鼻子黑头肉眼可见","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051291720},{"body":{"content":"为了方便医生对病情做出正确的判断，您能发一个异常地方的图片吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051292070},{"body":{"content":"皮肤表面黑色素太多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051305904},{"body":{"content":"用那个洗面奶好呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051314445},{"body":{"content":"目前方便拍一个面部的图片吗，我帮您看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051330102},{"body":{"content":"鼻子有事容易出油","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051335498},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051338792},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051346597},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051401807},{"body":{"content":"目前有用药治疗过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051405926},{"body":{"content":"相机看不见","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051407458},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051410416},{"body":{"content":"有好用的洗面奶嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051418841},{"body":{"content":"目前您的情况考虑黑头粉刺的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051425760},{"body":{"content":"请问有无肝肾功异常、药物过敏史、相关用药禁忌及其他疾病？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051429951},{"body":{"content":"上述情况有没有呢，这边给您建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051432168},{"body":{"content":"不用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051437902},{"body":{"content":"你介绍个洗面奶吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051447709},{"body":{"content":"目前主要是注意局部皮肤清洁及**，可以的话可以适当用点改善油脂分泌及局部对症的药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051458696},{"body":{"content":"如果是洗面奶","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051461047},{"body":{"content":"可以使用这种","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051470824},{"body":{"content":"建议您平时要清淡饮食，避免进食辛辣刺激，油腻及过甜的食物，同时做好面部清洁，避免抠抓挤压，生活规律，避免熬夜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051560745},{"body":{"content":"其他还有什么可以帮到您吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051562072},{"body":{"content":"可以去黑头嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051570441},{"body":{"content":"去黑头的话还是建议用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051582777},{"body":{"content":"洗面奶的作用是比较小的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051588161},{"body":{"content":"用这个还用洗面奶嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051624854},{"body":{"content":"还是建议使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051636376},{"body":{"content":"平时的护肤也比较重要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051642392},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051644590},{"body":{"content":"您没有药物禁忌吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051651154},{"body":{"content":"平时保养都用什么呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051654351},{"body":{"content":"我感觉我脸越来越油了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051678169},{"body":{"content":"之前还不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051682790},{"body":{"content":"是的，所以可以建议用点药物来改善一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051696192},{"body":{"content":"没有上述禁忌的情况下建议您 搭配维生素B6片 口服 每次2片20mg 每天一次 缓解油脂分泌过多情况，同时局部黑头处点涂****** 晚上避光使用一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051738971},{"body":{"content":"去黑头怎么去呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051748088},{"body":{"content":"柔和点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051751882},{"body":{"content":"*****主要是改善油脂分泌，******可以改善局部黑头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051774161},{"body":{"content":"平时用洗面奶洗脸后适当使用水乳面霜就可以的，做好保湿**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051806442},{"body":{"content":"那个洗面奶用着好点也","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051871766},{"body":{"content":"目前给您推荐的可以控油祛痘","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051891267},{"body":{"content":"效果还是可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051896234},{"body":{"content":"配合药物一起使用，一般2周左右会有一定的改善","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051914931},{"body":{"content":"后续您可以根据药物效果找我复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051922546},{"body":{"content":"、治疗期间您有其他问题需要问诊咨询，打开京东APP，搜索我的名字即可点诊我为您服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051929213},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051946528},{"body":{"content":"后续用药前请仔细阅读药品说明书中禁忌，注意事项，如无禁忌及注意事项中提及的问题可使用，使用请严格遵循说明书用法用量，如在用药过程中出现不适则请及时停药，同时上线咨询或线下就诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051958164},{"body":{"content":"如果没有其他问题，这边就先帮您关闭问诊了，希望我的建议能够帮助到您，非常感谢您的信任","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051959684}]

男19岁

2022.05.20