宋玉萍

[{"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":1653050018196},{"body":{"content":"收到您上传的图片了，您稍等，我帮您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050019959},{"body":{"content":"您好，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050026720},{"body":{"content":"请问您发现这种症状具体有多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050053869},{"body":{"content":"病情发展过程是先出现图四，然后图三，然后图二，然后图一，图四是最初出现的，现在是最严重的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050098497},{"body":{"content":"最开始出现是去年12月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050117337},{"body":{"content":"哪1张是现在的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050149609},{"body":{"content":"现在的都是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050157812},{"body":{"content":"目前有瘙痒，疼痛的感觉吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050179036},{"body":{"content":"首先，照片都是刚拍的，左脚上的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050188605},{"body":{"content":"有，痒，疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050197659},{"body":{"content":"我以为是脚气，用了一个月***，不管用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050214967},{"body":{"content":"是一只脚还是两只脚都有？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050241203},{"body":{"content":"我现在开始怀疑是不是湿疹或者混合之类的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050243684},{"body":{"content":"只有左脚有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050249671},{"body":{"content":"您的脚趾缝有脱皮脱屑的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050260027},{"body":{"content":"基本没有，我是汗脚，但没有脱皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050295605},{"body":{"content":"最近一个月每天晚上睡前涂抹***，每天换一双鞋垫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050326186},{"body":{"content":"患处目前是否有流水、破溃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050345241},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050351916},{"body":{"content":"根据您的图片和描述考虑 皮炎可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050425338},{"body":{"content":"我帮您调整一下用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050428696},{"body":{"content":"图一和图四皮肤下有很多肉眼可见的小红点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050429529},{"body":{"content":"皮肤上有好几个小孔，会从里面渗出液体","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050471714},{"body":{"content":"之前这个部位有水泡吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050473639},{"body":{"content":"最初的时候有过，一个疙瘩一样的东西","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050494112},{"body":{"content":"最开始的时候脚趾缝有脱皮吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050529653},{"body":{"content":"手指上有一个，就是最初跟脚底差不多时间出现的，这样的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050567070},{"body":{"content":"收到了，您稍等，我帮您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050595326},{"body":{"content":"一直都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050599022},{"body":{"content":"之前的脚上的疙瘩是硬的还是软的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050620259},{"body":{"content":"手指上这个没有恶化，它只是一直有个包，软的包","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050632265},{"body":{"content":"脚上的之前也是软的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050652434},{"body":{"content":"不是那种柔软，是硬硬的软","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050655340},{"body":{"content":"嗯，像青春痘那种疙瘩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050670334},{"body":{"content":"青春痘那种柔软度吧，大概是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050703282},{"body":{"content":"目前从图片来看是属于皮炎湿疹样改变的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050731498},{"body":{"content":"***先不要用了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050745059},{"body":{"content":"需要换个药物治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050750130},{"body":{"content":"根据上述情况我可以给您一些用药建议。\n为了用药安全，请问您有无药物过敏史及肝肾功能异常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050750863},{"body":{"content":"我也越来越觉得不像脚气","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050751035},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050762372},{"body":{"content":"好的， 稍等2分钟 我这边给您发送药物链接，用药前请您仔细阅读药品说明书中禁忌，注意事项，不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050843486},{"body":{"content":"好的，它也适用于我手上的这个包么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050865786},{"body":{"content":"您手部这个目前不太典型， 药物不适合的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050904527},{"body":{"content":"药物只是治疗目前瘙痒疼痛的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050905475},{"body":{"content":"皮肤破损的这一块呢，有没有什么方法让它变好？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050937187},{"body":{"content":"建议您可以外用 ******* 沾湿纱布湿敷 每天1次 每次 10分钟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050992733},{"body":{"content":"＋******每天两次治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050993162},{"body":{"content":"*******就有 **祛腐的作用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051025874},{"body":{"content":"可以治疗目前这种皮肤病损的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051053493},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051124294},{"body":{"content":"您太客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051133400},{"body":{"content":"您可以先点击“处方单”-查看详情-预约，稍后再给您一些生活建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051135302},{"body":{"content":"我刚才已经买完您链接里的药品了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051154092},{"body":{"content":"好的，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051162048},{"body":{"content":"缴费也完成了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051165144},{"body":{"content":"主要是 建议您穿透气性好的鞋袜，避免焐热，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051169579},{"body":{"content":"保持足部干燥， 一定要避免抠抓刺激","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051174563},{"body":{"content":"我每天会用这个泡脚，以后还可以么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051220993},{"body":{"content":"这个不是临床常用的药物，个人是不建议使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051224703},{"body":{"content":"特别是目前这种疼痛的情况，不要使用 了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051231564},{"body":{"content":"以免刺激加重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051234448},{"body":{"content":"嗯，那我就正常的洗脚完事敷药就可以了是么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051260215},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051270815},{"body":{"content":"嗯嗯，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051277316},{"body":{"content":"我还有什么其他的注意事项不？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051291616},{"body":{"content":"用这种，无菌纱布沾湿******* 敷在脚部患处","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051298787},{"body":{"content":"避免加重感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051301828},{"body":{"content":"基本整个脚底就都需要了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051316070},{"body":{"content":"***是敷完睡前再用么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051395786},{"body":{"content":"纱布可以展开使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051397528},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051400348},{"body":{"content":"是早晚各一次吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051416502},{"body":{"content":"敷完药，晾干后在涂抹 *****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051425661},{"body":{"content":"***** 早晚各1次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051428631},{"body":{"content":"******* 每天一次就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051432548},{"body":{"content":"嗯嗯，好的，知道了，谢谢您，我没有问题了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051453672},{"body":{"content":"不客气，能帮到您是我的荣幸。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051471292},{"body":{"content":"给您发送了一张我的排班表 您可以先保存在手机相册中 后期按照我上班的时间 打开京东app 就可以找到我复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051478689},{"body":{"content":"好的，谢谢，已保存","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051507047},{"body":{"content":"抱歉打错字了，是敷完药，晾干后在涂抹 ******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051510827},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051519377},{"body":{"content":"好的 ，如果没有其他问题，我就结束问诊了，希望我的建议能帮助到您。感谢您的信任，祝您和家人平安健康，晚安","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051531055}]

男42岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是儿科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050055570},{"body":{"content":"宝宝这种情况多久啦？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050056985},{"body":{"content":"前天的打的**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050063499},{"body":{"content":"昨天没注意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050066674},{"body":{"content":"今天发现的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050069355},{"body":{"content":"宝宝肿的厉害吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050071865},{"body":{"content":"按了会疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050100110},{"body":{"content":"好的，宝宝之前出现过这种前情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050126268},{"body":{"content":"没有，之前就是打****后身上起过疹子发热，就一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050187136},{"body":{"content":"好的，宝宝目前的精神状态及尿量如何，食欲如何，大便的情况如何呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050195312},{"body":{"content":"基本都是正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050241401},{"body":{"content":"好的，宝宝还有其他不舒服的症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050258780},{"body":{"content":"宝宝有对什么过敏及肝肾功能异常的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050261100},{"body":{"content":"没有不舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050271212},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050296176},{"body":{"content":"根据您的描述，考虑宝宝**接种后的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309554},{"body":{"content":"就是能用**什么的吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050335847},{"body":{"content":"目前宝宝没有不适，您给宝宝注意局部的**，给宝宝避免沾水，保持局部的干燥清洁就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050345781},{"body":{"content":"目前宝宝是不用特殊干预的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050354124},{"body":{"content":"就是洗澡沾水了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050388044},{"body":{"content":"后续给宝宝多注意就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050414554},{"body":{"content":"如果宝宝肿胀持续增大，宝宝出现皮疹，瘙痒等情况，是可以及时带宝宝小儿皮肤科明确检查一下的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050516117},{"body":{"content":"宝宝的接种部位，您给宝宝注意日常的**，避免摩擦和捂热、注意局部的干燥清洁，避免皮肤破损与感染，密切观察就可以的，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051685507}]

男3岁

2022.05.20

[{"body":{"content":"您好，我是泌尿外科的医生，非常高兴由我为您提供医疗咨询服务，为了保证本次问诊顺利进行，请您保持在线。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050514965},{"body":{"content":"为了更好地了解您的情况，我先收集一下病情信息，请您配合回答几个问题，可以吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050516453},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050525224},{"body":{"content":"为了更好地了解您的情况，我先收集一下病情信息，感谢您的配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050534791},{"body":{"content":"请问是否有以下症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050537276},{"body":{"content":"尿不尽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050561400},{"body":{"content":"您这种情况出现多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050565408},{"body":{"content":"7—30天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050569636},{"body":{"content":"是否做过相关检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050572680},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050575526},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050579572},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050581899},{"body":{"content":"是否有阴囊潮湿或下腹部会阴部不适的症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050619788},{"body":{"content":"有时候会有一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050638977},{"body":{"content":"睾丸侧边隐隐作痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050654092},{"body":{"content":"有没有尿分叉、尿等待、尿滴白等情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050669728},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050699710},{"body":{"content":"睾丸局部有明显的红肿肿大吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050713120},{"body":{"content":"就是尿完尿感觉不干净 还会在盛出来一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050757371},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050760594},{"body":{"content":"为了排除用药禁忌，请问您平时有没有慢性病病史或心脑血管疾病的病史或者药物过敏史呢？或者肝肾功能不全的情况呢？是否处于备育期呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050767867},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050788543},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050794658},{"body":{"content":"尿不尽是指尿液不能完全排尽，滴沥不已或排尿后仍有尿意。尿不尽，一般主要病变部位，就是在膀胱颈口，男性主要就是因为前列腺的原因引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050799780},{"body":{"content":"您目前的症状，考虑有轻微的前列腺炎的表现的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050807220},{"body":{"content":"在日常生活中导致前列腺炎的原因，比如性生活过于频繁，过多的手淫、久坐、憋尿、骑车、酗酒、喜欢吃辛辣，刺激生冷性的食物，感冒着凉等，都有可能诱发前列腺炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050811341},{"body":{"content":"大部分全占了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050860356},{"body":{"content":"嗯，目前的话症状不严重，可以先药物治疗看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050878942},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050944874},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050954196},{"body":{"content":"前列腺炎的问题，建议您可以使用******+******治疗一下，可以先使用2周的看看效果，2周后线上复诊，我帮您看一下治疗的效果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050974021},{"body":{"content":"也可以去正规公立医院完善一个前列腺彩超+前列腺液常规的检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050975020},{"body":{"content":"用药剂量：********，一天一次，一次一片；******，一天两次，一次4粒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051020534},{"body":{"content":"建议先口服2周的治疗看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051028083},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051126736},{"body":{"content":"谢谢大夫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051133780},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051140853},{"body":{"content":"可以帮您开个免费的处方参考一下，需要的话点击处方购买即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051142790},{"body":{"content":"您现在点击这个“处方单”添加购买就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051218376},{"body":{"content":"用药前请您仔细阅读药品说明书，尤其重点关注禁忌及注意事项，如没有任何禁忌，可正常使用药物治疗，如您在用药过程中出现任何不适或疑问，请您及时上线咨询或附近医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051220510},{"body":{"content":"吃药的同时也要注意综合治疗，比如多饮水，多锻炼身体，避免熬夜，避免久坐，避免憋尿，避免烟酒及辛辣刺激饮食等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051222880},{"body":{"content":"平时可以口服一点****， ****具有抗氧化能力， 一方面预防和抑制癌症，抑制诱变，抗辐射增强免疫力的作用，另一方面可以预防和减少前列腺炎的反复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051290099},{"body":{"content":"用药期间有问题，可以随时按上述的流程找我复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051295128},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051368767},{"body":{"content":"希望我的建议能够帮助到您，感谢您的信任。如果您对此次问诊满意，还请您在对话结束后给予五星好评，您的好评是对我工作最好的肯定和鼓励，欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051408654}]

男19岁

2022.05.20

[{"body":{"content":"您好，请问这种情况出现多久了？有哪些症状呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965495127},{"body":{"content":"男性的阴茎头有hpv病毒吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965534199},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965551730},{"body":{"content":"请问有过高危性行为吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965559609}]

男20岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0081，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050654540},{"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":1653050656418},{"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、肝肾等其他病史、备孕期、孕期、哺乳期、是否有过敏史）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050753186},{"body":{"content":"一日 10毫升 -15毫升 ，一日2次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050886556},{"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":1653051049846},{"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30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":1653051056217},{"body":{"content":"1岁3个月 吃******** 体重8公斤 一次吃多少毫升","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051100938},{"body":{"content":"一日 10毫升 -15毫升 ，一日2次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051124373},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051138380},{"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":1653051146822},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051155129},{"body":{"content":"很高兴为您服务，感谢您对京东大药房的支持，祝您生活愉快，谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051176660}]

女

2022.05.20

[{"body":{"content":"月经干净多少天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965106620},{"body":{"content":"一直没来有两三个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965148008},{"body":{"content":"同房下面也痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965168340},{"body":{"content":"怀孕了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965171665},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965191955},{"body":{"content":"测过是吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965202230},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965214450},{"body":{"content":"这是什么情况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965233982},{"body":{"content":"怎么知道不是月经呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965239830},{"body":{"content":"月经没来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965285963},{"body":{"content":"下面也痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965302789},{"body":{"content":"来月经那两天肚子就痛下就没来月经","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965386787},{"body":{"content":"流血流了几天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965431601},{"body":{"content":"没来月经就","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965457497},{"body":{"content":"没来月经","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965466845},{"body":{"content":"没有流血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965487845},{"body":{"content":"奥奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965492818},{"body":{"content":"这是炎症引起的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965517844},{"body":{"content":"同房痛可能是炎症引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965536621},{"body":{"content":"月经就这一次推迟还是经常会推迟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965584225},{"body":{"content":"没来月经那该怎么治啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965585017},{"body":{"content":"有几个月没来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965609048},{"body":{"content":"内膜有多厚了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965611613},{"body":{"content":"月经就这一次推迟还是经常会推迟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965623084},{"body":{"content":"上个推迟了只来了一点点就没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965676573},{"body":{"content":"上个月只来了一点点就没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965716437},{"body":{"content":"这个月还没来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965736108},{"body":{"content":"月经量少和什么原因有关呢？突然就少了？有没有受凉？经期生气？或是人工流产等情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965815370},{"body":{"content":"以前流过产","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965876268},{"body":{"content":"好几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965890783},{"body":{"content":"你这种情况最好去医院做个彩超看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965917528},{"body":{"content":"这段时间没空去，我老公忙，我又带两个小孩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965980231},{"body":{"content":"可不可以先开点药吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966002227},{"body":{"content":"不能盲目吃药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966243856},{"body":{"content":"月经不调大多要吃激素类药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966264598}]

女29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","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965171129},{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务，请稍等，我们有线下的临床工作需要处理，非常感谢您的耐心等候、理解与支持，我会在规定时间内完成您的诊疗工作。再次感谢您的理解与支持。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965178458},{"body":{"content":"明早联系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965183265},{"body":{"content":"我们还有23小时","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965188928},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965444934},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653004854395}]

女23岁

2022.05.20

[{"body":{"content":"您好，我是住院医师狄华，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050177337},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050180307},{"body":{"content":"*** 抹茶零食曲奇饼干大礼包380g","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050242842},{"body":{"content":"是独立包装","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050249654}]

女

2022.05.20

[{"body":{"content":"您好，我是住院医师曹众辰，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050132124},{"body":{"content":"我正在查看以上商品，请稍等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050137337},{"body":{"content":"不含蔗糖，但是含有其他糖分","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050189079},{"body":{"content":"有血糖高的人可以吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050236318},{"body":{"content":"血糖控制的怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050268808},{"body":{"content":"可以，不高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050296976},{"body":{"content":"可以少吃点，算作主食","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050385224},{"body":{"content":"好的，谢谢你！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050407166},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050464192}]

女

2022.05.20