刘继帅

[{"body":{"content":"您好，我是主治医师刘丹，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049813368},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049816548},{"body":{"content":"有什么问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049827619},{"body":{"content":"屁股上三块蚕豆大小的掉皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049902529},{"body":{"content":"没有照片","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049933740},{"body":{"content":"帮你转老年科了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050062321},{"body":{"content":"你点确认转诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050072897}]

女

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0364，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051180271},{"body":{"content":"这个***是短效***了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051195756},{"body":{"content":"*****，请推荐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051197301},{"body":{"content":"有没有什么副作用？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051230520},{"body":{"content":"药物都是有副作用的了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051248240},{"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？是为本人用药咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051251775},{"body":{"content":"32岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051403805},{"body":{"content":"是本人，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051410463},{"body":{"content":"女","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051416623},{"body":{"content":"为了您的用药安全，我们需要了解您的既往病史和过敏史，请您先回复以下问题：是否有食物/药物过敏史或慢性疾病史，肝肾功能是否正常，若有以上情况请如实告知，如果没有，可回复“无","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051418716},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051427984},{"body":{"content":"好的，请稍等一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051543107},{"body":{"content":"可以用这个***来**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051632510},{"body":{"content":"于月经的当天算起，第5天午饭后服药一次，间隔20天服第二次，或月经第5天及第10天各服1片，以后均以第二次服药日期，每月服1片，一般在服药后6～12天有撤退性出血。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051674046},{"body":{"content":"注意清淡饮食，忌食辛辣，油腻食物，避免过度劳累。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051833325},{"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，若用药无效果或病情加重，请及时咨询医师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051990374},{"body":{"content":"您好，您看还有其他问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051994920},{"body":{"content":"很高兴为您服务，请对我本次的服务做出评价，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":1653051996272}]

女

2022.05.20

[{"body":{"content":"您好，我是主治医师邵珠琳，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050380451},{"body":{"content":"请问需要什么帮助?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050391967},{"body":{"content":"家里54岁老人，心肌缺血，想要营养心肌用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050426501},{"body":{"content":"您有推荐么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050432918},{"body":{"content":"有什么症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050441768},{"body":{"content":"患者有什么症状?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050872020}]

女

2022.05.20

[{"body":{"content":"您****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652877849046},{"body":{"content":"医生 第一张图是最开始检查去年九月份 然后再第二张 然后再第三张今年健康体检","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878322966},{"body":{"content":"麻烦您帮忙看下谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878331067},{"body":{"content":"都考虑良性的，而且都不大，建议每隔3-6个月定期复查就行了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878972395},{"body":{"content":"从第一张到第三张的情况 是越来越好还是越来越差呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879095954},{"body":{"content":"怎么右边的偶尔一次按着会痛 也有硬块 还有点点热","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879556356},{"body":{"content":"我看都差不多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880454167},{"body":{"content":"会痛的话能不能用这款用电加热的粗盐袋热敷胸部","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880455514},{"body":{"content":"结节一般不会引起疼痛的，疼痛一般都是乳腺增生引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880483544},{"body":{"content":"痛的不厉害不要紧，建议您可以调整好生活节奏，保持心情舒畅，清淡饮食，忌辛辣，并坚持体育锻炼，就会有所缓解的。如您痛的很厉害，影响平时工作生活了，可以吃点散瘀**的中成药，比如***、****，*****、******，******。遇到月经量多的时候可暂时停药，月经结束后再服药。局部疼痛厉害也可以尝试局部热敷或者乳腺增生贴。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880527490},{"body":{"content":"乳腺囊肿呢 会不会痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880528300},{"body":{"content":"不会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880542495},{"body":{"content":"这款乳腺贴痛的时候用可以么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880571110},{"body":{"content":"可以试试的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880579340},{"body":{"content":"这些药平时调理吃可以么 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880619845},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880632977},{"body":{"content":"中成药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880641392},{"body":{"content":"会痛的话能不能用这款用电加热的粗盐袋热敷胸部","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880679098},{"body":{"content":"温敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880686910},{"body":{"content":"热敷容易烫伤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880695006},{"body":{"content":"37-40摄氏度","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880703853},{"body":{"content":"好的 谢谢 我吃的那些药如果坚持吃两个月 会不会对身体有副作用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880719299},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880726899},{"body":{"content":"这种一般没啥副作用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880747652},{"body":{"content":"那我不痛了也坚持吃对吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880786719},{"body":{"content":"还有那个*** 我平时煮水喝可以么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880860113},{"body":{"content":"我比较担心 因为这个暂时也不敢怀二胎 怕怀***会变 而且像我这样 医生建议我以后再生小孩的话要不要母乳喂养 母乳会不会让我的情况变差","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881067437},{"body":{"content":"您有空再解答 感谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881077783},{"body":{"content":"***可以喝的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881203484},{"body":{"content":"吃个1-2个月差不多了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881215322},{"body":{"content":"母乳喂养可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881227288},{"body":{"content":"这个可以喝么 还有喜欢用******泡脚适合不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882853260},{"body":{"content":"拔罐 能么 还有虾 ** 螃蟹能不能吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882987649},{"body":{"content":"都可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652886200560},{"body":{"content":"医生，请您帮我开具检验单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652889549714},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652889553794},{"body":{"content":"感谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652889561754},{"body":{"content":"医生 我能不能用土伏 *** ***这三款一起煮水喝 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653025935185},{"body":{"content":"***平时能不能喝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653025967109},{"body":{"content":"晚上睡觉一边鼻子不太通气 估计是有点点鼻炎 不懂喝这些对乳腺 鼻炎好不好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653026221768},{"body":{"content":"希望您能抽出点您宝贵的时间为我解答下 祝您生活愉快","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653026325689},{"body":{"content":"姑娘，我是西医","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653028196269},{"body":{"content":"不是很懂中药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653028204555},{"body":{"content":"***和***我知道可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653028227725},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653028245242},{"body":{"content":"没事?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653028262979},{"body":{"content":"医生，请您帮我开具检验单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653028451234},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653028453172},{"body":{"content":"开啥药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653030604564},{"body":{"content":"请问我的情况不用吃药么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653046472161},{"body":{"content":"总是比较担心","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653046481773}]

女32岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965115388},{"body":{"content":"胆总管下段肿瘤需要手术，还是保守治疗，已经有黄疸症状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965192284},{"body":{"content":"身体条件允许情况下 手术是第一选择","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965242082},{"body":{"content":"？能看到吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966811640},{"body":{"content":"看到了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966851195},{"body":{"content":"能告知，胆总管下段肿瘤比较好的医院是哪里？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652969309302},{"body":{"content":"你在哪个城市","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652969338548},{"body":{"content":"***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652971360472},{"body":{"content":"那去上海东方肝胆医院吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653000668058},{"body":{"content":"你做的检查结果发来给我看下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001057760},{"body":{"content":"这个属于中期还是晚期扩散？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653001165906},{"body":{"content":"看到了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001169378},{"body":{"content":"这个病本身恶性程度比较高 但是目前没看到转移的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001191946},{"body":{"content":"应该还有手术机会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001200270},{"body":{"content":"手听说有一个药****是不是可以用？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653001291325},{"body":{"content":"这是化疗药物 不能治本","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001366555},{"body":{"content":"要手术切除才最好啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001375558},{"body":{"content":"*，手术第一选择","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653001460362},{"body":{"content":"能手术的情况下肯定先选择手术","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001525761},{"body":{"content":"疫情期间**也不方便去 省内的话就去省立医院和安医附院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001775219},{"body":{"content":"好的，谢谢。?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653001836863}]

男77岁

2022.05.20

[{"body":{"content":"您好，我是京东健康互联网医院专业育儿顾问，非常高兴由我为您提供咨询服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050337743},{"body":{"content":"请问有什么可以帮到您的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050340115},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050362606},{"body":{"content":"你好我家宝宝五个多月了喝的***一段，喝了一个月了一点肉都没长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050365473},{"body":{"content":"宝宝精神状态怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050386427},{"body":{"content":"小宝宝长到5-7个月的时候，体重常常就长得不快了，有的孩子甚至不长体重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050484681},{"body":{"content":"状态很好，有拉绿便还有奶瓣吃了*****好点了，吃不多就吃一100到120","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050497056},{"body":{"content":"一般4-5个月的孩子要开始添加辅食，如果还不加辅食，有可能会出现缺铁性贫血，孩子就不长体重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050554294},{"body":{"content":"要注意孩子是不是存在着消化不良的问题，有没有积食的问题，要注意孩子有没有腹胀、没有食欲的情况。如果出现食欲下降、腹胀，还有便秘的情况，要适当的给孩子服用肠道的***来增强消化功能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050608462},{"body":{"content":"也有的宝宝因为选的奶粉不当，也可能出现这种情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050683893},{"body":{"content":"大便一天一次有时候两次正常，吃的******奶味的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050684433},{"body":{"content":"你可以换一款产品试试","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050709073},{"body":{"content":"星飞帆卓睿怎么样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050784452},{"body":{"content":"每款奶粉都有它的优点，只是每个宝宝的体质不同","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050869597},{"body":{"content":"可能这款奶粉不适合咱家的宝宝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050937562},{"body":{"content":"你可以换一款产品","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050979401},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任！请您对我的服务作出评价，祝您生活愉快！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051101978},{"body":{"content":"祝您平安喜乐，万事胜意，宝宝健康成长 ~","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051182125},{"body":{"content":"如果您对我的服务满意的话 辛苦您点击右上角\"表扬\"那里 给我一个五星好评呀?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051190830}]

女

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

[{"body":{"content":"大概有十年了，我媳妇之前也是这种情况，后来就好了，我怀疑是被我媳妇传染的，我之前去过空军总医院看过，开的药抹了就好，过段时间不抹就犯了。我拍的照片是摸过药的，除了胳膊上，大腿外侧也有，也是左右对称的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879157601},{"body":{"content":"犯的时候会有皮屑，抹的药是***，抹几天就好一点，一个周不抹就长皮屑了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879300873},{"body":{"content":"诊断的是湿疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881660500},{"body":{"content":"不抹药时间长了，就会有皮屑，这种情况用什么药？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882173091},{"body":{"content":"帮我推荐推荐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882489802}]

男43岁

2022.05.20

[{"body":{"content":"您好，感谢信任，接到您的问题，我先根据您提供的情况仔细分析一下，然后给您答复。我这条内容您不用回复，请稍等几分钟，我会详细解答。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879268155},{"body":{"content":"他现在在做靶免治疗，这边医生说肿瘤控制的还可以，就是肝硬化有点严重。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879324502},{"body":{"content":"你好，看结果，肝功能异常，与肝硬化，肝癌，以及肝癌靶免治疗都有关系，目前具体用的那几个药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879402729},{"body":{"content":"\n他现在吃 *******，*****，当***，*******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879443546},{"body":{"content":"嗯，靶免治疗用的什么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879536304},{"body":{"content":"而且靶免治疗多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879664881},{"body":{"content":"用的*****联合*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879722424},{"body":{"content":"嗯，目前看肝功能指标，黄疸转氨酶都比较高，靶免治疗需要注意风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879795185},{"body":{"content":"21天一次用了5次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879798590},{"body":{"content":"嗯嗯，因为靶免治疗也有肝损害风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879817120},{"body":{"content":"那您能给一个治疗建议，治疗方案吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879889341},{"body":{"content":"一般我们的患者靶免治疗期间如果肝功能指标持续升高，就要先暂停一次，加强***物治疗，等肝功能改善，尤其是胆红素水平最好降低到40以下再恢复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879957265},{"body":{"content":"谢谢医生 那现在有没有用药建议。他吃的药需不需要换。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880150636},{"body":{"content":"如果乙肝病毒DNA阴性，*****就不用换，***物也可以先维持目前几个，观察一周左右复查肝功能看变化，再决定下一步方案","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880220951},{"body":{"content":"那等一周后肝功能结果出来了我再联系你吧医生。他之前吃**，后来换的这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880358250},{"body":{"content":"可以，方案是否有效，关键看复查结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880385869},{"body":{"content":"那就先维持治疗，靶免停一停吧。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880445830},{"body":{"content":"对的，治疗安全第一，其次是效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880477356},{"body":{"content":"他现在还会偶尔发烧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880587846},{"body":{"content":"如果没有明确细菌感染，发烧考虑肿瘤有关，可以对症治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880636479},{"body":{"content":"这边医生考虑是腹水引起的腹膜炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880672486},{"body":{"content":"那就要用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880684305},{"body":{"content":"嗯 输着***，到时候看看效果吧。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880706907},{"body":{"content":"嗯嗯一般至少3-5天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880725506},{"body":{"content":"好 等结果出来我再联系您吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881425055},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881434381}]

男54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