刘继帅

[{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965252829},{"body":{"content":"你好，我亲人头部撞伤了，现在人在昭平县人民医院，想去你们医院治疗 你好，我亲人头部撞伤了，现在人在昭平县人民医院，想去你们医院治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965296231},{"body":{"content":"重伤","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965315750},{"body":{"content":"这个**特别是病情比较复杂的情况下，需要尽管医生的同意，并且还要适合转院的指正。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965463709},{"body":{"content":"这个病情比较复杂的情况下，需要尽管医生的同意，并且还要适合转院的指正。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965481670}]

男55岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965428700},{"body":{"content":"请问这个情况多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965435066},{"body":{"content":"以前做过什么检查吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965451686},{"body":{"content":"有半年了吧，没有检查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965519521},{"body":{"content":"好像是一次开夜车，那天有大雾，一直很紧张的开车回家，之后疼痛，开始还以为是累的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965604625},{"body":{"content":"现在一直没好转","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965623417},{"body":{"content":"怀疑是膝关节骨关节炎，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965662901},{"body":{"content":"要注意以下措施以减缓病情的发展： 1.患者要注意保暖，不要让患处接触凉风； 2.这种情况建议适度休息，控制日常活动量，平时避免机械性损伤，避免爬很陡的楼梯，少走上下坡路；避免长距离行走、久站、攀爬、登高、弹跳、跑步及球类等剧烈运动。 4. 酌情局部理疗、热敷，局部外用*********等，口服***或*******，口服***保护关节软骨！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965676081},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965762389},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965769097},{"body":{"content":"您****，要是想确定是不是膝关节骨关节炎，需要做什么检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966405789},{"body":{"content":"您可以拍片或者做核磁检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966434937},{"body":{"content":"拍片子能看出来吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966531666},{"body":{"content":"是不是必须需要核磁检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966588065},{"body":{"content":"拍片看**关节间隙，当然比如核磁检查好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966748181},{"body":{"content":"不如","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966761112},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966917759},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967085569}]

男40岁

2022.05.20

[{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，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":1653050246477},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050248782},{"body":{"content":"产后2-3天内分泌的乳汁量少，可用吸奶器在一侧乳房，抽吸大约十分钟时间即可。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309028},{"body":{"content":"今天第四天了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051481168},{"body":{"content":"感觉没有什么母乳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051495113}]

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":1653049843212},{"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":1653049844682},{"body":{"content":"四五天了 会痒 但是破了就不痒了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049856127},{"body":{"content":"除了图片中其他部位还有这种症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049891287},{"body":{"content":"主要就是腹部 后背腰部 和大腿内侧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049917682},{"body":{"content":"最开始出现 哪个部位呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049965951},{"body":{"content":"腹部","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049986287},{"body":{"content":"根据您的图片和描述考虑 玫瑰糠疹 可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049993466},{"body":{"content":"您这种症状出现之后是否有自己用过药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049994452},{"body":{"content":"吃了***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050001564},{"body":{"content":"吃了两天每天吃两粒 感觉没啥效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050018443},{"body":{"content":"玫瑰糠疹的病因目前尚不明确，常见的诱发因素包括感染、过敏反应、内分泌系统疾病等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050028599},{"body":{"content":"如果效果不理想，我帮您调整一下用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050030284},{"body":{"content":"为了用药安全，请问您有无药物过敏史及肝肾功能异常？ 冒昧问您一下，目前是否在妊娠期或准备怀孕或哺乳期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050068472},{"body":{"content":"暂时没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050114431},{"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":1653050158608},{"body":{"content":"建议您可以口服 ***** 每天一次一片\n＋******* 每天三次每次两片\n＋外用 ******* 每天一次 治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050250322},{"body":{"content":"吃多久啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050250736},{"body":{"content":"任何药物起效都需要一个过程，建议您坚持用药1-2周上线复诊，我再帮您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050254560},{"body":{"content":"这个好了会留疤么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050387938},{"body":{"content":"这个一般不会的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050499600},{"body":{"content":"好的 那我先吃两周看看情况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050522698},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050578195},{"body":{"content":"这个用药是一方面","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050579646},{"body":{"content":"同时给您一些生活建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050580272},{"body":{"content":"建议避免搔抓和摩擦刺激，以免刺激加重病情，做好皮肤保湿，饮食清淡，忌鸡蛋，海鲜，牛**，多吃蔬菜和水果 避免搓洗患处","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050591945},{"body":{"content":"关闭问诊时间临近了，希望我的建议能够帮助到您。 后续如有其他医药问题，您可以随时留言咨询。祝您生活愉快，再见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051061867},{"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":1653051067462}]

女30岁

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":1653051423697},{"body":{"content":"请问您说的是这个药吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051444286},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051449557},{"body":{"content":"头顶稀疏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051464988},{"body":{"content":"请问还有别的什么症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051473125},{"body":{"content":"长期使用能长出头发吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051477117},{"body":{"content":"有红点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051484095},{"body":{"content":"有时头皮痒 小头屑","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051505430},{"body":{"content":"这个***是可以治疗脂溢性 皮炎，对**的话效果可能不太好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051506412},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051516049},{"body":{"content":"主要是可以缓解脱发的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051518563},{"body":{"content":"那**有什么药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051533711},{"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":1653051558583},{"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":1653051840001},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051862938},{"body":{"content":"男 27岁 是本人","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051882466},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051907876},{"body":{"content":"**可以用****来治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051924032},{"body":{"content":"局部外用：每次1ml（****50mg，约7喷），涂于头部患处，从患处的中心开始涂抹，并用手按摩3-5分钟，不管患处的大小如何，均使用该剂量。每天的总量不得超过2ml。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052030504},{"body":{"content":"一般几个疗程","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052041173},{"body":{"content":"这个一般要使用时间长点的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052060317},{"body":{"content":"一般使用三个月左右开始长头发","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052069455},{"body":{"content":"建议您先使用这一瓶看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052098118},{"body":{"content":"行 等我们这解封快递开始了就买一瓶试下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052134819},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052148036},{"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4周无效果或病情加重，请及时咨询医师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052154285},{"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":1653052162185},{"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":1653052163954},{"body":{"content":"没有了 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052200401},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052204120},{"body":{"content":"不客气，用我的专业帮到您我非常高兴!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052207186},{"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":1653052208650}]

女

2022.05.20

[{"body":{"content":"考虑是毛周角化病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050231756},{"body":{"content":"又称毛发苔藓或毛发角化病，是一种慢性毛囊角化性皮肤病，有一定遗传倾向，好发于上臂外侧及大腿前侧，也可发生于面颊部和臀部。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050235923},{"body":{"content":"是的大腿上手臂 背部都有 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050274350},{"body":{"content":"本病一般不需要治疗。症状明显或有治疗要求，可涂抹一些外用药物；可以涂抹尿素维E乳膏，一天1次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050284354},{"body":{"content":"平时多抹点保湿的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050326118},{"body":{"content":"是全身涂抹 还是 有的部位涂抹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050368562},{"body":{"content":"有鸡皮肤的地方涂抹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050404394},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050458375}]

男25岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018710983},{"body":{"content":"抱歉，平台最新规定，必须有原来当地医院纸质处方，才能开药！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018758185},{"body":{"content":"贺医生最近有反复医院医生把我***加量了但是医生开的量不够","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653018778069},{"body":{"content":"纸质处方在医院就诊药诊单可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653018821521},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653019125134},{"body":{"content":"您可以去当地的医院下次就诊时，留着病例，处方（必须有姓名，诊断，医院，用药情况）。这样下次就可以网上买药了，京东软件，搜索 {***} 就可以找到我了！价格便宜！感谢配合！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653019133190},{"body":{"content":"这个可以吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653021670247},{"body":{"content":"这个不行的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653021729356},{"body":{"content":"不可开方情况：\n１.　用药指导不可以\n２.　门诊缴费凭证不可以\n３.　互联网平台处方凭证不可以\n 4. 取药单不可以\n 5. 发票单不可以\n 6. 非精神心理科提供的凭证不可以！（神经内科规范处方除外）\n以上均缺乏专业认证！！！！！！！\n\n可开方情况（满足一种即可)：\n特别说明：以下可开方情况的专业认证与本次问诊的患者姓名、诊断、药品名称三者必须全部一致，否则不可开方！！！！！！！\n\n１．门诊病历（可无盖章，必须有医生签名）\n２.　住院病历（必须有医院公章）\n３.　出院小结（纸质手写必须有医院公章，电子版可无公章）\n４.　诊断证明（必须有医院公章）\n５.　处方单（必须有医生签名）\n 6· 线下实体医院自有互联网医院处方单（必须有医生签名）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653021731887}]

女33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":"您好，我是主治医师许奇峰，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049832526},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049835926},{"body":{"content":"可以吃这款巧克力吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049883034},{"body":{"content":"一般情况下是不建议，容易升高血糖","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049888896},{"body":{"content":"无糖的也不能吃啊？?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049921498},{"body":{"content":"该产品是高热量的，容易升高血糖","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050478552}]

女

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965422297},{"body":{"content":"医生好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965435796},{"body":{"content":"现在身体来月经，脚底站不住","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965452777},{"body":{"content":"腰疼的厉害，以前没那么严重，现在每次来月经都得请假休息两天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965506112},{"body":{"content":"建议检查彩超看看是否有子宫腺肌症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965550908},{"body":{"content":"就是比较明显不舒服，是不是年龄大容易这样，而且坐时间长了腿容易浮肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965565970},{"body":{"content":"体检的时候说有一个特别小得肌瘤","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965594613},{"body":{"content":"好嘞谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965648174},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965752169}]

女39岁

2022.05.20