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m6 B; o c/ D& CvesnaMay 16 2011, 01:30 PM
6 @, D) I, D1 E" F" M1 }5 lDoctors please help me
" u& d7 }' n) ZI am currently 5 weeks and 5 days pregnant.I am on lovenox,prednisone 30 mg and IVI-g
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0 U4 \3 ~: k8 K" N$ u$ X4 TI have immune issue elevated nk and elevated cytokine level.1 L6 u4 Y+ \8 I9 t! W
My first results BEFORE IVI-G7 Q. }1 H$ z4 o/ F) {
NK 50:1= 24.5
5 ~) }+ K7 f4 v' E4 O8 _TNF ALFA =47.7# S" a2 M5 Z j! J
9 M: `9 c3 G5 e1.FIRST IVI-G1 r1 h4 @0 [6 `$ Y7 v# s0 J# H% i
After IVI-g on 04/18/2011 my results are
8 \0 \. r! A ~ r/ rNK 50:1=14.8' N" F$ e! `( ~
TNF ALFA=37.9
* Z+ d; X4 \- Q" A: vWe were so happy because level dropped
/ }/ Z# z4 U2 w- BI had transfer on 04/25 and I get pregnant, e( R; Z. S, {& |8 l
- ~( t$ k! ~1 x1 b7 J* R2.SECOND IVI-G
$ v% B/ u6 S7 b" W* X: T# K! eOn 05/04/2011 I had one more IVI-g' p+ ~0 L8 L" y# s" m9 V
Results from that infusion came today but elevated
+ ~ }& Y) ?1 c5 gNK 50:1=31
$ G4 Y' g* W7 A8 L7 xTNF ALFA 49.5
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3.THIRD IVI-G after one week8 w0 {4 O3 ~+ Y* i. Z
05/11/2011 results for couple of days- G6 I, f, P+ p
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Doctors ,as you can see my levels are rise from the moment I get pregnant.My immune doctor
+ h+ t" T; T+ a6 Lgave me aggressive IVI-g protocol.I don't have last blood results,they said for2 r% o) B& ]7 \
couple of days.Levels from today are after second ivi-g,and they are elevated.Is it normal to be elevated after pregnancy?% r7 T D3 g" D( Y$ D4 ?7 g2 l
I am so scared,I am crying ,please tell me are they gonna kill my baby?2 q( W+ n5 ?; V4 s+ [( o% z: q
My beta is doubling very nice,we saw sac and yolk sac last week.US for heartbeat2 a5 m$ y+ O9 f3 r, G' B
in Wednesday.
9 ^# l+ E' c3 K) vI guess levels are little bit lower because I had the third ivi-g after only one9 H: K& r5 d$ X- M8 |) L
week.
9 ]3 |; G$ t( U; f7 E( t5 rPlease help me do I have chance for this for baby
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x8 U! l- k5 g4 W- b- AGeoffrey Sher, MDMay 16 2011, 04:39 PM
/ z: S( }+ b7 I+ P# s) g2 vStay the course with the IVIG. Ignore the NKa as there is usually a lag in response anyway. I presume you are taking steroids too along with heparin.
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Hopefully all will be well. Please keep me in the loop.8 V( I: i; Z0 l' e7 M
' H1 w2 U: v: G& {1 O+ h& ?7 w' fGeoff Sher
; Z8 x8 F$ y4 J, h: _$ svesnaMay 16 2011, 04:46 PM: G. z7 N' n: o7 n1 @3 e
Thank you my dear Dr.Sher
" ~1 n. `5 W) q' z# G7 h" ?I am taking prednisone 3 times per day 10 mg,lovenox 2 times, ivi-g
7 n5 ~! h! a, YI will know more in Wednesday.
6 i# ^+ `2 K- r: s& u; N0 ^, jHug! W4 z3 u u d- h. Q
Vesna
' q K6 w4 O% R. }' D5 l( pGeoffrey Sher, MDMay 16 2011, 07:57 PM
0 R6 E# ^. W( }8 F! S$ |6 v: sHow much IVIG are you getting. I used to prescribe 40G per infusion at least! Now I have completely supplanted the IVIG with Intralipid.( ^7 c8 M$ `, x3 P
- Y% a0 X$ f C1 zGood luck!7 [( T+ k& l( }2 y2 z) `7 D4 u6 |
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Geoff Sher
8 E. [- q- H$ M/ B& LvesnaMay 17 2011, 05:08 AM
+ A9 p6 [' ^( X( U* n6 G[quote name='Geoffrey Sher, MD' date='May 16 2011, 07:57 PM' post='174944']
6 c7 o' k* [) G: B. _: LHow much IVIG are you getting. I used to prescribe 40G per infusion at least! Now I have completely supplanted the IVIG with Intralipid.2 X( B$ e* {: u# a
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Good luck!
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Geoff Sher
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% L2 z, R* H5 I# R' m8 x1 V/ sDear doctor,
' d8 u, V6 P- n) P' pI am taking 400mg IVI-G.I am praying that last dose lowered my level. " _, T" O. B9 |) S' r$ B- i
Tomorrow is big day for us
1 X7 t! e3 A# U" w/ ?- i$ Z1 s7 cThank you for your answer and care 7 j# C/ o7 s" n" ]" \
vesna
( {; g5 k; I% T- `- A8 j! UGeoffrey Sher, MDMay 17 2011, 10:27 AM8 L5 |' k3 I. c! k) C) w7 c3 V; E$ ^
The dosage needed is 40 Grams per infusion. 400mg is really completely inadequate.
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$ p! J" S1 e5 M* nGeoff Sher
: P) h( T* \: `1 z- }% ~0 UvesnaMay 17 2011, 11:01 AM* w' I; E8 A9 D/ m! `
[quote name='Geoffrey Sher, MD' date='May 17 2011, 10:27 AM' post='174977']# h0 {4 S6 ^4 ^- `) q$ N
The dosage needed is 40 Grams per infusion. 400mg is really completely inadequate. ( c3 u- x( B* c2 y" K
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Geoff Sher1 J7 p0 `+ j2 C' H
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Thank you for you answer dear Dr.Sher% W$ H; X1 A- m: v
Maybe ,I am wrong,I have to check tomorrow
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1 j" \& L2 b3 a# P& D, T' |Geoffrey Sher, MDMay 17 2011, 03:33 PM9 A! x& @: ^5 U5 c# C- L
I think you should!) a' o" l1 i7 d5 k
$ Z5 s! P. k6 z9 u- lGeoff Sher |
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