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发些帖子给懂英文的看看了. l- k' @/ O3 J1 ~8 X' x
& X) v. O' g( u k1 m W5 ]1 f7 OvesnaMay 16 2011, 01:30 PM
4 B3 O8 g, @( r' uDoctors please help me* p3 h4 B7 W( ~% s
I am currently 5 weeks and 5 days pregnant.I am on lovenox,prednisone 30 mg and IVI-g
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% r+ D i4 Q8 B3 p, UI have immune issue elevated nk and elevated cytokine level.
& p# S, n5 x$ w1 {9 v- eMy first results BEFORE IVI-G
; ^$ a# V, ]+ i& F3 e- t& \7 {0 B7 ^9 INK 50:1= 24.5
; D8 ]5 c4 X+ e' CTNF ALFA =47.7
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1.FIRST IVI-G
' H5 M1 p. Z% _$ qAfter IVI-g on 04/18/2011 my results are- Z8 H# m9 [) F) u4 E- X
NK 50:1=14.8# \% G6 `; K/ D/ x6 w
TNF ALFA=37.9
& ]% b- p# c p% k6 _/ j6 q/ wWe were so happy because level dropped
8 v Q5 S, U% x* r3 C$ M2 k: qI had transfer on 04/25 and I get pregnant5 E, n' d% `9 L4 Z! L
& Q% I1 X; ^8 c0 t5 ]" G$ ^2.SECOND IVI-G
- b. O0 E! k8 ~. bOn 05/04/2011 I had one more IVI-g
: j5 H* Q! |4 w5 J, zResults from that infusion came today but elevated, t, p) P8 H8 E7 P8 m5 M! \
NK 50:1=311 O# s+ i1 K% ^% Q' l7 A; N. g
TNF ALFA 49.5
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3.THIRD IVI-G after one week, i7 L$ @5 ?# j& o$ Y
05/11/2011 results for couple of days, o, q. ?; i/ d2 ^
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Doctors ,as you can see my levels are rise from the moment I get pregnant.My immune doctor , E" y2 Q6 s P( V
gave me aggressive IVI-g protocol.I don't have last blood results,they said for# v, x* x' \2 a6 r) x
couple of days.Levels from today are after second ivi-g,and they are elevated.Is it normal to be elevated after pregnancy?% S( m: o0 t' A6 a2 x% Z$ B; {
I am so scared,I am crying ,please tell me are they gonna kill my baby?
0 n2 F% V' Z) `, O1 }% l2 ^My beta is doubling very nice,we saw sac and yolk sac last week.US for heartbeat! f, K, c* I! h+ J
in Wednesday.' L7 m! j+ i5 R9 ~& p
I guess levels are little bit lower because I had the third ivi-g after only one$ L* \# w' V, W) U
week.
3 M. ?# x7 ~4 C; g8 Y6 WPlease help me do I have chance for this for baby4 A1 V) M4 n: P- c
vesna
5 a: B ?$ b, _8 t9 J. z4 `Geoffrey Sher, MDMay 16 2011, 04:39 PM/ ?3 d6 {) M0 ^' v% a5 Z8 ^5 _# Z
Stay 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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. f0 C- r+ c" y5 A ?+ qHopefully all will be well. Please keep me in the loop.- Y; I# j, M6 ^) X
8 T. }/ V+ V6 O- f) eGeoff Sher $ X6 n( C9 A# L4 z
vesnaMay 16 2011, 04:46 PM
+ C, a! @) g' R; }) AThank you my dear Dr.Sher
% m8 l% g' _. g2 m( b g' FI am taking prednisone 3 times per day 10 mg,lovenox 2 times, ivi-g
& I% h3 k" ?; \7 Q" n# U, A8 p- eI will know more in Wednesday.
2 H0 @; G" \" y+ l# S$ gHug5 N! m7 q+ J: |+ E: T
Vesna A: S! o# c3 D& l
Geoffrey Sher, MDMay 16 2011, 07:57 PM9 o2 N% U) D F1 V6 j/ w
How much IVIG are you getting. I used to prescribe 40G per infusion at least! Now I have completely supplanted the IVIG with Intralipid.
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* m% a j: N$ eGood luck!5 _6 ]. B" q2 q9 ]
4 g1 B0 C( x' AGeoff Sher 0 V9 I7 l" ]3 b# P2 {2 u+ ^& O J5 M
vesnaMay 17 2011, 05:08 AM
" z: g' z5 L: f9 ~[quote name='Geoffrey Sher, MD' date='May 16 2011, 07:57 PM' post='174944']
; g+ J2 |+ [$ O# FHow much IVIG are you getting. I used to prescribe 40G per infusion at least! Now I have completely supplanted the IVIG with Intralipid.
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0 X& c+ N9 @: V8 EGood luck!- C+ B h1 N! W3 _$ ]% p
p( V7 h# I7 E& x; ^, N% KGeoff Sher
9 }- d1 n! R" a; N[/quote]) {# o! c |, y3 l Y8 w
Dear doctor,
* r3 ?) T0 B& M% p2 v# c6 ^) \: JI am taking 400mg IVI-G.I am praying that last dose lowered my level. 5 y1 G1 W5 ^0 u& q
Tomorrow is big day for us$ H; x- o) ]# O1 Q% A
Thank you for your answer and care + S, {7 Q7 J# G9 S p
vesna
2 `/ @* M) t2 W( I+ b" y5 t, MGeoffrey Sher, MDMay 17 2011, 10:27 AM% Z# }7 M; V: P r+ ?/ p
The dosage needed is 40 Grams per infusion. 400mg is really completely inadequate.
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Geoff Sher
4 }5 Q B8 D4 N. K+ x. cvesnaMay 17 2011, 11:01 AM
$ O5 S/ |1 L2 q( L! q7 A0 H[quote name='Geoffrey Sher, MD' date='May 17 2011, 10:27 AM' post='174977']- p7 Z# }8 K) o# c
The dosage needed is 40 Grams per infusion. 400mg is really completely inadequate. 6 h6 T1 W7 `6 i/ }: |' ?* o# M
2 d0 L, E' d! U5 o/ PGeoff Sher/ l7 |; A# n9 f) C+ e
[/quote]
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Thank you for you answer dear Dr.Sher
5 I3 r" p% b4 T) y. K2 |Maybe ,I am wrong,I have to check tomorrow & |! b/ d8 Y* _( C" |! i
hugs
! [" }" V1 S! ivesna + [- |. Q! @# g* \6 {3 Q; c) ~% e
Geoffrey Sher, MDMay 17 2011, 03:33 PM5 D5 p/ d+ Q( O. N4 _2 l1 B
I think you should!
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Geoff Sher |
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发表于 2011-6-9 16:34:45
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