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发些帖子给懂英文的看看了
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vesnaMay 16 2011, 01:30 PM7 v+ |! ^6 c; r
Doctors please help me0 K* H) W2 O0 F8 Z+ Y. A
I am currently 5 weeks and 5 days pregnant.I am on lovenox,prednisone 30 mg and IVI-g9 Z M, b+ a0 C
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I have immune issue elevated nk and elevated cytokine level.
9 M. s x- t4 V2 l; uMy first results BEFORE IVI-G$ \: v$ a" U6 J& o# z# X
NK 50:1= 24.5
- j% A) g$ [. g) F) STNF ALFA =47.7
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1.FIRST IVI-G8 j$ a! n0 U2 \6 |
After IVI-g on 04/18/2011 my results are
' k2 g" b! J G5 d/ yNK 50:1=14.8
) [& [) D) r7 Y$ U- ATNF ALFA=37.9 I7 E" A( @; b6 `
We were so happy because level dropped. O$ K: A6 i0 ^' ^) \3 p
I had transfer on 04/25 and I get pregnant; D+ O. J0 g# f! @) K
* X9 _" ?1 D. M% |6 Z$ e+ |" G2.SECOND IVI-G
: x* B3 B( O! _1 a+ oOn 05/04/2011 I had one more IVI-g
; l7 }4 q7 }; @2 t0 G) J% K. CResults from that infusion came today but elevated
$ Q' j3 `) J5 q [' TNK 50:1=314 e) J" {8 n* B+ p, J! ^
TNF ALFA 49.5
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3.THIRD IVI-G after one week
2 }0 w# A, B8 x5 L3 g( f05/11/2011 results for couple of days
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- K. @) _- q% t. F$ ^9 u- VDoctors ,as you can see my levels are rise from the moment I get pregnant.My immune doctor
* p. \" C. e+ mgave me aggressive IVI-g protocol.I don't have last blood results,they said for0 G! Q$ c% i+ f+ p3 M+ g
couple of days.Levels from today are after second ivi-g,and they are elevated.Is it normal to be elevated after pregnancy?( j( F% x2 l: K2 L# m; j" R3 `* Z
I am so scared,I am crying ,please tell me are they gonna kill my baby?3 c4 \+ ^+ g2 t, [/ `# b: G
My beta is doubling very nice,we saw sac and yolk sac last week.US for heartbeat
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I guess levels are little bit lower because I had the third ivi-g after only one
3 W+ W+ P5 w+ U% u( G0 Mweek.
: p5 E) l5 U! d8 g. d$ l( gPlease help me do I have chance for this for baby, f- G2 k$ j, ? z& Y) q; e
vesna 3 v, E Q1 I4 v1 m ~
Geoffrey Sher, MDMay 16 2011, 04:39 PM
3 p3 t4 y0 ?# V8 j) OStay 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.$ k9 h4 G% ^$ h; r3 m- ~
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Hopefully all will be well. Please keep me in the loop.
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) E, d6 I$ d; n" o: K! P7 `- nGeoff Sher & i% c5 }4 M' g6 p0 U
vesnaMay 16 2011, 04:46 PM( z- Y" K* W \+ I
Thank you my dear Dr.Sher
$ D3 x ~* w* mI am taking prednisone 3 times per day 10 mg,lovenox 2 times, ivi-g
1 s8 A9 n3 Q' n' m; p |1 @I will know more in Wednesday.; P c! d0 B6 V# W9 a& v7 Q
Hug. t- `, e; X% _; [6 x
Vesna
2 [% U% _$ z1 _& L9 jGeoffrey Sher, MDMay 16 2011, 07:57 PM* i h9 M0 u8 d$ X2 H3 C8 b
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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) d" p8 x0 n/ X( S9 h, ?Good luck!
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Geoff Sher
9 S. P( M% U, I7 d tvesnaMay 17 2011, 05:08 AM
2 K' S6 F' I& \4 }: b* L: E[quote name='Geoffrey Sher, MD' date='May 16 2011, 07:57 PM' post='174944']
9 _# b) u% M; W6 T! ^5 jHow much IVIG are you getting. I used to prescribe 40G per infusion at least! Now I have completely supplanted the IVIG with Intralipid., F) G y2 [& g6 C- c0 o
2 U( V, J* ]1 K& `6 M0 pGood luck!
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Geoff Sher Z( {! s1 K% R& R& J
[/quote]
; s1 h5 O+ ^# U2 W% ]- @Dear doctor,
! H- y: {( G/ \I am taking 400mg IVI-G.I am praying that last dose lowered my level. % o! @5 L6 ~" N: A3 E) E8 t$ s$ \7 o
Tomorrow is big day for us# M& \/ R7 m* f
Thank you for your answer and care
. |# G$ r- N, F# Z3 nvesna
3 O( ? e$ y6 lGeoffrey Sher, MDMay 17 2011, 10:27 AM
4 u* D8 U. c1 j$ zThe dosage needed is 40 Grams per infusion. 400mg is really completely inadequate.
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Geoff Sher : X: C, P. w/ }2 J+ h0 u% H
vesnaMay 17 2011, 11:01 AM1 {' T5 m V* ?9 f c' N
[quote name='Geoffrey Sher, MD' date='May 17 2011, 10:27 AM' post='174977']
3 K2 L9 {& M5 o, P# v6 p- D1 mThe dosage needed is 40 Grams per infusion. 400mg is really completely inadequate. 0 x" o5 m% ~5 r V5 y: Y/ d0 p
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Geoff Sher
9 q$ j, N+ o# f5 U[/quote]7 V/ N6 o2 p8 K- j
/ {8 O& G. A4 a! z7 {& ?' Z8 ?Thank you for you answer dear Dr.Sher1 Y2 F5 Z" ]5 p J8 d1 E
Maybe ,I am wrong,I have to check tomorrow 5 N8 [" T5 x) G. L
hugs. \0 o. `( t! [' R* j
vesna E; _" ~9 Q1 A# d8 \* n3 K
Geoffrey Sher, MDMay 17 2011, 03:33 PM; O; y- m8 \9 s% B! t& i3 J
I think you should!( ^6 z8 s) n0 Y* M+ x/ r/ h$ T
$ f+ W6 R& t( ?8 l$ sGeoff Sher |
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发表于 2011-6-9 16:34:45
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