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发些帖子给懂英文的看看了0 _( E S, H: N" W
3 J3 r- l! R hvesnaMay 16 2011, 01:30 PM
! c" |" Q! {! n( G4 ~% v9 yDoctors please help me
# ~& r, o; F2 q6 m7 t5 sI am currently 5 weeks and 5 days pregnant.I am on lovenox,prednisone 30 mg and IVI-g
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I have immune issue elevated nk and elevated cytokine level.
( n- W$ D( v2 q4 y5 AMy first results BEFORE IVI-G
/ i( f5 ~2 ~ T& ZNK 50:1= 24.5
% M5 u$ \9 n6 t* W1 N0 rTNF ALFA =47.7
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& Q* s1 P' V% S$ h) {7 e4 H1.FIRST IVI-G( b) f1 i* W" {' b! _
After IVI-g on 04/18/2011 my results are
! [& v! W$ ~/ \ rNK 50:1=14.8$ H8 g: C7 I/ N, K6 H. {. } x
TNF ALFA=37.9
R+ o, T8 J! S& H& zWe were so happy because level dropped
+ R# g: ~& v9 [- l' Y: j2 P0 }I had transfer on 04/25 and I get pregnant
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y, X- `2 k) |- e! ?( S8 B2.SECOND IVI-G
* W: o) L" M! V! @$ b- m) d5 E- R- wOn 05/04/2011 I had one more IVI-g
8 r! D& B2 p# V. O7 ~# A" m4 ~* k, hResults from that infusion came today but elevated$ }2 p3 x; \; C& t$ P. V, t0 t C$ F
NK 50:1=31
- L8 D" ]; J% E9 nTNF ALFA 49.55 f4 B2 w6 b/ C" Z7 u6 R
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3.THIRD IVI-G after one week
; E; N. x2 {- l+ ^ w, q0 F" v. Q r05/11/2011 results for couple of days
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+ P- n, e# F+ c: |Doctors ,as you can see my levels are rise from the moment I get pregnant.My immune doctor 1 }! U+ M4 I. \" ]( }
gave me aggressive IVI-g protocol.I don't have last blood results,they said for1 q% a- W0 Z( i2 W4 m# K+ G5 ?6 [
couple of days.Levels from today are after second ivi-g,and they are elevated.Is it normal to be elevated after pregnancy?
7 I" S) x) w8 O' WI am so scared,I am crying ,please tell me are they gonna kill my baby?7 g1 I1 I" F: }: @
My beta is doubling very nice,we saw sac and yolk sac last week.US for heartbeat. t+ w& C% \6 O6 Y( `% g# u+ f
in Wednesday.
8 B1 F& y ], k# T, N. B. z" [4 ?9 aI guess levels are little bit lower because I had the third ivi-g after only one
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Please help me do I have chance for this for baby
& r6 x7 ~, M- A8 [" O/ b; @) t1 Nvesna 9 y8 R0 N/ ~5 {' O: S" M+ v2 C
Geoffrey Sher, MDMay 16 2011, 04:39 PM
, @8 x% z* r, B. l8 L, [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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5 m0 V, C0 r4 l& A+ L# \( {Hopefully all will be well. Please keep me in the loop./ U* b) T+ i5 Z/ p
0 q3 n" p" O1 u3 H" m( [, }Geoff Sher 2 y- M$ ? l) J3 z- H, [, R
vesnaMay 16 2011, 04:46 PM
8 O5 g7 J9 c# k" d7 R4 {" g) c/ oThank you my dear Dr.Sher) J2 W5 J) `. w3 w- P) n S
I am taking prednisone 3 times per day 10 mg,lovenox 2 times, ivi-g # X z, v# u3 J9 _% A
I will know more in Wednesday.. M3 T$ V4 Z. ~
Hug
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0 w- t+ h$ y3 W& R oGeoffrey Sher, MDMay 16 2011, 07:57 PM
7 g4 t1 x( X# f- z% zHow 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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* N. n; ^( J: G+ BGood luck!4 [3 U0 Q, l1 v. p
4 Z! @8 \( x Z) I) E4 HGeoff Sher ! J0 d7 }% m k& T0 i0 N
vesnaMay 17 2011, 05:08 AM
% O3 V. ^2 P* Z8 y @[quote name='Geoffrey Sher, MD' date='May 16 2011, 07:57 PM' post='174944']# S: ^) v- \6 U7 G& u5 s- V* G! h3 _
How much IVIG are you getting. I used to prescribe 40G per infusion at least! Now I have completely supplanted the IVIG with Intralipid.* p" f" t2 q. D+ h7 q/ M
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Good luck!3 f' x( w, D/ B, L% Y/ i6 P N
8 c' z- B7 U2 [" FGeoff Sher
/ s* E, T9 W" u- `+ r$ f[/quote]
/ _( O3 b" i& o* _8 D) _Dear doctor,
% J. y( x( K7 }4 @7 |* C. d! oI am taking 400mg IVI-G.I am praying that last dose lowered my level.
4 P+ @% M \, D: {8 G( w7 WTomorrow is big day for us5 i* I7 ~% z! ~! _1 X5 ^
Thank you for your answer and care
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Geoffrey Sher, MDMay 17 2011, 10:27 AM, y1 r1 E! _; e: y. ` Y9 I
The dosage needed is 40 Grams per infusion. 400mg is really completely inadequate.
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Geoff Sher 1 q+ `2 t* ^9 G$ n2 R+ L
vesnaMay 17 2011, 11:01 AM
0 o6 S% ^% ?9 A[quote name='Geoffrey Sher, MD' date='May 17 2011, 10:27 AM' post='174977']. S4 C* a$ T( l; ~! y" g4 d
The dosage needed is 40 Grams per infusion. 400mg is really completely inadequate. 7 p- f' l6 K/ D- f, G' h5 s
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Geoff Sher
8 t; Z5 b/ N& P* A[/quote]! X/ `& W7 s" p) a. k/ Q. h1 O6 [+ @# I
! O1 ? F& }! ]( A+ M! \Thank you for you answer dear Dr.Sher/ O/ C6 Y. U. t4 |2 b' b& J' f: M2 l
Maybe ,I am wrong,I have to check tomorrow
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1 ~1 M: u A4 A3 d5 F, Vvesna
6 b, l3 c$ R$ h' Z# x0 Y% N- dGeoffrey Sher, MDMay 17 2011, 03:33 PM( N) N/ d5 v: Z9 B$ P$ j1 P$ B
I think you should!' ^- E) f. I2 {+ f* H- } e4 ^
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Geoff Sher |
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发表于 2011-6-9 16:34:45
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