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发些帖子给懂英文的看看了
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: v; ]8 D: o1 QvesnaMay 16 2011, 01:30 PM$ k# K2 B) G! {6 E5 h
Doctors please help me% D* ^( R* N! Y8 [
I am currently 5 weeks and 5 days pregnant.I am on lovenox,prednisone 30 mg and IVI-g
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) a0 v9 N7 C& a4 Q8 V& L5 Q8 `; ^I have immune issue elevated nk and elevated cytokine level.7 e/ A6 {, O* o
My first results BEFORE IVI-G
8 j. I' y, T5 oNK 50:1= 24.5
+ f& m- e! z8 ^2 M4 R/ UTNF ALFA =47.7& k1 D2 P. W% a0 u3 ?
# ~. W: k U% n# m: h+ E1.FIRST IVI-G
( @. d( k( \" T$ v( a( dAfter IVI-g on 04/18/2011 my results are; v: K8 _6 n5 i) } K, G
NK 50:1=14.8( n5 g. q, i7 g( u# D: Z1 p
TNF ALFA=37.9
% H# L1 r+ U5 R" s3 t. G5 KWe were so happy because level dropped% l! h, r# L0 }* b$ W% N
I had transfer on 04/25 and I get pregnant; Z2 F# U6 }& {: V
5 L) v/ e/ w" }7 ~2.SECOND IVI-G
& C; T: Q7 V( }' A7 F; R( K$ YOn 05/04/2011 I had one more IVI-g& I% S+ i, T2 Z( m# _) \; r: e* ?
Results from that infusion came today but elevated9 i9 t8 G0 t# a5 ^+ e" \9 ^
NK 50:1=31 ]; c, j2 c0 ^3 k
TNF ALFA 49.5
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3.THIRD IVI-G after one week
( u5 E3 `5 g4 {05/11/2011 results for couple of days
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Doctors ,as you can see my levels are rise from the moment I get pregnant.My immune doctor ; `% L) u/ T& s/ _1 A
gave me aggressive IVI-g protocol.I don't have last blood results,they said for8 n* ^4 R: `/ \0 [
couple of days.Levels from today are after second ivi-g,and they are elevated.Is it normal to be elevated after pregnancy?1 D( \5 H5 F9 M+ k: _
I am so scared,I am crying ,please tell me are they gonna kill my baby? O+ g4 m" i) N3 r! B
My beta is doubling very nice,we saw sac and yolk sac last week.US for heartbeat
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+ ]: k/ m3 `6 _7 B% kI 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 baby0 e9 |" B1 S5 ~7 q
vesna 2 B' L, F J( \5 d4 W8 f/ k
Geoffrey Sher, MDMay 16 2011, 04:39 PM8 \8 i6 r& k: S) d, \
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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$ Y9 |- z0 S! \Hopefully all will be well. Please keep me in the loop.
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Geoff Sher - y8 P, K6 N; u
vesnaMay 16 2011, 04:46 PM) }# y7 t1 }6 _. Y9 H- o/ Q
Thank you my dear Dr.Sher T! l3 F ^3 _
I am taking prednisone 3 times per day 10 mg,lovenox 2 times, ivi-g - \+ m {% M- m! |& j# A
I will know more in Wednesday.! v$ n0 V& m" w
Hug( Q3 Q' r5 b d2 Y9 ]
Vesna
* z7 Q: P9 a/ ~* y* U1 h$ n! Z8 yGeoffrey Sher, MDMay 16 2011, 07:57 PM
- q! d; a* A1 [/ r# k/ q o+ ?# ?How much IVIG are you getting. I used to prescribe 40G per infusion at least! Now I have completely supplanted the IVIG with Intralipid./ |: {) @2 E3 O
- q9 k4 {' q" N0 m4 O1 KGood luck!3 |8 }) @9 T0 |8 i- `( C
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Geoff Sher
2 e, ]# M/ W# evesnaMay 17 2011, 05:08 AM
# i6 s- [) N8 x- w7 Z( b[quote name='Geoffrey Sher, MD' date='May 16 2011, 07:57 PM' post='174944'] V+ W+ m ]! W1 D( a& i8 I
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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Good luck!
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Geoff Sher
9 f P6 H* G; Q8 u[/quote]
8 M N% c, J5 JDear doctor,$ v* X; z# l: ~& k+ f
I am taking 400mg IVI-G.I am praying that last dose lowered my level.
) n: }) K: W( _Tomorrow is big day for us8 \1 r8 k. J1 e5 @9 N
Thank you for your answer and care
: g" D9 M8 g& i: F+ O5 Zvesna 2 B- e( g: [4 P+ f8 ]. C" X
Geoffrey Sher, MDMay 17 2011, 10:27 AM9 C0 y- |& u+ f+ H8 R
The dosage needed is 40 Grams per infusion. 400mg is really completely inadequate.
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9 k! ]- ?4 I) M1 z2 YGeoff Sher : u4 W$ ]4 m7 F" B
vesnaMay 17 2011, 11:01 AM' o0 s# g0 i7 P6 I
[quote name='Geoffrey Sher, MD' date='May 17 2011, 10:27 AM' post='174977']5 W0 [$ ?2 p) f6 ]- t6 U& N' Z
The dosage needed is 40 Grams per infusion. 400mg is really completely inadequate.
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Geoff Sher2 A' ]2 i8 J! b8 X" k
[/quote]
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Thank you for you answer dear Dr.Sher# h% S0 R i) T2 s! c; `) s: K" Z
Maybe ,I am wrong,I have to check tomorrow - P4 f5 `6 I1 ] j. Y
hugs
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Geoffrey Sher, MDMay 17 2011, 03:33 PM
+ N# @) O( W( Z7 UI think you should!8 P; v8 B, _4 m. H& ?, q
7 ^# q. R3 n6 P$ {3 G, ~Geoff Sher |
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