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发些帖子给懂英文的看看了1 R& m8 V" Z3 ?( M
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vesnaMay 16 2011, 01:30 PM
$ s- N8 ]5 {( q7 C) ?Doctors please help me! g+ _" L" L0 n# C) w) y, h( |
I 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.! F) ?1 w, E1 O7 Y7 ?
My first results BEFORE IVI-G
0 V8 B# `8 u% fNK 50:1= 24.5! \ o7 ?; m" Q
TNF ALFA =47.7* s* P. [6 l! g1 H8 N: N
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1.FIRST IVI-G# [2 N; m8 |: }; }% b- @) Q! Q: X
After IVI-g on 04/18/2011 my results are7 C, H* C/ Q: F# c& g5 B* D* z% Y& T
NK 50:1=14.8
1 D! \. Z/ D* R# ~9 uTNF ALFA=37.94 {$ \8 {; l5 a! K* ]) F
We were so happy because level dropped0 D; z n4 W+ s0 i% ~* H$ w
I had transfer on 04/25 and I get pregnant) q5 ?( o9 X2 ~4 i) e
: V* y! M' K0 {' w1 ]# L! }2.SECOND IVI-G! a; a2 Z* ^8 f0 }- p# _: P
On 05/04/2011 I had one more IVI-g/ [) J/ |3 W0 z2 R4 k" o& v: c
Results from that infusion came today but elevated
/ s5 N6 k3 v' R2 bNK 50:1=31' |) b2 t/ J! c. M$ F0 S6 b
TNF ALFA 49.5' t" k, }" j+ l0 n* a
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3.THIRD IVI-G after one week
8 V. \8 h4 x5 r: A/ h) k4 W05/11/2011 results for couple of days8 C, n4 @" v( G2 p6 @, ?
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Doctors ,as you can see my levels are rise from the moment I get pregnant.My immune doctor
/ v! A- J/ e1 o* ^9 _, o' W9 Cgave me aggressive IVI-g protocol.I don't have last blood results,they said for. l/ Y2 g6 j/ h$ _
couple of days.Levels from today are after second ivi-g,and they are elevated.Is it normal to be elevated after pregnancy?
6 N: I: s5 O9 F8 [( }/ TI am so scared,I am crying ,please tell me are they gonna kill my baby?7 Y. W8 x8 Y9 S5 s/ {3 h/ w
My beta is doubling very nice,we saw sac and yolk sac last week.US for heartbeat
5 k! x" y: B! M& @# D4 W N. P0 m$ ^in Wednesday.9 n/ V4 V5 U, J' Y
I guess levels are little bit lower because I had the third ivi-g after only one7 u8 |: ^! Z. b" T
week.
% h0 p5 {, e" e/ T, q/ C, X5 F zPlease help me do I have chance for this for baby) H% Y. H. }- D9 t% h3 ~- j, Q
vesna & N" I7 M3 e6 F# u! }- c" i
Geoffrey Sher, MDMay 16 2011, 04:39 PM
?' W; ^6 d; Q! ?: \ v9 KStay 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.
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7 l% r* b# T5 Q. k+ xGeoff Sher $ F% ^* N. H6 `1 M/ F3 {0 ~
vesnaMay 16 2011, 04:46 PM0 @; W! s2 p! ~1 @. }7 C/ r+ V
Thank you my dear Dr.Sher
; p# S* C$ x3 R7 b( U* HI am taking prednisone 3 times per day 10 mg,lovenox 2 times, ivi-g 8 D; F# [1 L& O4 p/ [/ ~& `
I will know more in Wednesday.
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Vesna
4 [% ~( s4 |2 N* n, eGeoffrey Sher, MDMay 16 2011, 07:57 PM3 U1 q' I) a, P- M. N+ e$ a
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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2 ^. T8 n/ `9 v. oGood luck!, n( O5 i4 a6 M9 k, F$ ^% V
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Geoff Sher # H" Y& I5 H9 N& ^
vesnaMay 17 2011, 05:08 AM
. i k8 t- R1 Q7 [. Q0 N[quote name='Geoffrey Sher, MD' date='May 16 2011, 07:57 PM' post='174944']4 e+ r& J4 d4 t2 _* {# R2 z& G2 {
How much IVIG are you getting. I used to prescribe 40G per infusion at least! Now I have completely supplanted the IVIG with Intralipid.5 P! o ^" z& h i6 d5 N
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Good luck!
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8 c8 p) J0 P8 lGeoff Sher8 l8 ^ f; X$ N. J
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Dear doctor,1 h2 v. ]' D; j- D
I am taking 400mg IVI-G.I am praying that last dose lowered my level. 9 e5 l" ^/ F8 l3 ?, U
Tomorrow is big day for us
4 A. z' O, E) Y3 F' C$ }Thank you for your answer and care ]0 T p: r' m l$ p- @
vesna
/ K, P9 t( H" e) ^% kGeoffrey Sher, MDMay 17 2011, 10:27 AM8 [& b7 O! r% h( m& O
The dosage needed is 40 Grams per infusion. 400mg is really completely inadequate. {% [7 ~1 \$ w) O) N) {
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Geoff Sher
0 C7 U, q- @6 I, C; ~vesnaMay 17 2011, 11:01 AM
( g* M( _) }" T* G[quote name='Geoffrey Sher, MD' date='May 17 2011, 10:27 AM' post='174977']
) I# K1 y, `/ d0 L# e' w6 jThe dosage needed is 40 Grams per infusion. 400mg is really completely inadequate.
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Geoff Sher
5 g8 S1 S2 n) Q- u[/quote]
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4 r2 m5 e' }6 i" W2 DThank you for you answer dear Dr.Sher% O' b0 R1 \5 w% m ^/ w+ I
Maybe ,I am wrong,I have to check tomorrow
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" M# y, S; H, U2 E9 hGeoffrey Sher, MDMay 17 2011, 03:33 PM: a/ O" t- p7 [: n8 J4 q* J6 u& e
I think you should!4 Q5 I. A: ` _1 {4 v
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Geoff Sher |
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