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发表于 2011-6-10 22:57:41
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发些帖子给懂英文的看看了8 ?& P# V1 @0 P0 P/ h8 p! E* g
; p/ d* {; x. O4 x/ gvesnaMay 16 2011, 01:30 PM
, Y& t+ q1 G/ o9 v5 pDoctors please help me1 s* `. ?! `. g1 U) ~+ G
I am currently 5 weeks and 5 days pregnant.I am on lovenox,prednisone 30 mg and IVI-g6 A( y9 n7 c! n6 o
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I have immune issue elevated nk and elevated cytokine level.
" a' `: x# L, l* O7 LMy first results BEFORE IVI-G
2 L, v3 }* E- w6 i# y- i3 V6 MNK 50:1= 24.5
6 _ D5 ~2 k- z7 S9 v6 HTNF ALFA =47.7
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1.FIRST IVI-G+ D2 i+ h( n f2 O) V1 Q/ a# g
After IVI-g on 04/18/2011 my results are3 `1 Y+ u+ Q$ j& i* z
NK 50:1=14.8( t4 _7 p) Q" P' H
TNF ALFA=37.92 `! M9 b) C& H, p) G$ i1 d1 g
We were so happy because level dropped
; H* U+ w7 i3 w: RI had transfer on 04/25 and I get pregnant
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' _1 t% _) Y3 {, A7 Z2.SECOND IVI-G
- z* U8 i2 t9 T+ o P& `8 bOn 05/04/2011 I had one more IVI-g
$ N" O# S1 [* T" n# cResults from that infusion came today but elevated9 c$ s6 c. e$ M5 N. ^% b0 a
NK 50:1=312 M1 Q2 W2 m7 W* T
TNF ALFA 49.55 r$ ]0 _+ @9 O* P6 {
) L9 A/ f& ~# j X8 z' w8 v3.THIRD IVI-G after one week8 O8 m7 c8 F6 A7 i' L, D; D2 t$ @
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
5 @3 g3 M7 r. G( A! U! fgave me aggressive IVI-g protocol.I don't have last blood results,they said for$ w. R! n, S/ ~) m* ^" N9 }
couple of days.Levels from today are after second ivi-g,and they are elevated.Is it normal to be elevated after pregnancy?
+ ~+ C3 F% }2 T5 RI am so scared,I am crying ,please tell me are they gonna kill my baby?
4 ]1 u. k. u# JMy beta is doubling very nice,we saw sac and yolk sac last week.US for heartbeat8 v5 {, Q' u; [& d- w0 m
in Wednesday.
( d }$ [, s1 j& I; nI 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- E9 y' W3 T6 Q; U; Y/ p
vesna ' x% L/ @ h1 n/ p. a
Geoffrey Sher, MDMay 16 2011, 04:39 PM
* _# Z; n; P+ O* y2 e0 zStay 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.( ^$ H3 x" d; W$ V6 Z7 w
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Hopefully all will be well. Please keep me in the loop.
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5 m4 L6 H* o9 Y, XGeoff Sher
% y& V1 c3 P, y' P+ {2 e7 mvesnaMay 16 2011, 04:46 PM
% E2 i! l, D- H7 D. _Thank you my dear Dr.Sher! W, K5 C* U8 u
I am taking prednisone 3 times per day 10 mg,lovenox 2 times, ivi-g 7 L7 s6 g& u$ s% U
I will know more in Wednesday.0 n0 @- V8 L1 c9 i
Hug0 N) w, f* ~3 z4 r6 _
Vesna
$ I# O! J: T- f5 W& v# rGeoffrey Sher, MDMay 16 2011, 07:57 PM
) Z" R P k" h, t |6 pHow much IVIG are you getting. I used to prescribe 40G per infusion at least! Now I have completely supplanted the IVIG with Intralipid.% q5 l @, [7 V; z
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Good luck!
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" H. } W8 R$ @- P, IGeoff Sher
3 k& }' k, V! O5 ?3 gvesnaMay 17 2011, 05:08 AM3 K/ e# T! z% d
[quote name='Geoffrey Sher, MD' date='May 16 2011, 07:57 PM' post='174944']
# p3 f- D. }: T3 M& [3 }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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$ [, u7 D9 z3 y& x' a9 rGood luck!$ q. j9 p4 E' y5 \
, u ^& r; b; l$ m* \Geoff Sher
! }* ]# n$ `7 F0 _[/quote]
- y7 v- m0 N% Z" ~2 u- ^5 FDear doctor,2 e0 b: m- t7 D7 A; B
I am taking 400mg IVI-G.I am praying that last dose lowered my level. @+ n( c9 s9 w& b! g
Tomorrow is big day for us
( G- K# Q, V: P, P0 c5 UThank you for your answer and care
4 c: |$ ]. q! L* o1 l2 bvesna
$ L. C, O7 y# t. t5 x2 \+ JGeoffrey Sher, MDMay 17 2011, 10:27 AM
U8 [% t6 P$ n7 Y" sThe dosage needed is 40 Grams per infusion. 400mg is really completely inadequate.
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* ]; Z! s) h- F# U$ ~Geoff Sher m7 k3 [, v2 ]! D! g" {' s; }7 b' z+ j
vesnaMay 17 2011, 11:01 AM/ F2 O7 }, B/ s* S
[quote name='Geoffrey Sher, MD' date='May 17 2011, 10:27 AM' post='174977']
0 \: h* _6 N# G' h& B0 mThe dosage needed is 40 Grams per infusion. 400mg is really completely inadequate.
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Geoff Sher1 I4 P% l3 z5 e+ [$ D( r$ A
[/quote]
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Thank you for you answer dear Dr.Sher' j/ _6 w0 o" `. E) D2 g0 J
Maybe ,I am wrong,I have to check tomorrow $ C( L/ y8 R3 x3 p+ g) ~/ `% d
hugs* ], O; k/ G2 T4 |7 ~' w4 t" F6 b
vesna
; M/ \ R4 {2 D) s; c& O( T+ QGeoffrey Sher, MDMay 17 2011, 03:33 PM
; D2 Z3 Q. N; m! f: e) A+ i: y1 |I think you should!+ r0 F. U, M( [# ]' C& Z
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Geoff Sher |
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发表于 2011-6-9 16:34:45
