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发些帖子给懂英文的看看了9 ]/ F# z" L: l+ Z
& t9 J" J( [* d( r- W4 pvesnaMay 16 2011, 01:30 PM* ? c" C8 A0 ]! P& [* T9 `
Doctors please help me& l7 O0 b9 H2 m
I am currently 5 weeks and 5 days pregnant.I am on lovenox,prednisone 30 mg and IVI-g
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) B0 @, n N! D: [+ J' PI have immune issue elevated nk and elevated cytokine level.+ w9 I% Z5 f" A; l; P" O q
My first results BEFORE IVI-G
' T$ H+ r* {( J# K6 n, INK 50:1= 24.5
' J/ u, z3 i7 |* s0 _9 v- @TNF ALFA =47.7
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& q4 W8 i! M7 T, I% X1.FIRST IVI-G
+ |' v8 }& A4 k A: A* FAfter IVI-g on 04/18/2011 my results are6 n0 {9 k, s7 S; Y: M9 ^
NK 50:1=14.8" f% k' |8 z6 I0 P/ }) ?
TNF ALFA=37.9
. e! E9 n9 r& @We were so happy because level dropped/ J3 e5 S1 {, c ^; `: s
I had transfer on 04/25 and I get pregnant ~& r# e. P( Z/ ?; l
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2.SECOND IVI-G
7 L! B3 h% p. P; a" z# x0 LOn 05/04/2011 I had one more IVI-g
& E1 Z4 Z) I( T+ G8 VResults from that infusion came today but elevated$ c& |. w$ x7 R+ V9 E
NK 50:1=31% V, c4 C$ y2 h( W
TNF ALFA 49.54 k1 w0 c% y. E
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3.THIRD IVI-G after one week4 B- w, H$ j9 I& ]2 N/ p+ G R
05/11/2011 results for couple of days! b9 t' W' K' q( u7 U
6 S( ^* o, }# d2 qDoctors ,as you can see my levels are rise from the moment I get pregnant.My immune doctor , ?0 t" s6 M0 K1 O3 o
gave me aggressive IVI-g protocol.I don't have last blood results,they said for
* j* `- F' O" c; d; d! H" vcouple of days.Levels from today are after second ivi-g,and they are elevated.Is it normal to be elevated after pregnancy?. J3 o% E5 f; d! ^
I am so scared,I am crying ,please tell me are they gonna kill my baby?
( ~0 A3 A. J; r2 C2 BMy beta is doubling very nice,we saw sac and yolk sac last week.US for heartbeat0 Z8 B. F' c* t5 w0 \) a7 h+ \ M
in Wednesday.
, @$ R! C8 a9 {3 l* cI guess levels are little bit lower because I had the third ivi-g after only one+ k2 l% g& k+ U) t- ?( Z g! ~
week.
( _, J9 j' |4 h4 x7 e$ DPlease help me do I have chance for this for baby
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Geoffrey Sher, MDMay 16 2011, 04:39 PM' p. U/ u6 B3 ]! p
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.' D0 A$ S5 W9 L3 T4 f h
`1 J) S/ H# a( KHopefully all will be well. Please keep me in the loop.2 j/ B& a# Q; R
Q: @3 N- i3 t' B# D7 E/ PGeoff Sher
6 [2 F( T- a# UvesnaMay 16 2011, 04:46 PM7 S$ N8 L4 U: T8 g4 v; E% L6 d c
Thank you my dear Dr.Sher
* s; N0 a1 O. }! ]3 `3 ~I am taking prednisone 3 times per day 10 mg,lovenox 2 times, ivi-g
9 H% L. F& w" W/ w6 X3 yI will know more in Wednesday.- f! p0 l4 A% Z: x1 A
Hug; U5 \& y9 u+ f3 }
Vesna / x8 Q! C2 h0 m+ M% c& S' _
Geoffrey Sher, MDMay 16 2011, 07:57 PM' ?" k( B& p) s7 H% L
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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: q8 J$ A, y! \* R0 o2 bGood luck!
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, L0 J# {1 C9 F) e8 TGeoff Sher 4 g* U0 \4 L5 x& y. O$ ]! o: x. c' \) i( r
vesnaMay 17 2011, 05:08 AM
0 X' w4 W" I- p9 a4 l& f0 h[quote name='Geoffrey Sher, MD' date='May 16 2011, 07:57 PM' post='174944']
& i Y" a4 \' s' g9 Q4 R7 aHow 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!& ~* e! u4 ]) R
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Geoff Sher
) C, F; L3 V) N, w' x[/quote]
( l7 V, H" B$ C4 HDear doctor,3 n3 k8 o) C2 b/ i l
I am taking 400mg IVI-G.I am praying that last dose lowered my level. " _6 g& B5 F; S1 Y9 z
Tomorrow is big day for us( ~+ j$ L( k; A6 k3 q3 |5 C
Thank you for your answer and care
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* u5 M% j. M* e6 d0 `$ C& vGeoffrey Sher, MDMay 17 2011, 10:27 AM
: j' Q* V! i' mThe dosage needed is 40 Grams per infusion. 400mg is really completely inadequate. ( K. b/ H( j2 K
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Geoff Sher
) u, ]' {: ~$ H4 I; u. pvesnaMay 17 2011, 11:01 AM
6 E7 Q7 f9 L8 `+ _[quote name='Geoffrey Sher, MD' date='May 17 2011, 10:27 AM' post='174977']5 G# }8 w0 w5 [/ L1 [( n
The dosage needed is 40 Grams per infusion. 400mg is really completely inadequate. 7 W5 Q. }- U( J, Y3 h7 n3 G
( y# q8 s- X4 y# @" r- Q, k0 \Geoff Sher
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Thank you for you answer dear Dr.Sher
# H) w2 O- |9 C; b' Y% c* |: i! tMaybe ,I am wrong,I have to check tomorrow $ v( d& C+ P5 V. N V
hugs
; o9 S' w3 n9 Q Avesna
4 t/ h+ \; N$ N/ A& eGeoffrey Sher, MDMay 17 2011, 03:33 PM
4 Q" r+ k$ J: tI think you should!
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Geoff Sher |
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