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发些帖子给懂英文的看看了
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vesnaMay 16 2011, 01:30 PM
: P* |( E% H/ i5 yDoctors please help me
Z/ V/ {/ V7 d9 Y/ lI am currently 5 weeks and 5 days pregnant.I am on lovenox,prednisone 30 mg and IVI-g
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" {5 z( c! I0 vI have immune issue elevated nk and elevated cytokine level.1 b+ [0 q6 h. ]# r6 F3 u$ ~9 e
My first results BEFORE IVI-G
+ F* L9 z" E+ B( `NK 50:1= 24.50 n- R, U6 G( [6 B* x% L
TNF ALFA =47.77 J& K* Y* X1 i$ z6 F& ?
4 }0 _0 b6 a( ^$ [3 a1.FIRST IVI-G6 p: j. _& f6 r2 L* T
After IVI-g on 04/18/2011 my results are
0 K4 [: P+ v* }. XNK 50:1=14.8
- M r+ d9 x0 \( @ K0 J1 O* tTNF ALFA=37.9" s% k; F- D I: s
We were so happy because level dropped! w! N& d+ k8 j4 f% U: B
I had transfer on 04/25 and I get pregnant
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2.SECOND IVI-G8 ]! \: Q7 U7 {7 I( ?8 N% X
On 05/04/2011 I had one more IVI-g
/ v1 o1 ~' O) a1 f* |! ?( I9 V3 hResults from that infusion came today but elevated( m! r m v4 A$ \: X
NK 50:1=318 r! S9 @& C D, c" h; _+ I
TNF ALFA 49.5
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3.THIRD IVI-G after one week
6 n+ b( J) E5 \* G9 `, A" a* _05/11/2011 results for couple of days
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l! _4 l! m% b' I' o$ GDoctors ,as you can see my levels are rise from the moment I get pregnant.My immune doctor
$ l, I7 n7 ]2 \) W) _& igave me aggressive IVI-g protocol.I don't have last blood results,they said for
$ ]& S0 L$ j9 Z& i( \" F C8 G! xcouple of days.Levels from today are after second ivi-g,and they are elevated.Is it normal to be elevated after pregnancy?; R. P* V9 O+ R" Z% U1 c0 j' L1 j3 ]
I am so scared,I am crying ,please tell me are they gonna kill my baby?: M$ P8 V7 r& G/ m
My beta is doubling very nice,we saw sac and yolk sac last week.US for heartbeat
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I guess levels are little bit lower because I had the third ivi-g after only one$ Y: P9 d' V6 X5 L
week.
! H1 g0 S1 n/ F; rPlease help me do I have chance for this for baby
4 E& b0 R3 f" R; v6 ]! C& Rvesna
7 G0 T) h) N( w# I! D8 H9 \6 t, AGeoffrey Sher, MDMay 16 2011, 04:39 PM
9 g9 P* g0 D3 L. dStay 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.2 a' V/ c' D& M3 e2 F$ e- E+ E
6 R0 e2 T* Y: E o6 j( A9 jHopefully all will be well. Please keep me in the loop.2 t# B6 ^$ x& k9 i
u* F- Y" f. lGeoff Sher 7 J7 O2 P# W( n8 ?+ ?# t5 d4 R
vesnaMay 16 2011, 04:46 PM7 V' I4 ]6 v7 Y9 B+ m( a
Thank you my dear Dr.Sher
& e, J6 }4 K) [" hI am taking prednisone 3 times per day 10 mg,lovenox 2 times, ivi-g " \- [4 [% k" {: C% Y' h! a
I will know more in Wednesday.
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W0 f. G$ C1 O( Y' YVesna
- {, w! \! R F# r0 vGeoffrey Sher, MDMay 16 2011, 07:57 PM
8 q f3 O: E& z+ h: g) u, o0 oHow 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 ) e8 B h0 C' z: \
vesnaMay 17 2011, 05:08 AM% p+ M3 s# q% H' N3 W; B
[quote name='Geoffrey Sher, MD' date='May 16 2011, 07:57 PM' post='174944']( b) ~5 Y. G/ C6 N
How much IVIG are you getting. I used to prescribe 40G per infusion at least! Now I have completely supplanted the IVIG with Intralipid.. L- J# x: m. e, ]" O
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Good luck!
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Geoff Sher/ A9 Y; X; o; c7 l/ T( i p3 D4 O
[/quote]
( y9 _6 i3 X4 p i& O% hDear doctor,
1 `5 ]# n5 s G/ A+ M/ II am taking 400mg IVI-G.I am praying that last dose lowered my level.
- Q! l {5 n/ @& \3 TTomorrow is big day for us) {( z% P" E# ~, g4 v, ]* y
Thank you for your answer and care $ Y2 a+ ?3 F' Q4 _
vesna 4 R, Z3 Z z! @* |2 B
Geoffrey Sher, MDMay 17 2011, 10:27 AM
2 a. v6 y$ u7 s2 ?# nThe dosage needed is 40 Grams per infusion. 400mg is really completely inadequate. ( K. H* s9 ^/ o
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Geoff Sher
# \$ G4 Q T( _0 [3 C) y) x# U JvesnaMay 17 2011, 11:01 AM1 ?5 ~9 v9 g* E7 u" _
[quote name='Geoffrey Sher, MD' date='May 17 2011, 10:27 AM' post='174977']
$ C" D5 ]- d5 i9 I# e5 a! x. K% r3 @The dosage needed is 40 Grams per infusion. 400mg is really completely inadequate. / a8 L7 q7 O5 Q4 o4 F" R% ]5 e# ?5 J& Q
# H) z1 K1 c8 Z3 }8 l7 \Geoff Sher) U. l3 {0 ?/ K! n9 m) H+ t8 W
[/quote]8 Q1 W+ Z0 O" L
# h0 `' S4 E( i/ pThank you for you answer dear Dr.Sher
' O* b4 i, s4 ?; \ mMaybe ,I am wrong,I have to check tomorrow / o' E/ U1 h2 b; W
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vesna
7 i1 B3 |5 W4 a* t. p/ tGeoffrey Sher, MDMay 17 2011, 03:33 PM4 O. R- k9 J; J% a; Y! c9 Y8 O1 j
I think you should!
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. m2 g0 L2 Q: N& \# H) k8 FGeoff Sher |
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发表于 2011-6-9 16:34:45
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