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发些帖子给懂英文的看看了# [9 [6 ^$ I( r8 v* H4 m, c
: J; z' |, t. ^, a1 r* d. V7 zvesnaMay 16 2011, 01:30 PM
$ L5 D2 M" v7 g; B( `Doctors please help me
, C! m1 X# b; S5 m) A$ l0 ~I am currently 5 weeks and 5 days pregnant.I am on lovenox,prednisone 30 mg and IVI-g5 V O7 e) T) H" C$ F$ e, R) e1 F3 }
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1 t% N; y$ r: k1 g% V- {: xI have immune issue elevated nk and elevated cytokine level.. m0 u1 A5 X# J! b& w5 a
My first results BEFORE IVI-G: j( [ _& h2 ~" {/ ?
NK 50:1= 24.5
) m) c" r ~9 e$ L8 _* m% \TNF ALFA =47.7 R, [4 w9 Q/ C5 @5 q) m- ]
5 l% v- r) {6 o; w: r( l1.FIRST IVI-G
: C# V. E @ l0 D2 n' z/ aAfter IVI-g on 04/18/2011 my results are6 k/ ?7 t3 X0 `% Q! [3 H
NK 50:1=14.8: v- y+ t/ Q0 v+ _& k/ Q! i
TNF ALFA=37.9! f) J# v2 E/ H k* X
We were so happy because level dropped" i5 ^6 K, S9 N0 F$ d4 S
I had transfer on 04/25 and I get pregnant7 v: z2 i7 h& M
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2.SECOND IVI-G
/ J% y" R5 [& g+ h" e8 z# q% \; rOn 05/04/2011 I had one more IVI-g
& m5 W( c) p( P* p$ ]) sResults from that infusion came today but elevated+ S: ~$ P/ f5 ]* y$ W( J i: G
NK 50:1=31) r7 U2 y1 k0 \- w3 _
TNF ALFA 49.5
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' v! F& v; w, q9 U* j& j3.THIRD IVI-G after one week) H- V* ^2 I% n
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
4 L: |9 P" M9 F Y/ v3 g, Pgave me aggressive IVI-g protocol.I don't have last blood results,they said for
; q3 F. K. q0 q$ k ~" Ycouple of days.Levels from today are after second ivi-g,and they are elevated.Is it normal to be elevated after pregnancy?
3 C# j+ Y) E4 M' S5 ?5 |I am so scared,I am crying ,please tell me are they gonna kill my baby?
( t; A9 ~0 S; n/ E. Q2 jMy beta is doubling very nice,we saw sac and yolk sac last week.US for heartbeat" K* |, r- ~3 I# O# C9 W4 y
in Wednesday.1 W5 n5 P& p9 U6 G
I guess levels are little bit lower because I had the third ivi-g after only one% l/ D8 v, C: K s. ?* p
week.
2 v- c V1 s7 }4 d9 R5 DPlease help me do I have chance for this for baby
9 l2 j- O4 i" O+ F( Vvesna
- e6 b' R9 `7 Y. P; f: qGeoffrey Sher, MDMay 16 2011, 04:39 PM
: c% U" i6 s* d6 hStay 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.1 a2 @2 z4 W1 m" N& O! f
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Hopefully all will be well. Please keep me in the loop./ L- l) b4 M3 X9 [3 b8 W" B# R
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Geoff Sher % A4 i, J4 G/ ~3 O
vesnaMay 16 2011, 04:46 PM
! c/ s9 o: w' Z8 [; J: U$ N. M2 jThank you my dear Dr.Sher/ d, v) [. S, f, {
I am taking prednisone 3 times per day 10 mg,lovenox 2 times, ivi-g ! F4 b; p _$ O7 _3 X) N
I will know more in Wednesday.! ^& p1 D! y# n) ^" h
Hug
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- b9 {/ v% l" X, ?& S9 VGeoffrey Sher, MDMay 16 2011, 07:57 PM' E2 F" o+ s3 W+ u. u9 T
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 R# h1 d0 z. \) |2 b s1 T
2 R2 E W0 G' {4 B0 d% |Good luck!
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- I: B. {% u; ?1 }$ I* _+ v/ zGeoff Sher & U" _& u5 H, m: f5 R7 R; c( b* M
vesnaMay 17 2011, 05:08 AM
. v" h& P% ]1 e9 L% c; e8 R[quote name='Geoffrey Sher, MD' date='May 16 2011, 07:57 PM' post='174944']1 \6 X# b/ R7 p2 P0 F! U& k
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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# i4 G' @4 l/ t% W! G# R6 XGeoff Sher
, n' L9 Y- C0 ~( k: [* V[/quote]& M, N3 c6 t& \* `" |# G+ b
Dear doctor,
: i( k8 f* Y `4 i% E5 `( u# }I am taking 400mg IVI-G.I am praying that last dose lowered my level. ! F8 W$ j3 @4 ?8 _# I; y5 N
Tomorrow is big day for us
5 E. y" h! p# U* M+ v7 `& _# a- |Thank you for your answer and care + n6 }1 W; Z, A+ m: X' x1 \
vesna 8 M3 }% _4 O& j3 Q* }- a
Geoffrey Sher, MDMay 17 2011, 10:27 AM6 h6 b6 {! p0 n# r
The dosage needed is 40 Grams per infusion. 400mg is really completely inadequate. 0 V; \ ]; ^: n: o0 _! q
" X) H) D* {$ u0 Y* X3 r; OGeoff Sher
0 R& b: P2 v8 CvesnaMay 17 2011, 11:01 AM
+ K& v& t* E0 B& J' p$ G[quote name='Geoffrey Sher, MD' date='May 17 2011, 10:27 AM' post='174977']
+ s; h' q! A# r/ UThe dosage needed is 40 Grams per infusion. 400mg is really completely inadequate.
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; l% J( `4 E& x. f7 Q/ sGeoff Sher# }5 |$ g$ m1 }0 I1 q7 ]9 I) G
[/quote]7 [9 Y4 t ]- w! p' h
' _/ a- I6 p/ E- oThank you for you answer dear Dr.Sher& K0 U2 T6 F3 p, ^* C
Maybe ,I am wrong,I have to check tomorrow 4 \4 e3 ]9 ?, k
hugs
; U9 ]; Q$ F$ Y5 b) T' V7 ivesna
6 r2 I( R6 p4 M' O' c9 I& LGeoffrey Sher, MDMay 17 2011, 03:33 PM
6 @" L; L( A5 tI think you should!
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Geoff Sher |
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发表于 2011-6-9 16:34:45
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