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发些帖子给懂英文的看看了. A# Z6 N# j8 f; f" X- @; [! W
; t) B. M( M! V& tvesnaMay 16 2011, 01:30 PM0 E; [( U. H% O
Doctors please help me
! O @! a4 e8 j/ z! Q( wI am currently 5 weeks and 5 days pregnant.I am on lovenox,prednisone 30 mg and IVI-g# b+ W9 M( |0 B+ O8 t" y i
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d6 z7 o; L7 Q7 j4 Z& n, [I have immune issue elevated nk and elevated cytokine level.
( w6 T' E1 ^6 D j) V0 DMy first results BEFORE IVI-G
& K5 Q3 A U* U% ]$ rNK 50:1= 24.5
; r7 |7 G0 m$ F* XTNF ALFA =47.70 `. b/ o0 e0 W
+ t4 _' G$ ]' t' k S) G1.FIRST IVI-G
* c# j) N% j* B+ K VAfter IVI-g on 04/18/2011 my results are
6 u2 V, u2 m+ S2 \NK 50:1=14.8- `7 t, J( x9 V. y; ~
TNF ALFA=37.9
8 |5 Z% [+ n* N0 PWe were so happy because level dropped* T# V. b X i) B! y5 g
I had transfer on 04/25 and I get pregnant
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4 f0 C: `' ~! Y8 v! G7 K7 j, [( C I2.SECOND IVI-G% ?2 l4 w/ Q" f7 e. [
On 05/04/2011 I had one more IVI-g
) C: W5 K: ]% c: M# g' _: QResults from that infusion came today but elevated, C$ h, O" s% K1 I% J+ g; |
NK 50:1=31! J- O$ [/ }3 i
TNF ALFA 49.5, W8 B0 e P8 V9 x! ^- T% s
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3.THIRD IVI-G after one week
1 y( [) k' v; J; h" `05/11/2011 results for couple of days
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) l& L: s6 C4 SDoctors ,as you can see my levels are rise from the moment I get pregnant.My immune doctor
! c) l. o4 E% C4 A$ n M: ?9 r Mgave me aggressive IVI-g protocol.I don't have last blood results,they said for* n4 v# _% |% ~7 l
couple of days.Levels from today are after second ivi-g,and they are elevated.Is it normal to be elevated after pregnancy?
- c, X$ G0 m+ r& M' i; F) x5 C- QI am so scared,I am crying ,please tell me are they gonna kill my baby?
$ y9 Y: G8 b: w* FMy 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 one9 p4 E. p& F9 a" i* s/ M9 A
week.1 D3 k) ~5 C: e% F
Please help me do I have chance for this for baby. G' ^; U# X z. @: R
vesna 0 W! c* u0 T/ J0 j' s- `3 | E
Geoffrey Sher, MDMay 16 2011, 04:39 PM/ y4 x; |1 I) X! T
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.' H% V5 _8 l l" F A7 H, i
% }0 f1 G: q( K0 oHopefully all will be well. Please keep me in the loop.
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Geoff Sher 9 O# _# ^ J# n: n" h* L1 K! x6 p
vesnaMay 16 2011, 04:46 PM& i+ l6 _/ z4 A) G4 f7 z
Thank you my dear Dr.Sher
9 u/ S4 [6 q: u( ~, s+ ?I am taking prednisone 3 times per day 10 mg,lovenox 2 times, ivi-g ) S8 T2 L+ d7 ] {9 W- a6 N
I will know more in Wednesday.
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Vesna
6 T m# n4 s- p( j, ~- Z* O7 z: vGeoffrey Sher, MDMay 16 2011, 07:57 PM# O# s6 C ]. Z0 D
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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% c7 X/ A3 X$ k5 U7 u. U: KGeoff Sher
r% r! }; j) P- Y9 v MvesnaMay 17 2011, 05:08 AM
" N; h9 h R6 A C/ Y! f[quote name='Geoffrey Sher, MD' date='May 16 2011, 07:57 PM' post='174944']6 B: I L: v% Q; Z
How much IVIG are you getting. I used to prescribe 40G per infusion at least! Now I have completely supplanted the IVIG with Intralipid.) _0 A# m& P* r! f& G
: g, B, j3 Z$ R) j, D' s, U! SGood luck!
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Geoff Sher) H% M( a* K; o" j! M6 i" C
[/quote]
3 {8 D' M) a [; y! Q0 j1 o/ MDear doctor,7 Q1 @8 F, P/ I% T
I am taking 400mg IVI-G.I am praying that last dose lowered my level. 2 x1 ~0 _7 h5 D# A
Tomorrow is big day for us# k: I3 s% c. A' K* Z+ k2 R( i
Thank you for your answer and care ' a# {/ _. R: l0 q3 Q
vesna
) B% {0 s$ I6 D* g! T- CGeoffrey Sher, MDMay 17 2011, 10:27 AM" q9 ~) `3 R9 P
The dosage needed is 40 Grams per infusion. 400mg is really completely inadequate.
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Geoff Sher ( R5 y P) q" ]. {
vesnaMay 17 2011, 11:01 AM0 Y4 |+ }- o+ G u* h% u( y
[quote name='Geoffrey Sher, MD' date='May 17 2011, 10:27 AM' post='174977']# {; F6 `5 B9 Q2 D& j$ n
The dosage needed is 40 Grams per infusion. 400mg is really completely inadequate. , G" V! y- g- R8 G: B! p' z. ]& d
! U) q% C [: V$ _" j3 gGeoff Sher
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% a! ]* R1 E1 K( ?Thank you for you answer dear Dr.Sher: z w; W. m3 \" d2 R! T) G( w- ^1 U
Maybe ,I am wrong,I have to check tomorrow
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vesna ) A& a# P! ?2 X* C9 U1 ~+ m' G
Geoffrey Sher, MDMay 17 2011, 03:33 PM* X( f% u( f8 _; B
I think you should!3 f4 G) w8 Z3 ?) l. N$ M+ P, ^
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Geoff Sher |
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发表于 2011-6-9 16:34:45
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