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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% b$ |& x. s- a3 e- H/ ~
Doctors please help me
* }) _. z0 h! r1 R" VI am currently 5 weeks and 5 days pregnant.I am on lovenox,prednisone 30 mg and IVI-g. g# V) r9 ?6 s, P( n. v, u$ L
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I have immune issue elevated nk and elevated cytokine level.) L( V2 z+ ]0 H4 w, A" Q ?; Y
My first results BEFORE IVI-G1 U! b9 T' D6 S
NK 50:1= 24.5
! y; M* z0 u6 q% S+ h! A1 CTNF ALFA =47.7
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9 l. [- R. t$ M1.FIRST IVI-G6 Y* _6 i# O5 z* F1 d0 ]% d
After IVI-g on 04/18/2011 my results are
( z/ }0 `! U# ]1 FNK 50:1=14.8/ `$ s! }8 r6 Q8 O9 O. _8 m1 O3 p
TNF ALFA=37.9; J" _( C$ d2 {- u4 n
We were so happy because level dropped7 k r8 n$ V- Q
I had transfer on 04/25 and I get pregnant9 w9 c& S$ ^1 \9 X
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2.SECOND IVI-G
- M- @+ v" k2 sOn 05/04/2011 I had one more IVI-g
/ d* Q, |/ ?; P* p& PResults from that infusion came today but elevated; `7 y; A# c) h& z
NK 50:1=31
" j# J/ v j% ITNF ALFA 49.5* m+ g9 a- E M4 D6 n% @( |5 o3 o
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3.THIRD IVI-G after one week) k% \- B6 j, Q! Y, H9 w/ l# a
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 * O- R; R8 |; K( _
gave me aggressive IVI-g protocol.I don't have last blood results,they said for
( D: ^. b3 c/ R: \couple of days.Levels from today are after second ivi-g,and they are elevated.Is it normal to be elevated after pregnancy?
+ n2 v# v2 k; h' U2 N K! s" h$ \I am so scared,I am crying ,please tell me are they gonna kill my baby?7 B2 z3 g; R4 T( {# z2 w7 X
My beta is doubling very nice,we saw sac and yolk sac last week.US for heartbeat: H/ F% C1 @5 B) q
in Wednesday.
2 [5 ^! q. X% n/ _I guess levels are little bit lower because I had the third ivi-g after only one, h [. s( h+ |( |6 _$ o$ W5 C
week.; S7 n1 ~: ?- p5 `2 Y7 w' z
Please help me do I have chance for this for baby
5 j5 B: @3 M! g! Jvesna & D7 q1 U4 B- H) x! [( }
Geoffrey Sher, MDMay 16 2011, 04:39 PM! f2 z8 |# u9 y6 B9 E# x
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.' d' i, L- u4 g" q
$ q. R p" |, Q% J# OHopefully all will be well. Please keep me in the loop.% H1 S7 _9 _9 b8 G4 z+ v0 H
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Geoff Sher
7 s8 ?0 [) p+ @ l4 G* _" a+ _vesnaMay 16 2011, 04:46 PM
! N9 o0 j& D7 [ A9 q, c( U2 ZThank you my dear Dr.Sher
& D6 u7 G) f( V/ t: \6 tI am taking prednisone 3 times per day 10 mg,lovenox 2 times, ivi-g
+ T& E3 c5 `# k. w+ HI will know more in Wednesday.6 A& f* [+ r/ O: {& E" y9 A% b
Hug- k! \2 k; P5 ]6 y
Vesna * x, i* t: a, U1 W
Geoffrey Sher, MDMay 16 2011, 07:57 PM
" n. F$ q# k0 J. o% z4 N' K1 H) 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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/ u5 o3 [# {8 k* UGood luck!
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Geoff Sher 5 v, o6 o- C; I4 ^$ `3 a: h
vesnaMay 17 2011, 05:08 AM
+ a. k8 o$ Q" u! v[quote name='Geoffrey Sher, MD' date='May 16 2011, 07:57 PM' post='174944']5 w9 N Y0 B8 q: }2 `
How much IVIG are you getting. I used to prescribe 40G per infusion at least! Now I have completely supplanted the IVIG with Intralipid." b1 \1 }, L# g
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Good luck!
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Geoff Sher
u% _" h# e- `+ X7 t. ^1 M[/quote]; G$ u: d: @8 z6 L
Dear doctor," z8 o* M k' G' W2 X
I am taking 400mg IVI-G.I am praying that last dose lowered my level. 2 r5 H. ^- Z6 Y1 A/ @0 |( u e6 t
Tomorrow is big day for us; ~' w( |* s8 i5 v# L9 F/ n2 @' h
Thank you for your answer and care
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Geoffrey Sher, MDMay 17 2011, 10:27 AM, s. P$ b% y6 M5 C) c
The dosage needed is 40 Grams per infusion. 400mg is really completely inadequate.
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- k7 a, `- O9 K1 cGeoff Sher
- \* @3 c( _5 A: lvesnaMay 17 2011, 11:01 AM
`0 h2 n1 d5 M[quote name='Geoffrey Sher, MD' date='May 17 2011, 10:27 AM' post='174977'], ]* v {; J I- {+ N$ c) x; ~5 v
The dosage needed is 40 Grams per infusion. 400mg is really completely inadequate.
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Geoff Sher5 |2 V7 q) n: Y+ p
[/quote]
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9 E2 T9 @; f% l7 H& eThank you for you answer dear Dr.Sher
* a' M! m+ T3 E- S; w& j( R/ _9 YMaybe ,I am wrong,I have to check tomorrow 9 i8 \2 `: Y0 d" ^) y2 Y6 q1 q
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vesna
4 Q8 K% S4 X0 O- a, T [( t( ^Geoffrey Sher, MDMay 17 2011, 03:33 PM
( }, m. i( J1 E! [, @I think you should!
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5 d0 u4 g9 P( P& I6 L4 O* B4 ZGeoff Sher |
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发表于 2011-6-9 16:34:45
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