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发些帖子给懂英文的看看了
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' S( s% `7 h* y$ K, v3 t1 j; a' cvesnaMay 16 2011, 01:30 PM
5 d1 b% u6 {* [* [! G" ZDoctors please help me
& `1 E3 U4 @- Q- Z% dI am currently 5 weeks and 5 days pregnant.I am on lovenox,prednisone 30 mg and IVI-g
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I have immune issue elevated nk and elevated cytokine level.
: \# d8 F: h2 n- iMy first results BEFORE IVI-G
0 U; l% ~! o9 p5 y) i9 P: n2 TNK 50:1= 24.5
5 A5 Y- i$ H. _9 k$ b% t' @TNF ALFA =47.7+ o% \ ~. P3 C
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1.FIRST IVI-G
( L5 a) _( H- e: b& Q& S2 b; x& R0 bAfter IVI-g on 04/18/2011 my results are/ r" ~& d; \" U0 }8 [
NK 50:1=14.8- C# R1 x# p4 L; F
TNF ALFA=37.9; x9 A1 C5 H0 s3 [
We were so happy because level dropped
9 |. |" M6 k% G c3 ~+ PI had transfer on 04/25 and I get pregnant+ j, ?( A2 z2 g5 b- Y: i5 B4 a3 {& R3 O
! R& a( G! G5 q C, h: T2.SECOND IVI-G
: I* L/ ^5 i" oOn 05/04/2011 I had one more IVI-g9 m: z; g3 Z P1 z ~
Results from that infusion came today but elevated' y6 ]3 T6 `2 a/ ~2 Y- K4 B/ t
NK 50:1=31/ H$ F; ]" c' @
TNF ALFA 49.5 r- o5 k. Z2 K, m9 ^3 q" |; k
; t. o- S0 T7 Q3.THIRD IVI-G after one week5 }1 H" J5 m( f
05/11/2011 results for couple of days1 g: X: Z6 @! t8 g" A
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Doctors ,as you can see my levels are rise from the moment I get pregnant.My immune doctor ) S) S+ V% P3 N, U
gave me aggressive IVI-g protocol.I don't have last blood results,they said for' e# F3 T( s1 Q4 D- c2 F
couple of days.Levels from today are after second ivi-g,and they are elevated.Is it normal to be elevated after pregnancy?6 ?' I0 @3 w0 S- y1 x, }& R
I am so scared,I am crying ,please tell me are they gonna kill my baby?
4 G# ^$ R+ Z- ]- T# c& UMy beta is doubling very nice,we saw sac and yolk sac last week.US for heartbeat
8 V/ z9 j, B. T' ]3 X- R* t5 |in Wednesday.
2 T4 y" z. a1 x! ?I guess levels are little bit lower because I had the third ivi-g after only one7 ?2 X% Q" N. V9 ?5 f" [
week.) q f2 E- I* y
Please help me do I have chance for this for baby0 Z9 u* t8 N+ R; j* ]7 T- R: x( }/ R
vesna
" O- ^( x( a5 F% c" k* B ~# n: u0 R1 iGeoffrey Sher, MDMay 16 2011, 04:39 PM
5 O3 L* p# X: m) \" L) d# r/ L. CStay 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.
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' G8 y, \, g! z- I' zHopefully all will be well. Please keep me in the loop.# X, A5 G' t% [+ ^: A" c
v6 H; i5 _& k6 sGeoff Sher
' g) p: o/ p) [& V0 Z# F. j$ cvesnaMay 16 2011, 04:46 PM
2 Q7 h/ q/ W' c' k1 |Thank you my dear Dr.Sher* g8 d9 E: c* i
I am taking prednisone 3 times per day 10 mg,lovenox 2 times, ivi-g # ^' X) J- h# A4 U" r- X; L
I will know more in Wednesday.% x* `& t, C. q
Hug
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Geoffrey Sher, MDMay 16 2011, 07:57 PM
& A$ u# L0 H/ x; u0 O( X4 q9 hHow 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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; H, F/ R0 s; f* d2 B1 QGood luck!+ m# [1 P. X6 N
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Geoff Sher ) i- J4 O/ v2 Y- ~8 h* r$ z
vesnaMay 17 2011, 05:08 AM
X- L! S' G& Q2 `# D[quote name='Geoffrey Sher, MD' date='May 16 2011, 07:57 PM' post='174944']
! a- o" w" w7 i' O1 bHow 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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- e6 Z$ L: I' \) NGood luck!* Q" R3 n7 l/ U2 q- r
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Geoff Sher1 E1 ]/ F" R) P+ y
[/quote]: z- k( @; G# }& t
Dear doctor,! A; R, L6 n S# V1 O* Y- ~# W
I am taking 400mg IVI-G.I am praying that last dose lowered my level. 1 o; S0 K; g' Z# ^/ B- t" q( J
Tomorrow is big day for us7 N5 Y1 H# |: Q! i2 a% O1 k4 W
Thank you for your answer and care - {7 Y5 t: B2 L- s8 s0 u. }& R
vesna / ~: t) U3 n0 i5 _# ?$ S8 _0 r
Geoffrey Sher, MDMay 17 2011, 10:27 AM
4 a' M- W! Q) ~: qThe dosage needed is 40 Grams per infusion. 400mg is really completely inadequate.
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Geoff Sher
0 u) D1 K u( R- w$ i+ ^vesnaMay 17 2011, 11:01 AM$ y: k1 h6 @/ t# n0 E
[quote name='Geoffrey Sher, MD' date='May 17 2011, 10:27 AM' post='174977']$ p! a" ~( s% L- j, h
The dosage needed is 40 Grams per infusion. 400mg is really completely inadequate. ; T# K# G2 c2 x
" H2 |5 w0 o0 d/ fGeoff Sher9 ~( {/ Z, g/ }) x
[/quote]# l8 V, g+ g1 g, L P% Q5 C
8 O8 e2 g: T* G; x7 r. z7 DThank you for you answer dear Dr.Sher
, [: K; R- C+ S- V$ _ c5 uMaybe ,I am wrong,I have to check tomorrow
+ o5 h& v" r- X' x$ ~: n+ |! Lhugs
1 j* q4 | T% @- wvesna . S3 @6 s- W. h% L8 _5 ^" B- `
Geoffrey Sher, MDMay 17 2011, 03:33 PM
# F F) Z Y4 O" F6 o. ]' U8 b1 VI think you should!- ]; c2 X) t( J q7 M! \% t ?: H) K
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Geoff Sher |
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发表于 2011-6-9 16:34:45
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