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0 v/ |( U) U# @/ G. j6 gvesnaMay 16 2011, 01:30 PM/ h+ `2 P9 v/ M4 }; ?0 G- t3 s
Doctors please help me2 r1 d7 |% w( a# s& I3 Z
I am currently 5 weeks and 5 days pregnant.I am on lovenox,prednisone 30 mg and IVI-g9 i/ p9 S/ {) k) q
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I have immune issue elevated nk and elevated cytokine level. I6 A( B7 C) g9 @
My first results BEFORE IVI-G0 b- d! D3 ~0 ?' N& z' ?1 T
NK 50:1= 24.5
2 S0 N+ R, I S1 R5 c8 C: k" X4 |5 fTNF ALFA =47.7* x& Q# _1 o* O1 Y- w& b( ?- n
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1.FIRST IVI-G6 S q+ a, U) N
After IVI-g on 04/18/2011 my results are
) Q: d$ P- K0 {6 ZNK 50:1=14.8
1 a* D2 k U% r0 A9 g0 s0 b. mTNF ALFA=37.93 @! K7 F' @$ O0 R5 a) W c+ d
We were so happy because level dropped
7 ]) r, K0 ]# |8 c5 q' vI had transfer on 04/25 and I get pregnant
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2.SECOND IVI-G
' l6 S. Z7 u& a) cOn 05/04/2011 I had one more IVI-g
. G# m$ R; G$ v9 }, ]Results from that infusion came today but elevated- m) z z( Z* \ S
NK 50:1=317 A8 I. A! M0 D0 ~# y" L2 O; @
TNF ALFA 49.5" |* s$ D. M$ O, m x( u
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3.THIRD IVI-G after one week
' `$ j6 j4 L; i5 ~4 R05/11/2011 results for couple of days5 {: `" K$ }; y7 H+ b4 n! b% M
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Doctors ,as you can see my levels are rise from the moment I get pregnant.My immune doctor 8 Z' O* _2 U5 h* ~( i" k5 z. L
gave me aggressive IVI-g protocol.I don't have last blood results,they said for
& r; S. a( M( K5 E( n! k9 k' Q1 fcouple of days.Levels from today are after second ivi-g,and they are elevated.Is it normal to be elevated after pregnancy?2 A: f9 i, J% [: S
I am so scared,I am crying ,please tell me are they gonna kill my baby?
3 u+ q) W( j0 U. v9 hMy beta is doubling very nice,we saw sac and yolk sac last week.US for heartbeat
& Z. T! l$ I* I8 I* ?! e) Win Wednesday.
* p( N2 [0 m% JI guess levels are little bit lower because I had the third ivi-g after only one/ g; t- \% V2 m+ R( h
week.: ~8 v) a, z9 C
Please help me do I have chance for this for baby+ g% n! w& l4 c. ~
vesna
) ~+ [. J. [! g1 B, b `/ r _Geoffrey Sher, MDMay 16 2011, 04:39 PM
s- S9 q% k, P" ?( @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./ t' A% D6 Z/ V) h; z* P! E
1 B: H' f. H* jHopefully all will be well. Please keep me in the loop.
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4 o4 P, T& c! ]1 UGeoff Sher
; ^ _( X: H3 U; NvesnaMay 16 2011, 04:46 PM8 S8 b, ^. b) p+ m& E J$ B
Thank you my dear Dr.Sher" q4 G" z% O' ~; C: G/ e& w# l
I am taking prednisone 3 times per day 10 mg,lovenox 2 times, ivi-g
- Y' {% W! y& y% gI will know more in Wednesday.
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Vesna , D. A6 }. K+ h$ E
Geoffrey Sher, MDMay 16 2011, 07:57 PM; E9 E( ?4 l G& R
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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" Q. s8 U6 s2 j1 z! CGood luck!/ P4 E; D' L/ d- X$ G
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Geoff Sher
$ r+ L. ]* w. `vesnaMay 17 2011, 05:08 AM
" @ S0 i+ ~/ ^# l' w2 n[quote name='Geoffrey Sher, MD' date='May 16 2011, 07:57 PM' post='174944']
% I( o1 J1 A2 u: v3 u6 \. A) kHow 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!: Z5 T! m" s3 v. ~; _2 z$ d& R
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Geoff Sher4 a& z1 r6 {: ]' i" {
[/quote]
$ O; r! }* f! d9 o5 a% ~# r' dDear doctor,6 U/ T/ ]3 K+ A5 P, Q) R0 S9 K! o
I am taking 400mg IVI-G.I am praying that last dose lowered my level.
# G2 c5 m3 B5 s1 [) g! a+ z' C K9 y5 |$ K& UTomorrow is big day for us
/ m: U0 Z0 v" v' J+ Q9 BThank you for your answer and care
, V' Z3 }% U3 [0 w# yvesna - r3 B( p8 a6 O3 n+ ^: L
Geoffrey Sher, MDMay 17 2011, 10:27 AM0 N9 u$ s' ~2 J4 |
The dosage needed is 40 Grams per infusion. 400mg is really completely inadequate.
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; y9 k# E8 [* i# @Geoff Sher 0 _9 l9 L( R" ^- m) `, {& t
vesnaMay 17 2011, 11:01 AM
" l" C0 t& n/ x; t[quote name='Geoffrey Sher, MD' date='May 17 2011, 10:27 AM' post='174977']
0 t" m3 k; n, |1 {The dosage needed is 40 Grams per infusion. 400mg is really completely inadequate. ' ~+ A/ P5 a. {, b
3 Q5 M; _! O: V$ f( g! c0 W& X! vGeoff Sher
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Thank you for you answer dear Dr.Sher6 k& N, z$ Z0 @' |. ~
Maybe ,I am wrong,I have to check tomorrow
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9 p8 C2 R: f J% Hvesna
) c2 g1 C4 ~+ Y6 jGeoffrey Sher, MDMay 17 2011, 03:33 PM0 F' }0 m/ U) Z8 p% F* O
I think you should!% w( J/ U, l) h1 I# r8 X
! {* s0 o; h; ?. k/ f* uGeoff Sher |
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发表于 2011-6-9 16:34:45
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