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  • 1 year later...
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Hi,

I am a lurker whose daughter is planning on going subQ next week. We are

concerned because the subQ doses that the docs have planned are a lot less than

dividing the IVIG amount by the number of weeks between infusions (as I have

heard other docs do for other patients) So my teenage daughter demanded (er

asked) me to survey other IVIG to subQ families and see what they did. So I

guess

the questions are: if you switched from IVIG to subQ-- What was your IVIG

dose ?(and how many weeks did you go inbetween doses) What is you subQ dose and

what does your child weigh?. Thanks so much for any help you can provide!

Martha

Mom to a 17 yr old teenager contemplating going subQ

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Martha-- S & J were getting 10grams every 4 weeks and now get 2.5 grams per

week. S is 63 pounds and J is 69 pounds.

~Pattie Curran~

Piedmont Triad, NC

Elbridge Gerry--signer of the Declaration of Independence, Govenor of

Massachusetts and Vice President of the United States under

Madison....

Ever wonder where the term gerrymandering comes from? While serving as

governor of Massachusetts from 1810 to 1812, Elbridge Gerry helped enact a

law dividing the Bay State into political districts favorable to his own

party. This resulted in some odd shaped districts. One district looked like

a salamander, someone said. Someone else joked that it looked more like a

" gerrymander, " making a play on the governor's name. To this day, the

practice of drawing boundary lines to favor a political party or group is

called gerrymandering.

_____

From: [mailto: ] On Behalf Of

K979@...

Sent: Thursday, April 06, 2006 6:04 PM

Subject: Re: Sub Q question

Hi,

I am a lurker whose daughter is planning on going subQ next week. We are

concerned because the subQ doses that the docs have planned are a lot less

than

dividing the IVIG amount by the number of weeks between infusions (as I have

heard other docs do for other patients) So my teenage daughter demanded (er

asked) me to survey other IVIG to subQ families and see what they did. So I

guess

the questions are: if you switched from IVIG to subQ-- What was your IVIG

dose ?(and how many weeks did you go inbetween doses) What is you subQ dose

and

what does your child weigh?. Thanks so much for any help you can provide!

Martha

Mom to a 17 yr old teenager contemplating going subQ

_____

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Martha, first a question. Is she going to be using the same product as

her IVIG or is it a different product/different solution strength? I

just know that there's a new product out there that is higher strength

so you would need a lower dose.

But yes, Katy's doctor just took her regular monthly and divided it into

4 doses.

Makes you wonder, doesn't it? I would certainly ask him why?

Be glad she's asking questions and demanding answers -- It would be

great if she would do the telephone call to him to ask why. It's so

good for them to make that transition to taking care of their own

questions!!!

In His service,

dale

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Guest guest

Martha, first a question. Is she going to be using the same product as

her IVIG or is it a different product/different solution strength? I

just know that there's a new product out there that is higher strength

so you would need a lower dose.

But yes, Katy's doctor just took her regular monthly and divided it into

4 doses.

Makes you wonder, doesn't it? I would certainly ask him why?

Be glad she's asking questions and demanding answers -- It would be

great if she would do the telephone call to him to ask why. It's so

good for them to make that transition to taking care of their own

questions!!!

In His service,

dale

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Guest guest

Howdy

Calvin was 3 when he changed over. His IV dose was 10g per month. We did a

few months SubQ at 2.5g per week(simple division) and then tested levels. They

bumped him up to 12.5g per month(2.5g in 5 doses) and his levels were much

better. They told me that sometimes SubQ needed to be 125% of the IV dose.

They did not assume that he needed more until they had some labwork to back it

up. Obviously many people are successful simply dividing.

I have had some docs/offices make some REALLY stupid math errors on labe work

in the past, so I would press the point with them. Unless the doc really thinks

your teen needs to change dose for some explainable medical reason, I think that

the starting point should be simple division, as you said.

My.02

Fisher

mom of Calvin, 5yo, XLA

K979@... wrote:

Hi,

I am a lurker whose daughter is planning on going subQ next week. We are

concerned because the subQ doses that the docs have planned are a lot less than

dividing the IVIG amount by the number of weeks between infusions (as I have

heard other docs do for other patients) So my teenage daughter demanded (er

asked) me to survey other IVIG to subQ families and see what they did. So I

guess

the questions are: if you switched from IVIG to subQ-- What was your IVIG

dose ?(and how many weeks did you go inbetween doses) What is you subQ dose and

what does your child weigh?. Thanks so much for any help you can provide!

Martha

Mom to a 17 yr old teenager contemplating going subQ

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Thank you Dale,

They are getting rid of Polygamm and going to use a liquid Gammagard

which is new. She will be getting 5g per sugQ infusion and weighs

120 lbs.

>

> Martha, first a question. Is she going to be using the same

product as

> her IVIG or is it a different product/different solution strength?

I

> just know that there's a new product out there that is higher

strength

> so you would need a lower dose.

>

> But yes, Katy's doctor just took her regular monthly and divided it

into

> 4 doses.

>

> Makes you wonder, doesn't it? I would certainly ask him why?

> Be glad she's asking questions and demanding answers -- It would be

> great if she would do the telephone call to him to ask why. It's

so

> good for them to make that transition to taking care of their own

> questions!!!

>

> In His service,

> dale

>

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Guest guest

Thank you Dale,

They are getting rid of Polygamm and going to use a liquid Gammagard

which is new. She will be getting 5g per sugQ infusion and weighs

120 lbs.

>

> Martha, first a question. Is she going to be using the same

product as

> her IVIG or is it a different product/different solution strength?

I

> just know that there's a new product out there that is higher

strength

> so you would need a lower dose.

>

> But yes, Katy's doctor just took her regular monthly and divided it

into

> 4 doses.

>

> Makes you wonder, doesn't it? I would certainly ask him why?

> Be glad she's asking questions and demanding answers -- It would be

> great if she would do the telephone call to him to ask why. It's

so

> good for them to make that transition to taking care of their own

> questions!!!

>

> In His service,

> dale

>

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kwright979 wrote:

>

> Thank you Dale,

> They are getting rid of Polygamm and going to use a liquid Gammagard

> which is new. She will be getting 5g per sugQ infusion and weighs

> 120 lbs.

I don't remember how much you said she was getting IV, but this dosage

is slightly low for her body weight. The recommendation by IDF is

400-800 mg/kg body weight.

For your daughter that range turns out to be 21.8 grams up to 43.0 grams

-- divided by 4 doses would be anywhere from 5.45 to 10.75 every week.

Of course, we want to use the lowest possible dose to keep her

maintained -- but I don't understand why they would move her backward if

she's well controlled. He may tell you that he just wants to start

slowly and check levels and build from there -- but, I would certainly

ask!!!!

Best wishes parenting an " adult " child!

In His service,

dale

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Guest guest

Martha,

We took the monthly dose and divided it by four and infuse weekly....

Someone else probably already posted that....but that is how our doctor

and infusion company started....We started on subq and didn't

transistion from IVIG>..

Typically the recommendation is to do your monthly IVIG and then the

following week start your subq doses...

Hope that helps.

Re: Sub Q question

Hi,

I am a lurker whose daughter is planning on going subQ next week. We

are

concerned because the subQ doses that the docs have planned are a lot

less than

dividing the IVIG amount by the number of weeks between infusions (as I

have

heard other docs do for other patients) So my teenage daughter demanded

(er

asked) me to survey other IVIG to subQ families and see what they did.

So I guess

the questions are: if you switched from IVIG to subQ-- What was your

IVIG

dose ?(and how many weeks did you go inbetween doses) What is you subQ

dose and

what does your child weigh?. Thanks so much for any help you can

provide!

Martha

Mom to a 17 yr old teenager contemplating going subQ

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  • 1 year later...
Guest guest

-Hi we do 5grams( or 50 ml) a week sub Q gammagard.. we need 4 sites..

We also do it once a week... and love it..

As for infusion time.. it depends...on pump and child.. you can set the

rate with some pumps.. we use the freedom pump.. and honestly some days

it takes longet than others...1-2 hrs...

Hope this helps

Warmly Kathleen

-- In , " Misty " <mistycmathis@...> wrote:

>

> I usually don't post often but a lot has gone on in the past few

> weeks!!

> Jake went back to his immunologist this week...we had to start the

> IVIG back. Well on the first round we did IVIG through a port and now

> we have been offered by the Dr. the option of Sub Q. My question is :

> He is on 10 grams of Gammagard if we do the Sub Q do you know how

many

> sites it would take? how much would he infuse each time? and how

long

> do you think it would take to infuse him? All I have to do is call

the

> Dr. back and let him know yes or no...he is scheduled for his next

> infusion on April 23rd...would he start Sub Q a week later? Thanks in

> advance for any responses.

>

> Misty ` Jake age 6

>

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Guest guest

It depends on the %age of the solution. If you stay with Gammaguard

Liquid, that would be 100ml to infuse & we can only do 15ml per site, so 7

sites? Unless you could do slightly more than 15ml per site and do 6

sites. Vivaglobin would have less liquid to infuse... If you did all

the lines at one time, it should only take up to 2 hours, depending on the

pump. We use the Freedom 60. and it takes just over an hour to infuse 25ml

into 2 sites using the 60ml/hr tubing and just over 2 hours with the 30ml/hr

tubing. Before we were using the Graseby pump and it took longer, but

we could adjust the settings. Not sure if I have helped you any.

Peace be with you,

Pattie

Our boys won $100 for our charity, Shwachman-Diamond America with this

video:

http://www.shwachmandiamondamerica.org/Goodsearch_video.html

Who do you Goodsearch for? I Goodsearch for Shwachman-Diamond America!

_____

From: [mailto: ] On Behalf Of

Misty

Sent: Thursday, April 03, 2008 1:44 PM

Subject: Sub Q question

I usually don't post often but a lot has gone on in the past few

weeks!!

Jake went back to his immunologist this week...we had to start the

IVIG back. Well on the first round we did IVIG through a port and now

we have been offered by the Dr. the option of Sub Q. My question is :

He is on 10 grams of Gammagard if we do the Sub Q do you know how many

sites it would take? how much would he infuse each time? and how long

do you think it would take to infuse him? All I have to do is call the

Dr. back and let him know yes or no...he is scheduled for his next

infusion on April 23rd...would he start Sub Q a week later? Thanks in

advance for any responses.

Misty ` Jake age 6

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