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RE: Re: earlobe problem

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It took me 7 hours one day and another 3 hours the next on the phone to get one

of my meds taken care of. I was FURIOUS! they just say Write an appeal! If I go

off of it I end up in the ER. So it would cost them more in the long run. It was

not United Health Care was it?

From: cerdaclan@...

Date: Tue, 14 Feb 2012 15:43:37 +0000

Subject: Re: earlobe problem

So mstoiditis can come from a sinus infection? When she was in last week,

the doc mentioned that she had eustachian tube " congestion " , but did not have an

ear infection. My guess is that you cannot see an inner ear infection like you

can a middle ear infection.

We asked our immuno about a loading dose. The one other time they went off and

back on immunoglobin, they did a loading dose. But our new immuno does not

believe in loading doses. At this point, our insurance has stressed out our

immunologist so badly, I am afraid to add anything else to the mix. I got and

email at the end of last week that our insurance is demanding too much of their

time and they cannot continue with it. You cannot believe how horrific our

pharmacy coverage has been. They have denied every single prescription the doc

wrote for....antibiotics, tamiflu etc....because it is " recommended to be used

no more than once a year by the manufacturer " and they have to go by what the

manufacturer says. She has had to appeal every single thing she writes for,

then they keep losing the paperwork. We are on the homestretch now as all the

approvals have finally been completed, but it has definately caused problems

that we just don't need.

Terri

Mom and daughters with CID

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> Terri,She could have an infection coming from the sinuses even if not in the

ear itself. I would check into it. Also I am surprised they are not starting

with a round of IV Gamma prior to the sub Q. It is usual protocol to get the

body going before sub Q. I think I would consider asking so that she can bump

these infections. Barbie Lucas 16 CVID

> From: cerdaclan@...

> Date: Tue, 14 Feb 2012 15:25:55 +0000

> Subject: earlobe problem

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> Has anyone dealt with a child having a swollen and painful

earlobe......yes earlobe? Maggie has had a sinus infection for about 12 weeks

now. She has had 2 rounds of tamiflu and 2 rounds of antibiotics without

clearing. They are trying one more antibiotic today, then it is off to the ENT

or ID if it does not work. She is not on immunuglobin....she has been approved

FINALLY and they are shipping out tomorrow, but it will be subq and take a while

to build up. Just wondering if anyone has dealt with this. She has never had

mastoiditis and, when she was at the doc, she had no ear infection. However,

she is tender on her mastoid bone, but no swelling there. She has no signs of

an ear infection.

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True but it also could be a nerve issue as well. It sounds like if she does not

have a fever ( some kids do not get them) and any other symptoms that you can

wait it out in my humble opinion.

But I would watch it.

From: cerdaclan@...

Date: Tue, 14 Feb 2012 15:58:32 +0000

Subject: Re: earlobe problem

So she is up now this morning. She said her earlobe does not hurt anymore, but

she has mild (she rates it as a 3) over the bone behind her ear. Still no

swelling at all. She saw the doc on Friday. She just cannot kick this sinus

infection. We are being VERY careful about establishing with docs, but both the

immuno and GP discussed having both of the girls followed by an ENT due to their

chronic sinus problems. In all of their lives, dealing with chronic pan

sinusitis, no one has ever had them see an ENT. Everything I am finding says

that she should have swelling, redness and a draining ear infection if it were

mastoiditis.

Terri

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> Exactly what I was going to say. When my son first started therapy, he

> did IVIG once, then started subQ the next week. This jump-starts the IgG

> level, and would get her well faster.

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> mastoiditis is a very serious infection, and could have spread from her

> sinuses. She may need IV antibiotics for this infection. Has the doctor

> seen her in the past 2 days? I would make sure they know she has mastoid

> pain. You can even do IV antibiotics at home, if she has a central line,

> or they put in a PICC line.

>

> Mindy

> mom to , 9, hypogammaglobulinemia, on IVIG every 4 weeks

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> > Terri,She could have an infection coming from the sinuses even if not in

> > the ear itself. I would check into it. Also I am surprised they are not

> > starting with a round of IV Gamma prior to the sub Q. It is usual protocol

> > to get the body going before sub Q. I think I would consider asking so

> > that she can bump these infections. Barbie Lucas 16 CVIDTo:

> >

> > From: cerdaclan@...

> > Date: Tue, 14 Feb 2012 15:25:55 +0000

> > Subject: earlobe problem

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> > Has anyone dealt with a child having a swollen and painful

> > earlobe......yes earlobe? Maggie has had a sinus infection for

> > about 12 weeks now. She has had 2 rounds of tamiflu and 2 rounds of

> > antibiotics without clearing. They are trying one more antibiotic

> > today, then it is off to the ENT or ID if it does not work. She is

> > not on immunuglobin....she has been approved FINALLY and they are

> > shipping out tomorrow, but it will be subq and take a while to build

> > up. Just wondering if anyone has dealt with this. She has never

> > had mastoiditis and, when she was at the doc, she had no ear

> > infection. However, she is tender on her mastoid bone, but no

> > swelling there. She has no signs of an ear infection.

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