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Re: Digest Number 14

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Dear Donna,

You had asked what IVIG was. IVIG is a blood product that is intravenous

immunoglobulins. Small amounts IgA can get passed through but it is mostly

IgG. It is used for a variety of reasons PIDS, HIV, Kawasaki Virus to name a

few. The main reason is for replacement therapy of an immune deficient

person. In my sons case he has no working b-cells (antibodies) so he is

infused every 21 days with IVIG to give him antibodies to help him fight off

infections. Hope this helps.

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Dear Donna,

You had asked what IVIG was. IVIG is a blood product that is intravenous

immunoglobulins. Small amounts IgA can get passed through but it is mostly

IgG. It is used for a variety of reasons PIDS, HIV, Kawasaki Virus to name a

few. The main reason is for replacement therapy of an immune deficient

person. In my sons case he has no working b-cells (antibodies) so he is

infused every 21 days with IVIG to give him antibodies to help him fight off

infections. Hope this helps.

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dear donna, you mentioned your son makes no b cells, so does he have

agammaglobulin amemia or something else? My son simon has agammaglobulin

anemia and he seems like he is doing much better than some of the other

children I wonder if agammaglobulin anemia is less severe than some of the

other PIDs or are we just lucky,. Imput from anyone would be appreciated.

Thanks Janet

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dear donna, you mentioned your son makes no b cells, so does he have

agammaglobulin amemia or something else? My son simon has agammaglobulin

anemia and he seems like he is doing much better than some of the other

children I wonder if agammaglobulin anemia is less severe than some of the

other PIDs or are we just lucky,. Imput from anyone would be appreciated.

Thanks Janet

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Dear Janet,

Aggammaglobulinemia is a significant immune deficiency. My son has a newly

named immune deficiency called Cd5 PID. His physician, Dr. Hostoffer

has been very busy this past year educating immunologist across the country

about it. In the Cd5 PID you have no functioning b-cells, none (kind of like

aggamma) but in addition you have an abundance of cells called Cd5+ that

attack the body in the form of autoimmune diseases and malignancies. I

recently asked his doctor if Mark had not had the added component of the Cd5+

cell would he be a Bruton's patient and he said yes.

The IDF has a wonderful handbook for patients and families that describes most

of the common PIDS. My sons was just discovered in December of 1997 so it is

not even in any medical texts yet. There are only 7 boys in the world with

the Cd5 PID. I am always looking on the Internet for anyone that sounds

remotely similar. I am so happy to hear that your son is doing well!

Autumn

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Dear Janet:

Mark's symptoms were chronic and constant super infections of the respiratory

tract, Sinus and lungs. He had frequent ear infections as well. He cultured

all different types of bacteria's almost constantly. He was steroid dependent

for a while as his lungs were in such poor shape. He had unexplained fevers

anywhere from 103 to 106.5 with white blood counts ranging from 40,000 to

60,000. He commonly had up to 14 bowel movements a day. I should mention,

that Mark does have Hereditary Fructose Malabsorption. He had chronic blood

in the stools and had moderate anemia. He had frequent petechiae and oral

thrush and high ESRs. He has had dozen and dozen of episodes of uvular

edema...some life-threatening. He has GERD, Failure to Thrive, Asthma,

allergies, bacteria overgrowth of the gut, and crohns disease. The crohns is

secondary to his PID. The one thing that Dr.Hostoffer really thought was odd,

was that Mark did not really improve that well on IVIG. He did not grow or

gain weight the entire first year that he was on it. That is a very unusual

finding. His infections improved but the GI problems persisted as did the

other unusual findings. The big clue was the -0- response to the pneummovax.

Dr.Hostoffer is a wonderful man and recently told me that it was not a stroke

of genius that helped him discover this PID, it was a stroke of luck. I will

always be thankful to this dear man for finding this defect and I feel

confident and hopeful that he will be the one to find the cure!!

Gail~I am so sorry to hear that your mother had such an awful experience with

her infusion. I agree with you...we really need to speak very up to these

physicians who really do not understand PID's. I hope she will be feeling

better soon!!!

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Michele,

I am sorry to hear you had a bad time with the docs. I think we have all

been there at one time or another but that doesn't make it any easier to deal

with. What part of indiana do you live in? I am in southern Ohio. It is so

hard to find caring and understanding docs for our children. My prayers are

with you both!

Donna & Walt-IGA def-asthma-8wks premie

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Michele,

These doctors work for YOU. Don't forget that. It was the most valuable

information I was ever given. I have fired 1 doctor and plenty nurses over

the last 2+ years. You don't have to take their abuse.

Ginger

Mom of Adam, age 3, IgA and IgG deficiency, Molluscum, Chronic RAD, Chronic

Sinusitis

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Donna,

How close are you to Cleveland Ohio? I live in Michigan but travel to Ohio

for medical care. Dr. Hostoffer is an excellent physician out of

Rainbow Babies and Children's Hospital of Cleveland. He is an immunologist

and involved with the IDF.

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Hi Gail,

It's Michele. I live in Southern Indiana. I would appreciate if you

could help me find a doctor specializing in immune def. The doctor's

that are prescribing 's IVIG are pediatric Infectious disease

specialist.

I have also had bad experiences with doctors. I have been told I am a

bad mother because I was concerned about loosing my job due to so many

missed days. I was screamed at by a lung specialist for seeing another

doctor.

It took many frustrating years to finally have a diagnosis and

treatment. Is this common among immune def. children?

I am a single mother who has been stressed to the max many times with

concern for my daughter and my job. I appreciate this group for the

support I already feel. I know that I am not alone.

Once again Thank you all

Michele (mother of -CVID 8 years old)

Re: Digest Number 14

From: G6517@...

Donna,

Where are you living? You really need to have him retested by

an board

certified immunologist. The list of illnesses you shared certainly

warrant

them revisiting the immune system. I will be glad to help you find

immunologist in your area. I am a volunteer with the Immune Deficiency

Foundation. If you are not familiar with us - we are a non-profit

organization that promotes research, education and provides patient

support

for families with Primary Immune Deficiencies. He might benefit from

the use

of IViG, but you must have him reevaluated. You should go to that

appointment

prepared too! Have a history of his illnesses by date with medications

used.

Just type something up from your memory as best as you can. This puts

in

simple black and white. It helps them see the quality of life you and

your

child are having. This often helps them make a decision in their

treatment

options. I will be glad to talk with you more in detail. You can

email me

or call me .

Take Care

Gail

Gmoore6517@...

Kinsey's mom -6 1/2 year old with CVID

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Ginger,

I'm glad to know other people experience the same things I have. It's

so hard to definite answers from anyone. It seems the doctors are

afraid to make diagnosis. I have alot of questions that know one will

answer. I would like to know if this is life-long? How does this

disease progress ? Will she get worse?

Michele (moher of -CVID)

Re: Digest Number 14

From: MATHERS313@...

Michele,

These doctors work for YOU. Don't forget that. It was the most

valuable

information I was ever given. I have fired 1 doctor and plenty nurses

over

the last 2+ years. You don't have to take their abuse.

Ginger

Mom of Adam, age 3, IgA and IgG deficiency, Molluscum, Chronic RAD,

Chronic

Sinusitis

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This forum is open to parents and caregivers of children diagnosed with

a Primary Immune Deficiency. Opinions or medical advice stated here are

the sole responsibility of the poster and should not be taken as

professional advice.

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>

> It's Michele. I live in Southern Indiana. I would

> appreciate if you

> could help me find a doctor specializing in immune def.

> The doctor's

> that are prescribing 's IVIG are pediatric Infectious disease

> specialist.

>

, How far are you from Vanderbilt? I know of someone else in

Indiana who goes there because the pediatric immunologist is supposed

to be quite good. She used to use Riley, but the immunologist she was

dealing with there has left. If Vanderbilt is an option for you I'll

get the doctor's name for you. Let me know.

Barb, mum to Ray, 5yr old, SCID, TPN user, Central Line, Mic-Key

button,

post BMT

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Barb Ballard  >^..^

scidmail@...

ICQ#1244747

The SCID Homepage

http://www.scid.net

The Primary Immune Deficiency Webring

http://members.xoom.com/pidring/

http://www2.cybercities.com/p/pidring/

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For those of you who are interested Dr. Hostoffer's phone number is

216/844-3237. He is at Rainbow Babies and Children's Hospital of Cleveland,

Department of Immunology.

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Michele,

I just left a good job in Sept of this year after many, many frustrating

experiences. I am currently without a job for the first time in the last 15

years. It is the strangest experience I have had to deal with.....I decided

that it was or had to be the kids over the job....I had a very understanding

boss....But I knew it was time to come home and try and make things as

comfortable for the kids as I could. This has been our worst winter yet.

Jake is 9 and is 6. I made the right choice.....I am so glad that

my husband has been as supportive as he has. My Mom has also come to help us

recently....It has been one battle after another here recently...

has had 4 surgeries in the last 8 weeks and Jake is suffering from EBV and any

viral thing that the wind blows at us I think.

I know several have shared stories about misbehavior, but are any other kids

suffering from depression and chronic anxiety? , my 9 year old is having

a terrible time with this lately. They actually put him on an antidepressant.

They decided today that he does not have the flu, but a reaction from the

BuSpar that he takes. I guess they can get Anorexia from it. He has not

eaten a meal in 2 days. He has been sick since Sunday. We are going to take

him off of the med for the weekend and see if this will help his appetite

any.....Then put him back on the drug Sunday night if his appetite

returns......Anybody else have any of these kinds of problems as well?????

Kim....I really feel for you....It must be awful being a single parent and

going through this...Do you have any help or support from anyone else???? I

hope and pray that you do........Hang in there....At least there is always

tomorrow to look forward toooo

Mach

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Michele,

I just left a good job in Sept of this year after many, many frustrating

experiences. I am currently without a job for the first time in the last 15

years. It is the strangest experience I have had to deal with.....I decided

that it was or had to be the kids over the job....I had a very understanding

boss....But I knew it was time to come home and try and make things as

comfortable for the kids as I could. This has been our worst winter yet.

Jake is 9 and is 6. I made the right choice.....I am so glad that

my husband has been as supportive as he has. My Mom has also come to help us

recently....It has been one battle after another here recently...

has had 4 surgeries in the last 8 weeks and Jake is suffering from EBV and any

viral thing that the wind blows at us I think.

I know several have shared stories about misbehavior, but are any other kids

suffering from depression and chronic anxiety? , my 9 year old is having

a terrible time with this lately. They actually put him on an antidepressant.

They decided today that he does not have the flu, but a reaction from the

BuSpar that he takes. I guess they can get Anorexia from it. He has not

eaten a meal in 2 days. He has been sick since Sunday. We are going to take

him off of the med for the weekend and see if this will help his appetite

any.....Then put him back on the drug Sunday night if his appetite

returns......Anybody else have any of these kinds of problems as well?????

Kim....I really feel for you....It must be awful being a single parent and

going through this...Do you have any help or support from anyone else???? I

hope and pray that you do........Hang in there....At least there is always

tomorrow to look forward toooo

Mach

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,

I live in Iowa, but I know of a wonderful Pediatric Immunologist at Loyola in

Chicago. Would you be willing to travel to Chicago.....There is also a good

one in St. Louis.....Let me know....Best of luck...

Sue Warner

Mom of Jake and Chris....Hypogammaglobulinemia. We also have a 14 year old

that is well....I thank the lord daily for that.....

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Michele,

Adam's doctor told us that there was no way to determine what the future

holds. He said that they are making new discoverys in genetics every day and

who knows what will be discovered in the next 20 years. Our big question was

" Should he ever have children? "

Ginger

Mom of Adam, age 3, IgA and IgG deficiency, Molluscum, Chronic RAD, Chronic

Sinusitis

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Michele,

Adam's doctor told us that there was no way to determine what the future

holds. He said that they are making new discoverys in genetics every day and

who knows what will be discovered in the next 20 years. Our big question was

" Should he ever have children? "

Ginger

Mom of Adam, age 3, IgA and IgG deficiency, Molluscum, Chronic RAD, Chronic

Sinusitis

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