Monday, October 24, 2011

Consult with Dr. Braverman and Update on My Husband

First, and most importantly, my husband is doing much better. I actually just brought him home a little while ago. They sent him home with a cardiac loop monitor so that they can continuously monitor him wirelessly while he is home. He has a surgical consult a week from this Friday. I can't even tell you how happy I am that he is home...even though he is sound asleep upstairs. I am just happy that he is okay.

In the midst of all this, I had my consult with Dr. Braverman today. We talked for well over an hour. He went over every detail of my history (which is quite complex.) He even had me go as far back as my early childhood as some of my immune problems started that long ago. A lot of what he talked about was over my head (which is quite surprising for me) but when I asked him to clarify something, he did. This is what I learned today:

  1. Without even drawing any blood, he already knows that Neupogen is going to be the way to go. He said that we have tried everything else and this is pretty much all that is left...although he seems quite confident that I WILL get a baby out of this. He said that the Neupogen will recruit cells for the uterine lining (help with my thin lining) and also help the messenger dendritic cells to tolerate the embryo.
  2. Many things indicate that there is a problem with my messenger cells in informing my lymphatic system about the pregnancy. He said normally these messenger cells prevent the body from attacking the pregnancy but if they don't function correctly, the pregnancy will be seen as an invader of some sort and will be attacked. He also said that the fact that I develop severe pelvic pain with each pregnancy at the same time each pregnancy, is another indication that my body is attacking the pregnancy.
  3. Even though they are not sky-high, my Beta-2 Glycoprotein IgG and IgA are high enough to cause a problem as they are rich in Glycoproteins and actually can attack the cells that make up the placenta. Even though I have taken Lovenox in the past, we need to be sure by continuously drawing labs that me dose is high enough.
  4. My husband and I will be going through DQ Alpha/HLA testing to see how genetically similar we are. 
  5. I have Neutropenia...not happy about this one. 
  6. The Metformin that I started on Saturday can actually help my lining even though my serum Testosterone is normal. 
  7. He does NOT want me to get the flu shot. I am soooo happy about this. The shots this year contain Mercury and Formaldehyde so I against them. Also, the longest observation period they did when they conducted the studies for this vaccine was only 3 days...clearly not long enough to determine what to true effect are, especially on pregnancy. If you are thinking about getting one, I would highly recommend asking for the Patient Insert and reading it prior to getting the vaccine...you will be disgusted by what you read.
  8. Flare protocols produce the highest quality blasts (a few recent studies showed) so that is what we will be doing. He is going to start me high on 750iu of Follisitm for 2 days and then drop it down to 450iu and then down to 325iu. 
This is a lot to take in but I am happy that we are getting to the root of things. The plan now is to get the testing done. The lab will be calling me tomorrow to make arrangements for the blood work. My follow up with Dr. Braverman will be 3 weeks to the day from when the blood work was drawn, although I am sure I will be asking to move it up if the results come back sooner. I will still have my hysteroscopy/lap on the 10th. He said it is good to know that there isn't any Endometriosis and he also wants them to visualize that the uterine septum is gone...not just by HSG. My Endocrinologist needs to scan my pituitary gland and thyroid to rule out any problems so we will be doing that around Thanksgiving as we need to be sure that the Prednisone is completely out of my system. I think that this is a great plan. I had a few afterthoughts after my consultation so I emailed Dr. Braverman. Within minutes he got back to me...twice. It is so nice knowing that I have a great team of doctors all working to get me my dream.

**I would also like to thank everyone for their prayers over these past few days. I know that I haven't responded or left any comments on your blogs but over the next few days I will be catching up. Thanks again!!**

4 comments:

  1. Yay - I'm so glad that your husband is home. I'm sure that it's a more comfortable feeling that he's close by...

    Yay too that you had such a great consult with Dr. Braverman! It sounds like a great plan to forge ahead...

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  2. Hello! I'm here from ICLW! It sounds like you have a good plan of action going forward, and I hope it all works out! I'm also glad your husband is home with you!! Good luck!

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  3. Wow, I am glad your husband is home with you.

    As for the consult with Dr.Braverman sounds amazing. It is always nice to have a great team of Drs taking care of you.

    Happy ICLW #21- Donor Diva

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  4. Hi, I found your post through googling, as I am considering a phone consult with Dr. Braverman. I've had a couple of losses around the 11-13 week mark(missed miscarriages) as well as 2 early losses, and am really starting to think it's immunological. He sounds thorough and attentive. Best wishes!

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