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▶ "Generally, I have needed to have IVIGs at 6-month intervals post transplant, but have actually needed the infusions three times in the last three months while dealing with a prolonged bout of acute bronchitis, the longest, continuous siege of this condition of my entire life (now 68)▶ After three trips to the City of Hope Medical Center ETC and my primary oncologist, the last trip finally provided a cocktail of RX that has done the trick to clear up the bronchitis: 1) Ibratropium Bromide nasal spray; 2) Prednisone, a steroid; and 3) Benzonatate, a cough suppressant▶ The nasal spray seems to be the most effective of the three▶ Just getting the bronchitis DX proved to be a challenge!
▶Reality has Dee Dee and me facing the fact that those IG levels need constant monitoring and we also need to do whatever we can to guard the immune system, a task made somewhat easier in our retirement years with the control to public exposures that we could not always easily control during those work year▶ Nevertheless, the life of a hermit is not always possible either.
▶ This reply was prompted by the following comment that Max Wood posted to the ACOR message board:
▶ "After I completed 6 rounds of R-CHOP in August of 2014 my onc put me on monthly infusions of IVIG. Before chemotherapy I would have one or two very bad bouts of upper respiratory infections a year. Since I started chemo and moved to IVIG two and one-half years ago I have never had so much as a sniffle. I went off of IVIG in September of this year at the same time I completed 2 years of R maintenance and thought I would not need IVIG again. I was wrong.
▶ "I did need it and the levels on my lab report from September to December went from about 850 to 450. I could tell, too. I did not get sick but came close several times over the last month. What is close? I could feel it coming on. I was still seeing my onc for monthly labs, so we knew it was time to start treatment again. In fact, way over time. I had my "tank filled up" as my onc calls it about 10 days ago and can sure tell the difference.
▶ "I decided to research the causes of of low IgG and the impact for us. For those who have infections on a routine basis and/or catch about everything that comes along it could well be low IgG, as many of us know. From what I have read at least two of the causes for us are our NHL disease (Non Hodgkins Lymphoma - lymphomas that affect the B cells) and Rituxan (which also impacts B cells). Actually, super low IgG counts can kill you. That is, the infections can easily turn into pneumonia which can be deadly for those with an already weakened immune system. So, inherent in our disease is a major impact, even if we are in remission, to our immune system. That is also true for Rituxan. Even though you may no longer be on R the damage it may cause to your immune system may be lasting (you pick your poison) along with the lymphoma. My local onc indicated that most of his NHL patients stay on IVIG for life. I tried to come off, but it did not work.
▶ "One more point about the therapy. It takes from 2 to twelve weeks for a treatment to begin to work. And, the treatments should be scheduled four weeks apart. The most common treatment is a three hour infusion but there are newer alternative subcutaneous treatments that provide as good or perhaps better treatment."
* ACOR = Association of Cancer Online Resources
Circa 2006, we started here on
Blogger, then advanced to social media
▶ http://leavetheword.com ▶
®, an acronym for "", is the web moniker for the neighborhood of sites, blogs and locations created and managed by in reference to our journals and blogging activity when Dee Dee and I were residents of Alta Loma, part of Rancho Cucamonga in Southern California. Of course, we have moved on but these ALTACITIES