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        <title>PIA Forum - General Discussion</title>
        <description>Please add to our discussion forum. (Please do not use the forum for advertising.)</description>
        <link>http://www.pia.org.uk/forum99849144/list.php?1</link>
        <lastBuildDate>Thu, 09 Sep 2010 10:08:51 +0100</lastBuildDate>
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            <guid>http://www.pia.org.uk/forum99849144/read.php?1,33462,33462#msg-33462</guid>
            <title>hyper IgM syndrome and bone marrow transplantation (3 replies)</title>
            <link>http://www.pia.org.uk/forum99849144/read.php?1,33462,33462#msg-33462</link>
            <description><![CDATA[ Hi, i'm new in this forum. I,m a mother of a 3,5 years son, who has been recently diagnose with hyper IgM syndrome, CD 40 ligand deficiency. I would like to know if someone from Europe faced with this before and about their experience regarding the bone marrow transplantation in this desease. We are living in Romania. Any information will be a big help for us!!!!<br />
Tkx a lot!!!]]></description>
            <dc:creator>larisa</dc:creator>
            <category>General Discussion</category>
            <pubDate>Tue, 07 Sep 2010 06:31:20 +0100</pubDate>
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            <guid>http://www.pia.org.uk/forum99849144/read.php?1,33453,33453#msg-33453</guid>
            <title>Fatigue with CVID (9 replies)</title>
            <link>http://www.pia.org.uk/forum99849144/read.php?1,33453,33453#msg-33453</link>
            <description><![CDATA[ Sorry to return to this old chestnut,But since February this year I started to experience these extreme feelings of fatigue, I was unable to complete tasks and had to ask if I could leave jobs to go home. I work as a chef for an agency and have a reputation with them for my work and reliability, but naturally after several occurances like this over 6 months, I have become reliant on benefits and at 62 it depresses me to think that realistically I won't work again.<br />
Doctors seem of little help, my GP believes it entirely due to CVID and after blood tests, insists there is little(nothing) to do. My immunologist fails to see any link and passes it back to the GP.<br />
Most helpful is my Chest specialist(works in a different hospital 2 hours away) he spent  time monitoring my heart and blood pressure and virtually a full body scan, all of which come up blank I presume(that's probably for the best!),I still have an appointment with an endocrinologist, seems a pretty feint hope though.<br />
The conclusion I come to after reading back through many of your posts, is that this is something I have to put up with, it could be a lot worse.<br />
Can somebody confirm this thought for me, put an end to my wingeing, and get on with it lol<br />
Steve]]></description>
            <dc:creator>slf</dc:creator>
            <category>General Discussion</category>
            <pubDate>Wed, 08 Sep 2010 21:26:06 +0100</pubDate>
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            <guid>http://www.pia.org.uk/forum99849144/read.php?1,33442,33442#msg-33442</guid>
            <title>advice on subq sites (10 replies)</title>
            <link>http://www.pia.org.uk/forum99849144/read.php?1,33442,33442#msg-33442</link>
            <description><![CDATA[ Hello all.  I was looking for some practical advice from those of you who use subcutaneous immunoglobulin.<br />
My 9 y.o. is currently injecting 10cc of hizentra into two sites once a week.  She's been doing well with it, but the problem is that she only likes to use her tummy and I'm concerned that we are not rotating the sites enough.  She's starting to get some discoloration in the area and the bumpiness seemed to last longer than usual after the last injection.  I do try to find different places around her belly, but she's only 9 so the available surface area is not huge.  We've tried her arms in the past (subq area near the triceps), but she found that uncomfortable.<br />
We were thinking about the legs, but her outer thigh doesn't seem to have much chub and I'm not sure if the inner thigh would be difficult logistically (eg. would it be uncomfortable to walk afterward?).<br />
I'd appreciate any advice regarding sites that you find work best and how frequently you rotate your sites.  Thanks!<br />
Kathy]]></description>
            <dc:creator>kazaro</dc:creator>
            <category>General Discussion</category>
            <pubDate>Wed, 08 Sep 2010 21:36:57 +0100</pubDate>
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            <guid>http://www.pia.org.uk/forum99849144/read.php?1,33432,33432#msg-33432</guid>
            <title>Too good to last (4 replies)</title>
            <link>http://www.pia.org.uk/forum99849144/read.php?1,33432,33432#msg-33432</link>
            <description><![CDATA[ Hi All<br />
<br />
Emma has had two good weeks at school and loves it.  It is Sunday and Emma has spiked 38.6.  I know we should phone the hospital but i'm hoping her temp will come down,( I'm just kidding myself).<br />
<br />
Hope you are all keeping well,keep you posted.<br />
<br />
Jacqui Emma's mum AIN]]></description>
            <dc:creator>Jacqui Mckeown</dc:creator>
            <category>General Discussion</category>
            <pubDate>Mon, 30 Aug 2010 17:06:59 +0100</pubDate>
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            <guid>http://www.pia.org.uk/forum99849144/read.php?1,33414,33414#msg-33414</guid>
            <title>Our story so far... (15 replies)</title>
            <link>http://www.pia.org.uk/forum99849144/read.php?1,33414,33414#msg-33414</link>
            <description><![CDATA[ We're new to this discussion forum. It's my husband Mark who was diagnosed with CVID in December 09 (we both knew at least a year before that though, but before that we were in the dark) and as he says 'I'm the internet' person, so it'll probably be me on here more than Mark!  I had researched Mark's symptoms and came up with the possibility of his immune system needing help...everything pointed in that direction. One of the many times my husband was in hospital with pneumonia a doctor had spoken to me and I had mentioned missing Ig's and he told me that Mark was probably needing immunoglobulin relacement..... I  spoke to his respitory consultant at Mark's 6 monthly check-up about my fears and what the other doctor had told me and he STILL didn't refer him to Immunology for a further 6 months.His lungs were left to scar for more time than they should have been! It makes me so angry. <br />
We had been in the dark for many years...at least since we've know each other, which is 16 years. Mark's symptoms have been many, ranging from, Vitiligo, bowel problems, skin problems and then the big run up to diagnosis with several (more than I can count) pneumonia episodes.But the more he looks back the more he sees all the other symptoms of his childhood, ear infections etc.<br />
Mark has had lots of antibiotics, even a long term low dose one from his respitory consultant. The stress of never knowing what was really going on was difficult. There were times through the most horrendous bouts of infection that I thought I was going to lose Mark. And finally when the amount of chest infections had surpassed what must have been the respitory consultant's criteria, he FINALLY referred him to the Immunlogy Dept and we got the diagnosis! It was a relief. Finally, other people who knew about this who could help him. I was so grateful and still am. Mark is very well now, thanks to the immunoglobulin replacement every 3 weeks. We're both learning how to do home therapy and it's a bit scary at times but it shouldn't be too long before we're 'home alone' and doing the treatments together. I'd love to exchange thoughts, fears or any other process that anyone goes through during this journey. Thank you. Karen.]]></description>
            <dc:creator>Kaz-C</dc:creator>
            <category>General Discussion</category>
            <pubDate>Tue, 07 Sep 2010 22:08:12 +0100</pubDate>
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            <guid>http://www.pia.org.uk/forum99849144/read.php?1,33401,33401#msg-33401</guid>
            <title>Subcutaneous IGG (5 replies)</title>
            <link>http://www.pia.org.uk/forum99849144/read.php?1,33401,33401#msg-33401</link>
            <description><![CDATA[ It's all go at the moment!<br />
<br />
After 20+ years as a die-hard self-administering home IVIG patient I have finally made the switch to sub-cut.<br />
<br />
Recent gastro-intestinal problems had resulted in a doubling of my IVIG infusions and hopefully the sub-cut will provide a more standard baseline.<br />
<br />
I've started off on Vivaglobin and am hoping to switch to Hyzentra later this year.<br />
<br />
First two infusions went without a hitch and it's a real joy not to have to think about finding veins any more.<br />
<br />
Best wishes to all.]]></description>
            <dc:creator>Andy J</dc:creator>
            <category>General Discussion</category>
            <pubDate>Thu, 02 Sep 2010 18:53:18 +0100</pubDate>
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            <guid>http://www.pia.org.uk/forum99849144/read.php?1,33397,33397#msg-33397</guid>
            <title>newly diagnosed with cvid (6 replies)</title>
            <link>http://www.pia.org.uk/forum99849144/read.php?1,33397,33397#msg-33397</link>
            <description><![CDATA[ Hi my name is Jo i am 39 years of age and was diagnosed with cvid 2 weeks ago. Started treatment last week and another this week administrated under the skin which  after next week i will do weekly myself at home.  diagnosis was a shock as it probably was for many of you.  I was being investigated for lung diesease as i was getting alot of chest infections and xrays and scan was showing shadow of the lungs which has progressed over ten years. Following blood tests my chest consultant reffered me to a immunologist who said my antibodies were very low. Ihave been struggling recently with muscle aches and fatigue and as a working mum finding it really hard due to return to work next week after the summer holidays (work in a school) but really dont feel well enough the hospital have said it could take 3 months before i start to feel well again  Lots of different emotions to deal with at the moment relief,but anxious as  i get used to my diagnosis and trying to explain to others what i am going through.  Would like to hear from others.<br />
<br />
jo]]></description>
            <dc:creator>xxraymondonexx@aol.com</dc:creator>
            <category>General Discussion</category>
            <pubDate>Fri, 27 Aug 2010 11:25:47 +0100</pubDate>
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            <guid>http://www.pia.org.uk/forum99849144/read.php?1,33396,33396#msg-33396</guid>
            <title>CVID &amp; mini stroke (2 replies)</title>
            <link>http://www.pia.org.uk/forum99849144/read.php?1,33396,33396#msg-33396</link>
            <description><![CDATA[ I just wanted to see if anyone else has had this happen to them...the other week I &quot;coughed&quot; and then was lightheaded and my right eye was very blurry...make a long story short, I ended up at the eye doctor then to the ER to meet a neurologist...they thought at first I had a carotid dissection but the Ct of head/neck was ok...then the neuro doc said he believes I had a little mini stroke...wanted me to do an MRI however I said if it happens again, then I would....my PCP is going to talk with my immunologist about taking a baby aspirin daily,,,haven't heard the answer yet....Has anyone else gone thru this?<br />
<br />
Thanks, Penny]]></description>
            <dc:creator>lindpe1</dc:creator>
            <category>General Discussion</category>
            <pubDate>Fri, 27 Aug 2010 08:26:31 +0100</pubDate>
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            <guid>http://www.pia.org.uk/forum99849144/read.php?1,33388,33388#msg-33388</guid>
            <title>New to this site (4 replies)</title>
            <link>http://www.pia.org.uk/forum99849144/read.php?1,33388,33388#msg-33388</link>
            <description><![CDATA[ So my name is Kimberly and I have lived with CVID sense I was 4 years of age. I was diagnosed with it two weeks after my birthday and when I came down with it, it caused me to be paralyzed from the neck down. The doctors were doing everything they could to figure out what was going on with me and they finally found out. When they started my IVIG treatments, the paralysis started to go away. I'm left with semi paralysis on my left leg and am almost completely paralyzed in my right leg. I wear a KFO on my left leg and a KAFO on my right leg. I don't care what people think of me and I believe that because of my deficiency, I became a very strong individual. I receive IVIG treatments every four weeks. I have been doing these treatments for a total of 20 years. I have had a total of 21 surgeries over the course of 17 years of my life...from the time I was 4 to the time I was 21. So I'm just looking for some people who I can turn to, who have the same kinda story, who I can get a connection with friendship wise. Thanks everyone!!!!!!!!!!!]]></description>
            <dc:creator>cowgurlatheart1986</dc:creator>
            <category>General Discussion</category>
            <pubDate>Thu, 02 Sep 2010 19:00:48 +0100</pubDate>
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            <guid>http://www.pia.org.uk/forum99849144/read.php?1,33381,33381#msg-33381</guid>
            <title>HAE - update on husband (2 replies)</title>
            <link>http://www.pia.org.uk/forum99849144/read.php?1,33381,33381#msg-33381</link>
            <description><![CDATA[ Not been signed in for ages, hope everyone is doing as well as can be.  After cancer scare and major liver resection op on Hogmanay, Davie has finally made it back to work,(after 10 months off), one week in, so far, only doing half days to start with as still gets really tired but going well, hoping to be back to 'normal' by the end of the year.  Liver has regenerated, albeit in a different place, and is doing well.  Only on Tranexamic Acid 1.5gms twice daily  now. Not needed the C1NH (touch wood) and NO swellings.<br />
I just want to thank everyone for all their support when things were looking bleak last year and wish you all well.]]></description>
            <dc:creator>Minstrel101</dc:creator>
            <category>General Discussion</category>
            <pubDate>Mon, 23 Aug 2010 15:49:04 +0100</pubDate>
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            <guid>http://www.pia.org.uk/forum99849144/read.php?1,33374,33374#msg-33374</guid>
            <title>1st week at school (5 replies)</title>
            <link>http://www.pia.org.uk/forum99849144/read.php?1,33374,33374#msg-33374</link>
            <description><![CDATA[ Hi All<br />
<br />
Emma has completed her 1st week at school.  I was soooo worried how she would bebut she has been great.<br />
<br />
The teachers have been great and have put our minds at rest that they will take care of Emma.  Emma's teacher even went on the internet to get more info on AIN which I thought was very nice of him.<br />
<br />
Emma got an MOT before she started school she is not showing any signs of growing out of AIN but at least her bloods haven't got any worse, I suppose this winter will be a sign of things to come.<br />
<br />
I hope you are all well<br />
<br />
Take care<br />
<br />
Jacqui Emma's mum AIN]]></description>
            <dc:creator>Jacqui Mckeown</dc:creator>
            <category>General Discussion</category>
            <pubDate>Tue, 24 Aug 2010 10:35:51 +0100</pubDate>
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            <guid>http://www.pia.org.uk/forum99849144/read.php?1,33366,33366#msg-33366</guid>
            <title>Bowel problems (11 replies)</title>
            <link>http://www.pia.org.uk/forum99849144/read.php?1,33366,33366#msg-33366</link>
            <description><![CDATA[ Hi everyone<br />
<br />
I'm a CVID patient.  I recently had a colonoscopy and had a large amount of polyps removed.<br />
Apparently the growth of these can be common in people with immunodeficiencies. I was never aware of this until now.  I would appreciate feedback from  anybody with similar problems <br />
<br />
Keep well<br />
Joe]]></description>
            <dc:creator>Joesph Coyle</dc:creator>
            <category>General Discussion</category>
            <pubDate>Wed, 08 Sep 2010 21:05:13 +0100</pubDate>
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            <guid>http://www.pia.org.uk/forum99849144/read.php?1,33365,33365#msg-33365</guid>
            <title>Normal Response to Vaccines (2 replies)</title>
            <link>http://www.pia.org.uk/forum99849144/read.php?1,33365,33365#msg-33365</link>
            <description><![CDATA[ My primary care doctor and immunologist had suspected I have an immune disorder because I've been unusually sick with bacterial infections constantly for over two years.  I respond to antibiotics, but it seems only partially.  The infections are bad enough to cause me to miss a lot of school and work.  I get verrry sick, feel almost like I'm in a coma, my temp. drops to 97.0, my lips and fingers and toes turn blue.  It's significantly changed my life and my ability to function.  I used to be completely healthy.  Now doing even normal simple tasks is a huge deal and sometimes impossible.<br />
<br />
My immunoglobulins are technically normal, but have been dropping.  Initially, my total IgG was a little over 1000, last time they were measured they were a little over 800.  My white count has been between 3700 to 4100 for  a year and a half, previously, it had been higher.  My NK cells have been low for a year and a half and I have leukocytosis.<br />
<br />
My immunologist decided to vaccinate my with the pneumococcal vaccine and the tetanus/pertussis/diphtheria vaccine.  My response to the vaccines was good.  I'm disappointed by this because I thought maybe if that proved to be abnormal maybe I could start IVIG and could be healthy and normal again.  Can IVIG help even if you respond to vaccines?  I feel like my body needs an immune system boost because I can't fight the infections on my own, even with antibiotics, they're only suppressed, but don't go away.  I'm so desperate right now.<br />
<br />
My infections are mainly dental, which then spread to the sinuses, mouth, neck, and face.  My doctor thinks my gallbladder is infected and I had a HIDA scan but don't know the results.  I think the gallbladder is actually somehow infected from the tooth infections, because that always gets worse when the teeth get worse.  Also, I've had almost constant UTI's, but my immunologist thinks that may be caused by resistance from the antibiotics I need to take for the other infections because my urology tests showed that there were no anatomical abnormalities.  I do take Bactrim now to prevent UTI's with some success, but that doesn't help with the constant infections popping up from my teeth.]]></description>
            <dc:creator>sms21</dc:creator>
            <category>General Discussion</category>
            <pubDate>Tue, 24 Aug 2010 05:44:01 +0100</pubDate>
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            <guid>http://www.pia.org.uk/forum99849144/read.php?1,33345,33345#msg-33345</guid>
            <title>Date Change - PiA Annual Meeting (no replies)</title>
            <link>http://www.pia.org.uk/forum99849144/read.php?1,33345,33345#msg-33345</link>
            <description><![CDATA[ Dear All,<br />
<br />
We hope you will join us at the PiA Annual Meeting and Yorkshire and Humberside Regional PID/HAE Patients' Event.<br />
<br />
Please note the date has been changed to Saturday 20th November 2010 and if you are interested in attending, or have any questions, please get in touch on 020 7976 7640 or <a rel="nofollow"  href="&#109;&#97;&#105;&#108;&#116;&#111;&#58;&#105;&#110;&#102;&#111;&#64;&#112;&#105;&#97;&#46;&#111;&#114;&#103;&#46;&#117;&#107;">&#105;&#110;&#102;&#111;&#64;&#112;&#105;&#97;&#46;&#111;&#114;&#103;&#46;&#117;&#107;</a>.<br />
<br />
Best wishes,<br />
<br />
PiA Staff]]></description>
            <dc:creator>PiAStaff</dc:creator>
            <category>General Discussion</category>
            <pubDate>Thu, 12 Aug 2010 10:49:50 +0100</pubDate>
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            <guid>http://www.pia.org.uk/forum99849144/read.php?1,33336,33336#msg-33336</guid>
            <title>new to greenville (2 replies)</title>
            <link>http://www.pia.org.uk/forum99849144/read.php?1,33336,33336#msg-33336</link>
            <description><![CDATA[ hello everyone, i just moved to greenville sc from florida and just as i got a diagnosis of some sort of primary immune deficiency.  low total igg, low ig1 subclass, (absent igD ~ not sure of relevance), bronchiectasis, chronic, and interstitial lung disease.  i left florida with bronchoscopy cultures still pending and am looking for a very good doctor in this area to pick up where i left off with.  DOES ANYONE have someone they could recommend or at least tell me what specialty.  i was given a script for ivig but the florida dr. said it probably wouldn't be good here.]]></description>
            <dc:creator>34240dina29690</dc:creator>
            <category>General Discussion</category>
            <pubDate>Mon, 09 Aug 2010 15:40:27 +0100</pubDate>
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            <guid>http://www.pia.org.uk/forum99849144/read.php?1,33334,33334#msg-33334</guid>
            <title>Temperature (9 replies)</title>
            <link>http://www.pia.org.uk/forum99849144/read.php?1,33334,33334#msg-33334</link>
            <description><![CDATA[ Hi All<br />
<br />
Just after any thoughts you may have.<br />
<br />
I came down with a bad dose of the flu about 3 months ago. First time I've had 'proper' flu and it knocked me about a bit. Ever since then I've been running a temperature and it won't go down. Granted, it's come down a lot from what it was in the height of my flu bout but it's never 'normalised'. <br />
<br />
They don't seem overly concerned at the hospital and aren't really sure what to do as I have no other symptoms other than feeling a little under the weather. It's affecting my IVIG as my veins are non existent and I'm getting a bit distressed now every time I go as I know it's going to be problematic trying to infuse. <br />
<br />
My immuno suggested taking a break and relaxing but after a week lying on a beach in Portugal and doing lots of nothing I still have a temperature.<br />
<br />
Any ideas anyone? <br />
<br />
Thanks<br />
<br />
Deb x]]></description>
            <dc:creator>debonair</dc:creator>
            <category>General Discussion</category>
            <pubDate>Wed, 08 Sep 2010 21:48:51 +0100</pubDate>
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            <guid>http://www.pia.org.uk/forum99849144/read.php?1,33323,33323#msg-33323</guid>
            <title>Tattoo? (4 replies)</title>
            <link>http://www.pia.org.uk/forum99849144/read.php?1,33323,33323#msg-33323</link>
            <description><![CDATA[ Hi Guys<br />
<br />
Just a quick question, are there any restrictions on having a tattoo with CVID?<br />
<br />
Thanks<br />
<br />
Deb x]]></description>
            <dc:creator>debonair</dc:creator>
            <category>General Discussion</category>
            <pubDate>Thu, 05 Aug 2010 11:17:46 +0100</pubDate>
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            <guid>http://www.pia.org.uk/forum99849144/read.php?1,33312,33312#msg-33312</guid>
            <title>PIA meeting in Sheffield......anyone going? (5 replies)</title>
            <link>http://www.pia.org.uk/forum99849144/read.php?1,33312,33312#msg-33312</link>
            <description><![CDATA[ Hi,<br />
<br />
Just wondered if anyone was going to the PIA annual meeting in Sheffield 18th September. We missed the one last year in our hometown as Joshua was in hospital. Would be nice to put some faces to the names on here.<br />
<br />
Ang (mom to Joshua 22mnths XLA)<br />
<br />
xxx]]></description>
            <dc:creator>baggiejosh</dc:creator>
            <category>General Discussion</category>
            <pubDate>Mon, 09 Aug 2010 08:48:42 +0100</pubDate>
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            <guid>http://www.pia.org.uk/forum99849144/read.php?1,33307,33307#msg-33307</guid>
            <title>Menstrual cycle and abdominal swelling (6 replies)</title>
            <link>http://www.pia.org.uk/forum99849144/read.php?1,33307,33307#msg-33307</link>
            <description><![CDATA[ Hi<br />
<br />
I have HAE but for the most part I am mostly unaffected by it. My only episodes of swelling were a few years ago when I tried the combined contraceptive pill for the first time. By the time I had finished the first pack, I had swelling in my airways and ended up in hospital for a few days. Bit of a scary first episode really! I've since changed contraception (to Mirena which is progesterone only) and have been fine with this.<br />
<br />
Last month and again this month I have been experienced abdominal discomfort and this has coincided with my period. Last month I thought it was a tummy bug but it lasted for 5 days and hurt to even drink water. It wasn't typical at all of anything gastric. This time round my tummy is noticably larger than normal and feels very built up with pressure. Even when sitting still or lying down it really hurts and feels heavy? On walking it feels like I have a constant stitch. GP has been next to useless. On asking whether this could be related to HAE I was told &quot;Perhaps&quot; and that was that! <br />
<br />
Is anyone aware of a link between menstrual cycles and HAE attacks? Or can anyone simply list their experiences of abdominal swelling e.g. how long it lasts, what symptoms there are etc. I'm really hoping its not anything to do with the HAE. I'm 28 now and hoped that I would be only of the lucky few who had it but didn't experience attacks. <br />
<br />
Thanks]]></description>
            <dc:creator>ScottishLass</dc:creator>
            <category>General Discussion</category>
            <pubDate>Tue, 10 Aug 2010 10:46:43 +0100</pubDate>
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            <guid>http://www.pia.org.uk/forum99849144/read.php?1,33288,33288#msg-33288</guid>
            <title>Privacy issue (6 replies)</title>
            <link>http://www.pia.org.uk/forum99849144/read.php?1,33288,33288#msg-33288</link>
            <description><![CDATA[ Hi everyone. <br />
I have posted on this board regularly for about 10 months. A few days ago I did a search in Google using a medical term. I was surprised to see one of my posts to this forum in the search results for Google.<br />
I am not naive about privacy and the Internet. I have a username, and have kept my email address private. However I did not expect to read about my personal health symptoms on the open Internet. <br />
I looked at my postings and realized that I had also (in several posts) supplied my real first name, my location, and quite a bit of my health history, past and current. I have not posted anything I am ashamed of, but I am not so sure that I want personal details and health descriptions available on Google. <br />
I have been thinking about this for a few days, deciding what to do. Coincidentally, there is an article in the New York times today concerning privacy, the Internet, and ownership. After reading the article, I decided it was best to erase all my posts. I looked for a way to do it more cleanly, but this method was the only one I could figure out.<br />
I apologize for any lack of continuity this has caused in the discussion board.<br />
I wish all of you good health and happiness.<br />
Take care.]]></description>
            <dc:creator>zgirl</dc:creator>
            <category>General Discussion</category>
            <pubDate>Mon, 26 Jul 2010 21:30:47 +0100</pubDate>
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            <guid>http://www.pia.org.uk/forum99849144/read.php?1,33272,33272#msg-33272</guid>
            <title>Help Needed! (7 replies)</title>
            <link>http://www.pia.org.uk/forum99849144/read.php?1,33272,33272#msg-33272</link>
            <description><![CDATA[ Hi Everyone, <br />
<br />
I posted a few months back asking for advice and since then Oscar has been poorly, yet again, and we've also had his Immunoglobulins retested. <br />
<br />
Basically, he has had 4 hospital admissions, 3 lumbar punctures, 3 lots of IV AB's 3 lots of oral AB's (separate occasions), diarrhoea and is anaemic. <br />
<br />
His IgM came back low, his IgA borderline low and IgG in the low range of normal. But they are assessing these against the adult ranges - a the childen's ones just generically lower, as from what I've seen I don't think that's the case? <br />
<br />
Despite admissions, illnesses and bloods both the GP and Consultant Paediatrician are refusing to refer him to an immunologist, but in the same breathe are telling me not to send him to nursery or let his brothers near him when they are ill. Is there any other route to see a specialist? I feel they have no idea what they're talking about as told me the IgM was the last antibody to be released during an illness (as his IgM was the same when he had strep as when he was perfectly well...)<br />
<br />
Any advice or guidance would be appreciated. Or even just a poke and being told I'm overreacting.... <br />
<br />
Thanks in advance, <br />
<br />
Susan]]></description>
            <dc:creator>Oscar's Mummy</dc:creator>
            <category>General Discussion</category>
            <pubDate>Sun, 25 Jul 2010 21:48:59 +0100</pubDate>
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            <guid>http://www.pia.org.uk/forum99849144/read.php?1,33264,33264#msg-33264</guid>
            <title>update on Josh 8 months post transplant. (9 replies)</title>
            <link>http://www.pia.org.uk/forum99849144/read.php?1,33264,33264#msg-33264</link>
            <description><![CDATA[ Hi all,<br />
<br />
Thought I would post an update for those who are interested, although most of you already know as I do post most updates on facebook.<br />
<br />
Its been a mixed few months as we found out in April that Josh's engraftment was starting to slip. The transplant he had was reduced intensity so it didn't kill his old immune system, just suppressed it as his old and new immune system can work together , as for his condition to be classed as cured  the graft needs to be 20% or higher.   Anyway the graft continued to slip and reached 53% when G.O.S.H decided to give him a donor lymphocyte infusion as they really didn't want to see it fall any further just in case....     He had his donor lymphocyte infusion or bone marrow top up on July 7th so we just have to wait and see if it helps.    The engraftments test they took before the infusion showed his graft had gone back up a little to 62% which is a relief so now just need to see what happens next.<br />
<br />
We also spent 14 days in hospital in June with a central line infection which was pretty scary, and Josh being the rare boy he is, had to have a rare infection not normally found in a central line..... but at least they found out what it was and were able to treat it.<br />
<br />
So we are still on that rollercoaster ride, he is still on 9 different types of meds, still has his hickman (central) line and NG tube..... but fingers crossed that his new immune system will start to work and we can be a family who can go places again.<br />
<br />
In himself Josh as the moment is very well, very energetic and I guess what you would call a typical two year old, into everything.<br />
<br />
Love and hugs to all, and can you please keep everything crossed that his engraftement continues to go back up a little further...... we were told once we reach a year post transplant that whatever the engraftment is at, will be where it stays.<br />
<br />
Love<br />
Susan mum to Josh age 2,   8 months post BMT for XHIM / Neutropenia.]]></description>
            <dc:creator>susied</dc:creator>
            <category>General Discussion</category>
            <pubDate>Wed, 28 Jul 2010 18:46:14 +0100</pubDate>
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            <guid>http://www.pia.org.uk/forum99849144/read.php?1,33258,33258#msg-33258</guid>
            <title>ache (2 replies)</title>
            <link>http://www.pia.org.uk/forum99849144/read.php?1,33258,33258#msg-33258</link>
            <description><![CDATA[ I start Vivaglobin tomorrow and will do so once a week. How long before I will notice a difference? I ache all the time and hope this will remedy that also.]]></description>
            <dc:creator>Susan McHenry</dc:creator>
            <category>General Discussion</category>
            <pubDate>Fri, 13 Aug 2010 02:34:14 +0100</pubDate>
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            <guid>http://www.pia.org.uk/forum99849144/read.php?1,33252,33252#msg-33252</guid>
            <title>How to get out of hours dr's to understand? (2 replies)</title>
            <link>http://www.pia.org.uk/forum99849144/read.php?1,33252,33252#msg-33252</link>
            <description><![CDATA[ Thanks for recommendation to get my levels retested to see if sIgAd changed into anything else - my Immunologist took the bloods etc herself. However, missed my apt for results due to being in hospital - with tonsillitis, that made me septic.I ended up being blue lighted (the term the hospital used) and thanks to a very good nurse at out of hours managed to avoid resus. 4 days on ENT and now home (due to go in again Mon for an operation to laser an adenoma in bowel that the biopsy shows has already had cells change and will go cancerous if left - they removed all they could in previous colonoscopy.)<br />
<br />
However I ended up getting so ill the nurse said due to the dr the previous night ignoring my tachycardia etc (pulse 131, blood pressure 89/64, temp 38) - he did give me antibiotics, but they didn't help enough quick enough.  It took several calls for me to even get an out of hrs apt - told my temperature not that high (it went up to 38.8, when it only got to 37.4 with pneumonia!) and as it was only a sore throat, didn't need an apt.<br />
<br />
I never know when to get an apt and it was only as Tue wore on I realised I needed medication and had none at home, and didn't want to wait till Wed, miss work etc on Wed. As it happened I missed work and ended up in hospital for 4 nights, with an outpatient follow-up. ENT ward were great with my observations etc, iv antibiotics etc. Recently diagnosed coeliac and they said the gut doesn't absorb oral meds as well as iv, and I feel much better now.<br />
<br />
So - any tips on when you contact dr's?  Or when as an adult you need iv instead of oral medication? Or how to even get an out of hours appointment when they say you don't need one as your levels are not that bad (temp etc)?  I would rather avoid an ambulance and hospital trip again if I can!]]></description>
            <dc:creator>Keziah</dc:creator>
            <category>General Discussion</category>
            <pubDate>Sun, 15 Aug 2010 12:29:46 +0100</pubDate>
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            <guid>http://www.pia.org.uk/forum99849144/read.php?1,33245,33245#msg-33245</guid>
            <title>IVIG (3 replies)</title>
            <link>http://www.pia.org.uk/forum99849144/read.php?1,33245,33245#msg-33245</link>
            <description><![CDATA[ I have just had my initial set of five IVIG treatments of 30 gm per day for myasthenia gravis. I am feeling nauseous, have heart palpitations and an increase in blood pressure. Has anyone else experienced these symptoms following treatment?  How long do they usually last?]]></description>
            <dc:creator>sandi</dc:creator>
            <category>General Discussion</category>
            <pubDate>Mon, 19 Jul 2010 00:55:44 +0100</pubDate>
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            <guid>http://www.pia.org.uk/forum99849144/read.php?1,33237,33237#msg-33237</guid>
            <title>Insurance Funding! (6 replies)</title>
            <link>http://www.pia.org.uk/forum99849144/read.php?1,33237,33237#msg-33237</link>
            <description><![CDATA[ Im rather thrilled to share with you all that I was approved for insurance premium assistance this week!<br />
<br />
As Ive mentioned, Patient Services Incorporated (www.uneedpsi.org) has a grant program to assist patients of a selected few rare disorders with the cost of insurance premium, including PIDs.  (there is some copayment assistance for so other disorders).<br />
<br />
On Thursday,  I got the call that I have been approved for THREE years of assistance.  They are going to reimburse me for the out of pocket cost to buy my insurance, including for my dependents, up to $13k a year. (In my case, it costs me $65/week to carry myself and my daughter through my employer).  After 3 years, I am eligible to reapply after 1 year of no assistance from them.<br />
<br />
I continue to encourage other Americans to apply, obviously.  There is also a similar program through NORD, but you can only receive one or the other.<br />
<br />
YAY!<br />
<br />
Lora]]></description>
            <dc:creator>mitchellle</dc:creator>
            <category>General Discussion</category>
            <pubDate>Mon, 26 Jul 2010 21:29:45 +0100</pubDate>
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            <guid>http://www.pia.org.uk/forum99849144/read.php?1,33219,33219#msg-33219</guid>
            <title>Aniseed flavoured medicine! (3 replies)</title>
            <link>http://www.pia.org.uk/forum99849144/read.php?1,33219,33219#msg-33219</link>
            <description><![CDATA[ Does anyone else agree that its crazy how all sugar and nice flavours have been removed from medicines? I know they dont want kids drinking the whole bottle cos its nice but cut us some slack! Have you tasted erythromycin and flucloxacillin lately? How are we supposed to get our ain babies to swallow that??? Surely their natural instincts tell them it tastes cr@p therefore it must be poision?<br />
Madisons just been put on a prophylaactic abx at long last but its aniseed flavoured, its gonna be a tough 3 months trying to get her to swallow that every night.<br />
Whatever happened to banana flavoured?<br />
<br />
OK....vent over lol]]></description>
            <dc:creator>emn2111</dc:creator>
            <category>General Discussion</category>
            <pubDate>Sat, 17 Jul 2010 00:59:29 +0100</pubDate>
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            <guid>http://www.pia.org.uk/forum99849144/read.php?1,33218,33218#msg-33218</guid>
            <title>First SubQ (14 replies)</title>
            <link>http://www.pia.org.uk/forum99849144/read.php?1,33218,33218#msg-33218</link>
            <description><![CDATA[ I had my first Vivaglobin infusion on Monday. The nurses were great and the actual event went smoothly. The next day my stomach was so swollen - all 4 injection sites had spread together and out - it looked like someone placed third base on my middle. The nurse said to take a hot bath and use a heating pad; he said my reaction wasn't the greatest. So I did, and yesterday I felt fabulous! I cleaned the house, baked muffins, did paperwork, etc.Then... I woke up this morning feeling terrible. I mean AWFUL.<br />
<br />
I must have overdone it. I was probably akin to a puppy running around the house with excitement until collapsing in fatigue. I was just so happy to feel GOOD! No headache, no body aches- I haven't felt so well in months. Really, if all I'll have is a swollen and tender tummy for 2 days a week, I'll take it! I've also heard it gets better at the injection sites over time? Is that true for anyone? <br />
<br />
We'll probably try a different area on Monday, as the nurse said the swelling I experienced was too much. But then I understand that you're supposed to stick to the same area? <br />
<br />
Any advice would be welcome! Thanks, Kate]]></description>
            <dc:creator>CVIDkatie</dc:creator>
            <category>General Discussion</category>
            <pubDate>Fri, 13 Aug 2010 02:17:33 +0100</pubDate>
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            <guid>http://www.pia.org.uk/forum99849144/read.php?1,33215,33215#msg-33215</guid>
            <title>mag for kids with PID (3 replies)</title>
            <link>http://www.pia.org.uk/forum99849144/read.php?1,33215,33215#msg-33215</link>
            <description><![CDATA[ Hi,<br />
I just out about a new PID magazine for kids from the same company that made the IGIV bear.  The link is: [<a rel="nofollow"  href="https://www.mygardian.com/gardian/just-like-me">www.mygardian.com</a>].   <br />
<br />
I'm not sure if this would work for our friends in the UK or not, but I wanted to share just in case.<br />
<br />
Rachel mom to Mark 9 CVID]]></description>
            <dc:creator>marksmom</dc:creator>
            <category>General Discussion</category>
            <pubDate>Fri, 16 Jul 2010 14:37:31 +0100</pubDate>
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            <guid>http://www.pia.org.uk/forum99849144/read.php?1,33209,33209#msg-33209</guid>
            <title>Biochemical screening (8 replies)</title>
            <link>http://www.pia.org.uk/forum99849144/read.php?1,33209,33209#msg-33209</link>
            <description><![CDATA[ Hi,<br />
<br />
Just wondering if anyone had heard of or had any experience with biochemical screening? <br />
<br />
A friend recommended I have this done to find out if I have any allergies/intolerances amongst other things. I know nothing about it and it seems quite pricey, but, my friend swears by it and says the advice given from it has improved her health greatly. <br />
<br />
Also I have a vague memory of my immuno nurse saying patients with C.V.I.D cannot get allergies? I could have made this up though! <br />
<br />
Thanks,<br />
<br />
Chloe]]></description>
            <dc:creator>chloe</dc:creator>
            <category>General Discussion</category>
            <pubDate>Sat, 17 Jul 2010 08:54:25 +0100</pubDate>
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