I was scared by Immunology2 jumps to conclusion style of deduction and his leading questions. I wish I have brought a lawyer to defend me. I feel everybody who walks into his clinic has Immunologic problem! After the consultation, I refuse to believe in immunology as the reason for my infertility. I regret of making a wild non-sense guess to my OBGYNE1 in trying to link an autoimmune disease (HLA-B27 spondyloarthropathy and uveitis) to infertility.
I told him that if I failed in LAT (crossmatch test) PRA=0%, it doesn't automatically mean that I have immunologic problem. Somebody who never had blood transfusion, organ transplant and sex will have zero PRA (panel reactive antibody). Consider surrogacy case... a virgin... If we do an IUI on her, it doesn't mean she will not produce anti-blocking antibody. I argued that my husband has erectile dysfunction. Limited semen exposure produced limited HLA antibody. No wonder my PRA is zero and my reaction code is 2 and 2.
I argued my CD56 NK cell count is just above the border. My result was 22.43 while St. Luke’s cut-off is 21. Immunologist2 argued that my NK cell is high. This is the reason why I seldom get sick. Grrr.. I am not as healthy as what he imagines. I complain he is using a cannon to kill a mosquito. What he is doing is really an overkill. He should make sure his cannon ball will hit the mosquito. Otherwise, it will be a laughing stock.
I asked if there are other factors aside from NK cells which contribute to my infertility? I have autoimmune disease, am I at higher risk compared to his other patients? He said I need to test Th1/Th2 ratio. (T helper cell 1 and 2 ratio). Pro-inflammatory vs anti-inflammatory cytokine ratio. What the heck is this?
Since my NK cells are VERY HIGH and VERY ACTIVE, I need to test my NK cell Cytotoxicity. After 10 days of resistance, I had my blood sent abroad for testing.
I can kill a mosquito with a swatter. I don't need to use a cannon. Btw, Why should I be resisting, after all it was just a blood test? (APR 2014)
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Reading material
Leukocyte antibody
Immunology category1 problem
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