Vaccine titer info needed

[Guest guest]

Hi all,

So I am asking for help understanding what my doctor is thinking....

is 2 years old and was revaccinated with Prevnar in March 08.

6 weeks later he was building a response but he latest blood work

done 2 weeks ago now shows he is once again losing the response. I

know we all lose a bit of the response but not to the extent he

does. THis is what we were looking for because he has done this in

the past. His IGG, IGA and IGM were in the lab's normal ranges, but

only be a few points. So he is the low end of normal. (also to

remind you all, I have 2 daughters as well, ages 4 and 1, that are

completely fine and not getting sick when he is)

We saw our Infectious Disease Dr yesterday and she is not overally

concerned.....First because he has been pnuemonia and bacterial

infection free for over 6 months (mostly in part to our vigilent

nebulizer treatments throughout the day and keeping him secluded and

home alot!) He still is sick about every 2 weeks with Viral Upper

Respitory Infections which then escaltes into respitory distress and

ER visits. Last week he even stopped breathing and lost

conciousness....but that doesn't seem to bother anyone but me (even

his pulmonologist wasn't too concerned). She would like him to get

the Pnuemovax vaccine, which I think is ok since some people only

respond to one or the other for the pnuemococal titers. So that is

ok with me and if he does respond it may help. But she also wants

him to get his live vaccines which we have avoided....So that would

be the MMR and Varicilla as well. His appt is set for next Friday

for this. We also need to draw more blood to see how his deptithera

and tetnus titers are doing (she forgot last week).

What I am wondering is does it make sense to get the live vaccines?

Both my mom and mother in law who are icu/pediatric nurses are not

convinced it is a good time. And is it possible to have an immune

problem where you only do not respond to the Pnuemococcal titers? And

when should I ask for the titers again to see what is going on with

the Pnuemovax? And one more, what is considered normal loss of

titers over time? Does anyone know how long the prevnar and

pnuemovax are supposed to last? I haven't found that info yet.

Thank you for all that are just reading this and those that respond.

I know I do alot of reading and not much posting, but this group has

been a Godsend to my family.

A