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M-Spike, High Kappa and Kappa/Lambda Ratio

Blood Cancers & Disorders | Last Active: Aug 17 9:46am | Replies (79)

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@kappaking

Good morning, @loribmt. Thanks for the info. I told my doctor that I wanted to be completely knocked out. He told me he can't do that unless "other arrangements" are made. I assume what he means is that it would need to be done in a hospital setting. So I'll be getting a local anesthesia. He's trying to convince me that he does many of these procedures and has never had to completely sedate a patient, and that the pain isn't all that bad. I'll just grit my teeth and hope for the best.

No questions about the procedure at the moment. My head is still swimming and spinning.

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Replies to "Good morning, @loribmt. Thanks for the info. I told my doctor that I wanted to be..."

There are differing opinions on whether to be sedated or have only local anesthesia with the bone marrow biopsies. Some swear by sedation, other people are just fine without. If you have an experienced doctor who has done quite of these you’ll be in good hands.
The sample will be taken from the area on your back, just near the large dimple above your butt. You most likely won’t need a gown and from my experience, you keep your skivvies on. They will be pulled down in the back just enough to access the site. I’ve had 13 of these done and just for laughs have worn some humorous underpants to break the tension. 😅

I’m sure your head is spinning! There’s a lot of unanswered questions right now so you’re feeling very uncertain. Having a diagnosis will allow you to be able to form a plan, if needed, and to move forward. Will you let me know what you find out please?

The bone marrow biopsy of my left illiac crest was 8 years ago, no pain and the pressure differences were fascinating. Anesthesia was local and it was at the hematologist's office. I'm a woodturner and worked on drilling rigs so hear/feel when one drills through different densities of wood and rock. Same with a biopsy; the skin/fat, muscle, and bone layers all feel familiar. Hopefully I haven't grossed you out with this. Pain at the drill site afterwards was also minor (they use a small drill bit).