M-Spike, High Kappa and Kappa/Lambda Ratio

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.

I absolutely will let you know. Thanks for showing interest.

To add to the stress of it all, my primary care physician - whose care I was under for over 20 years and someone I hold in the highest regard - retired last year and I haven't found a new one yet.

Then there's the issue of health insurance. I have insurance, but I think it's a bit limiting in terms of who/where I can be treated. It's insurance provided to city government workers and I fear that I'm restricted to being treated by health care professionals only in my state. So if I want to seek treatment at, say, the Mayo Clinic in Rochester, MN, I may not be covered - at least not to the extent I otherwise would be. I'll need to read the finer details of the policy. That being said, however, I live in NY where the concentration of better doctors is higher than other parts of the country.

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?

Mayo does bone marrow biopsies using propofol. You’re out for the few minutes and then back! It’s amazing.

I use Qunol brand bioavailable curcumin. I don't use the tumeric (I assume you mean curcumin) with peperine. I looked at the Dr. Shah site and it is just a .com selling supplements, is pretty thin on science, and has no references. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10061533/

For those of you who have some kind of monoclonal gammopathy and who experience bone pain:

Is your bone pain something that comes and goes quickly or does it stay with you a while? The reason I ask is because I think I'm experiencing bone pain but it comes and goes so quickly, it's easy to just disregard it. Also, I live a very sedentary life and sit on my butt for the majority of the day, and I wonder if the occasional pain I feel is simply due to my sitting position/posture.

I would think if it’s pretty persistent then I’d worry.
Sounds like yours is fleeting - why not try exercising or going for a walk, and stretching your muscles to see if that helps?
I was diagnosed with MGUS but it’s been stable and now undetectable. I’m 65 and get aches & pains but they are mild and vary from day to day.
Don’t know if that’s helpful?

Congratulations on now being undetectable. I’m curious, is there anything that was done to contribute to the decrease? Provable or not.