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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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@kakc19

I had 24 hour urine and bone marrow biopsy while being diagnosed. Right before bone marrow biopsy, the MD said she didn’t think it was necessary. I said the more information the better. She did perform BMB that day.
I did switch oncologists after that and he ordered a CAT scan as well.
I am a nurse and I strongly encourage you to advocate for yourself. You are not overstepping since it is your health.
Best of luck❤️

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Replies to "I had 24 hour urine and bone marrow biopsy while being diagnosed. Right before bone marrow..."

Thanks, @kakc19. I did speak with my hematologist. He said radiology will not approve the request for scans without the results of the bone marrow biopsy, i.e., a reason for the scans. I was surprised to hear this. I thought a doctor's order was "law" to be followed no matter what. I guess I don't know how things work.

Always ask where they graduated in their class, Kakc19. Some doctors graduate at the top and some at the bottom. You were very wise to change doctors.