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DiscussionBone marrow biopsy: Was it painful?
Blood Cancers & Disorders | Last Active: 9 hours ago | Replies (38)Comment receiving replies
Replies to "I have never done doctors, i'm Jak 2 positive MPN ET, i don't want a bone..."
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Hi @ladyplumber7
Certainly as a patient you have a right to decide against any treatments or testing that you don’t want. But somewhere along the line you must have had blood work done that showed a high level of platelets because you were diagnosied with ET (essential thrombocythemia) related to a defect in the JAK2 gene. Basically what this means is the ‘off’ switch that controls the production of platelets is malfunctioning. So your body makes more platelets than it can use. Usually a bone marrow biopsy isn’t required to diagnose this condition because it is distinguished adequately through blood tests. Though there are times when a doctor will recommend the biopsy to determine the extent of the disease. If you needed a bone marrow biopsy, then they may recommend IV sedation which is super easy, no mask, no ‘caine ’ anesthetic.
When there is an overabundance of platelets it can leave you more susceptible to blood clots in legs or lungs, or at a higher risk for a stroke. Quite often, doctors will suggest a medication such as hydroxurea to help keep the production of platelets under control. There are other drugs, such as Besremi that are targeted to that specific mutation to keep those cells from proliferating. Another common drug, baby dose aspirin is taken to help keep the blood thinned. There are quite a few members in Connect with ET who take Hydroxyurea with very limited side effects but it keeps their platelets at safer level.
I realize you’re not a fan of doctors or medical procedures so you’re hesitant about taking medications. I don’t understand your reference to moving to Canada. The recommended treatment for ET would be the same. But either way, it might make sense to keep your stroke risk lower by considering medication.
Have you been advised to take aspirin or Hydroxurea?