What was your experience with bone marrow biopsy?

Posted by beanglow @beanglow, Aug 31, 2019

The hematologist/oncologist I saw yesterday talked to me about having a bone marrow test done. I have heard that it is very painful and no anesthetic is given. Can anyone tell me about your experience having it done?

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@kappaking

I had my bone marrow biopsy and aspiration today. As I was lying on my stomach, waiting for the doctor to come in, I felt an unexpected feeling of calmness, which I was very happy about. Much to my surprise, I don't think I felt anxious at all. That's not just me putting on a brave face - I'm not the brave type.

My doctor began by prepping the area and then administering the local anesthetic. I think that was the most uncomfortable part of it all. I've certainly experienced pain far greater in the past. I winced a bit, maybe gnashed my teeth a little. My anxiety level went up. But once the anesthetic took effect, the rest of the procedure was a piece of cake. At some point, my doctor told me that he was going to count to three and by the time he reached "three", I was to take a deep breath. Again, my anxiety level jumped. I was expecting the worst when he reached "three". At "three", I sucked in a bunch of air and...nothing. I felt no pain. Some pressure, some unusual sensations, for sure, but nothing like I had feared.

From the time he administered the anesthetic to the time he removed the needle, I'd say it took no more than 10 minutes.

Getting the results in about a week.

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Ask Joan River's family about the consequences of treating sedation so cavalierly, even by the staff, that indications of complications are ignored and immediate action not taken to address that.

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@normahorn

Ask Joan River's family about the consequences of treating sedation so cavalierly, even by the staff, that indications of complications are ignored and immediate action not taken to address that.

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Respectfully, I don’t think anyone in this discussion who is sharing their experience about having a bone marrow biopsy is treating having sedation cavalierly. For many, including myself, it can make the process much easier and less uncomfortable along with reducing fear and anxiety.

From personal experience, 10 of my 13 biopsies were done with MAC (monitored anesthesia care) administered by an anesthesiologist who was in the room next to the procedure ‘bed’ at all times. I had heart monitor feeds and a BP cuff along a team of 3 people who were there next to the bed. I felt very safe and trusted my medical team.

If you’re uncomfortable with sedation, that is your personal choice. After my first time with the sedation and how pleasant it made my entire procedure, it will always be my personal choice.

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@kappaking

I had my bone marrow biopsy and aspiration today. As I was lying on my stomach, waiting for the doctor to come in, I felt an unexpected feeling of calmness, which I was very happy about. Much to my surprise, I don't think I felt anxious at all. That's not just me putting on a brave face - I'm not the brave type.

My doctor began by prepping the area and then administering the local anesthetic. I think that was the most uncomfortable part of it all. I've certainly experienced pain far greater in the past. I winced a bit, maybe gnashed my teeth a little. My anxiety level went up. But once the anesthetic took effect, the rest of the procedure was a piece of cake. At some point, my doctor told me that he was going to count to three and by the time he reached "three", I was to take a deep breath. Again, my anxiety level jumped. I was expecting the worst when he reached "three". At "three", I sucked in a bunch of air and...nothing. I felt no pain. Some pressure, some unusual sensations, for sure, but nothing like I had feared.

From the time he administered the anesthetic to the time he removed the needle, I'd say it took no more than 10 minutes.

Getting the results in about a week.

Jump to this post

I am in the club!!BMB was not too painful, but there was a lot of pressure. I did concentrated on my breath like nobody’s business to ease my anxiety. However, the bruising and pain following were a wee bit much. I survived though with the results being ET with JAK 2 mutation. That was almost 4 years ago.

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@loribmt

Respectfully, I don’t think anyone in this discussion who is sharing their experience about having a bone marrow biopsy is treating having sedation cavalierly. For many, including myself, it can make the process much easier and less uncomfortable along with reducing fear and anxiety.

From personal experience, 10 of my 13 biopsies were done with MAC (monitored anesthesia care) administered by an anesthesiologist who was in the room next to the procedure ‘bed’ at all times. I had heart monitor feeds and a BP cuff along a team of 3 people who were there next to the bed. I felt very safe and trusted my medical team.

If you’re uncomfortable with sedation, that is your personal choice. After my first time with the sedation and how pleasant it made my entire procedure, it will always be my personal choice.

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Amen to that!

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@kappaking

I had my bone marrow biopsy and aspiration today. As I was lying on my stomach, waiting for the doctor to come in, I felt an unexpected feeling of calmness, which I was very happy about. Much to my surprise, I don't think I felt anxious at all. That's not just me putting on a brave face - I'm not the brave type.

My doctor began by prepping the area and then administering the local anesthetic. I think that was the most uncomfortable part of it all. I've certainly experienced pain far greater in the past. I winced a bit, maybe gnashed my teeth a little. My anxiety level went up. But once the anesthetic took effect, the rest of the procedure was a piece of cake. At some point, my doctor told me that he was going to count to three and by the time he reached "three", I was to take a deep breath. Again, my anxiety level jumped. I was expecting the worst when he reached "three". At "three", I sucked in a bunch of air and...nothing. I felt no pain. Some pressure, some unusual sensations, for sure, but nothing like I had feared.

From the time he administered the anesthetic to the time he removed the needle, I'd say it took no more than 10 minutes.

Getting the results in about a week.

Jump to this post

So interesting, I have a high tolerance for pain (according to my dentist) so I went with local, lying on my stomach (that was worse-hard to breath)......As a side sleeper, having bmb on my upper butt was not a problem. No after effects....Not my favorite test, but not worst......wishing everyone all the best....

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@kappaking

I had my bone marrow biopsy and aspiration today. As I was lying on my stomach, waiting for the doctor to come in, I felt an unexpected feeling of calmness, which I was very happy about. Much to my surprise, I don't think I felt anxious at all. That's not just me putting on a brave face - I'm not the brave type.

My doctor began by prepping the area and then administering the local anesthetic. I think that was the most uncomfortable part of it all. I've certainly experienced pain far greater in the past. I winced a bit, maybe gnashed my teeth a little. My anxiety level went up. But once the anesthetic took effect, the rest of the procedure was a piece of cake. At some point, my doctor told me that he was going to count to three and by the time he reached "three", I was to take a deep breath. Again, my anxiety level jumped. I was expecting the worst when he reached "three". At "three", I sucked in a bunch of air and...nothing. I felt no pain. Some pressure, some unusual sensations, for sure, but nothing like I had feared.

From the time he administered the anesthetic to the time he removed the needle, I'd say it took no more than 10 minutes.

Getting the results in about a week.

Jump to this post

BMB Club!! I had my first (and hopefully only?) BMB in early December last year. I was happy to have sedation ordered, being new to the process, but then shortly beforehand I learned I couldn't have sedation due to having contracted COVID 9 days earlier. (I'd had all the vaccinations possible up to that point, so had a relatively mild case.) It seemed that, being less than 10 days from my COVID onset meant that they'd have to do the procedure in a negative-pressure room, lest the anesthetic went wrong and I had to be intubated.

Sigh... I requested and received a very light dose of Ativan, which helped a little. The process wasn't bad, really, except for my surprise at hearing a drill start up. 😂 The only part I felt much was the aspiration, and that was over quickly.

In future I'd ask for sedation because I'd just as soon float through it, but if I couldn't get that, I'd do the BMB with just a local again. In a heartbeat! It would be easier next time, knowing to expect the drill sound. 😃

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@kappaking

I had my bone marrow biopsy and aspiration today. As I was lying on my stomach, waiting for the doctor to come in, I felt an unexpected feeling of calmness, which I was very happy about. Much to my surprise, I don't think I felt anxious at all. That's not just me putting on a brave face - I'm not the brave type.

My doctor began by prepping the area and then administering the local anesthetic. I think that was the most uncomfortable part of it all. I've certainly experienced pain far greater in the past. I winced a bit, maybe gnashed my teeth a little. My anxiety level went up. But once the anesthetic took effect, the rest of the procedure was a piece of cake. At some point, my doctor told me that he was going to count to three and by the time he reached "three", I was to take a deep breath. Again, my anxiety level jumped. I was expecting the worst when he reached "three". At "three", I sucked in a bunch of air and...nothing. I felt no pain. Some pressure, some unusual sensations, for sure, but nothing like I had feared.

From the time he administered the anesthetic to the time he removed the needle, I'd say it took no more than 10 minutes.

Getting the results in about a week.

Jump to this post

My experience was much like yours. For all the talk leading up to it, it was really nothing. Nurse was right there, said I could squeeze her hands if it got to painful. There was no pain other than the poke from the lidocaine shot. Some pressure but nothing that was uncomfortable.

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@kappaking

I had my bone marrow biopsy and aspiration today. As I was lying on my stomach, waiting for the doctor to come in, I felt an unexpected feeling of calmness, which I was very happy about. Much to my surprise, I don't think I felt anxious at all. That's not just me putting on a brave face - I'm not the brave type.

My doctor began by prepping the area and then administering the local anesthetic. I think that was the most uncomfortable part of it all. I've certainly experienced pain far greater in the past. I winced a bit, maybe gnashed my teeth a little. My anxiety level went up. But once the anesthetic took effect, the rest of the procedure was a piece of cake. At some point, my doctor told me that he was going to count to three and by the time he reached "three", I was to take a deep breath. Again, my anxiety level jumped. I was expecting the worst when he reached "three". At "three", I sucked in a bunch of air and...nothing. I felt no pain. Some pressure, some unusual sensations, for sure, but nothing like I had feared.

From the time he administered the anesthetic to the time he removed the needle, I'd say it took no more than 10 minutes.

Getting the results in about a week.

Jump to this post

My experience was like Legacyrock. I think sedation would be overdoing it and unnecessary. The whole procedure is much less than its reputation.

REPLY
@kappaking

I had my bone marrow biopsy and aspiration today. As I was lying on my stomach, waiting for the doctor to come in, I felt an unexpected feeling of calmness, which I was very happy about. Much to my surprise, I don't think I felt anxious at all. That's not just me putting on a brave face - I'm not the brave type.

My doctor began by prepping the area and then administering the local anesthetic. I think that was the most uncomfortable part of it all. I've certainly experienced pain far greater in the past. I winced a bit, maybe gnashed my teeth a little. My anxiety level went up. But once the anesthetic took effect, the rest of the procedure was a piece of cake. At some point, my doctor told me that he was going to count to three and by the time he reached "three", I was to take a deep breath. Again, my anxiety level jumped. I was expecting the worst when he reached "three". At "three", I sucked in a bunch of air and...nothing. I felt no pain. Some pressure, some unusual sensations, for sure, but nothing like I had feared.

From the time he administered the anesthetic to the time he removed the needle, I'd say it took no more than 10 minutes.

Getting the results in about a week.

Jump to this post

I think those of us who will be having a BMB should demand that the person doing it is very skilled. A less skilled person might rely on the patient being sedated to mask being overly rough. The doctor who did mine when I was 14 did not traumatize me. I believe only a topical anesthetic was used. I do not remember any injections other than the penicillin shot I had had the previous day in the back of my hip for an anterior BMB.

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@suetex

My experience was like Legacyrock. I think sedation would be overdoing it and unnecessary. The whole procedure is much less than its reputation.

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Everyone is different. I don't think there's a right or wrong, just different. Regarding the reputation, I think my wincing, grimacing and audible distress (yes, there were sounds of audible distress - don't judge me LOL) was more because I was anticipating worse to come. Luckily, worse didn't come. But again, everyone is different and needs to do what's right for them.

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