Essential Thrombocythemia: Looking for information and support

I was diagnosed with ITP in 1989 and had my one and only bone marrow biopsy. I still remember they had to hold me upright because of the Valium and Demerol. It didn't hurt when he cracked into my hip. But when he started extracting bone marrow it hurt real bad. Even through all the drugs they had me on

Good morning, @faithbeatrice. That’s one of the hardest moments in a parent’s life…when your little one isn’t feeling well and you don’t know what to do for her.

You mentioned that her white blood count is elevated. This can be a sign of an infection or her immune system reacting to inflammation. It may be something as simple as a virus such as RSV. Does she have a fever or other symptoms?
Does her doctor have any diagnosis for your daughter?

Hi Joni, thank you for sharing your positive story about having ET for 34 years without complications. That’s really encouraging for other members who have been diagnosed with this blood condition. Since you’re having some different symptoms it’s wise to have this checked out.

Opinions on what a bone marrow biopsy feels like are as varied as there are people! I have a good friend who breezes through hers like a trouper without any sedation. Me, on the other hand, I feel like I’m a pretty tough old bird and have a high tolerance for discomfort, but there will always be ‘happy sleep’ with IV sedation for me from now on.

IV sedation is the same used for a colonoscopy. You’re under for less than 15 minutes and wake up refreshed with no knowledge of the event. I’ve been fortunate enough to have my last 10 at Mayo Clinic where I wake up to Lorna Doone’s and Apple Juice to get me perked up! 😀

Most clinics offer sedation but if it’s not available, don’t panic. First, you will always have a local anesthetic injected at the site. That really does help to have the area numb. Also, you might ask your doctor for prescription of Lorazepam (Ativan), it’s an anti anxiety med that takes the edge off of the experience. It’s important and helpful to be able to remain as still and calm as possible. I relied on my prior Lamaze training to help with the 3 biopsies without sedation.

Most practitioners are gentle and understanding of the discomfort this can bring. But don’t be shy about asking for IV sedation or at least an anti anxiety med to dull the experience if you’re concerned. It’s personal choice and no shame in requesting to be as comfortable as possible!

Here’s a little informational article on bone marrow biopsies (bmbx) that you might find helpful. (It’s only the first section of the article! The rest of the article keeps going with other blood conditions which aren’t related to your ET).
https://www.healthline.com/health/leukemia/why-cant-you-be-sedated-for-bone-marrow-biopsy
I’m here anytime you have questions. Let me know what you find out, ok?

My daughter is not feeling fine and after the blood test her wbc is 19.3… what can be done please,she is just a year and five months

Hi! I’ve had ET for 34 years. Was diagnosed at age 21. I’ve been on hydrea for so many years without any complications. I’m starting to feel fatigue and shortness of breath even though I’m very active and feel healthy. My doctor is recommending a bone marrow biopsy to make sure I don’t have scarring. I’m a bit concerned since I’ve not had any issues but now that I’m 55 I’m worried things might be getting worse. I’m scared to do the bone marrow biopsy since when I had one 33 years ago it was awful… I’m guessing it’s a lot more improved since then. Any info anyone can give me would be great! Also I want to tell many of you recently diagnosed that you can live a normal lifestyle without complications like me for so many years!!!! I’ve really not had any side effects!! Take care!! Joni

How wonderful that HU is working for you. I'm happy for you. I'm hoping the daily 1000mg will work for me too. By the way, I live in the northwest suburbs of Chicago

jewelfaux,

I was 78 when I was diagnosed in June 2022. I will be 79 very soon. My hematologist says that my goal is to be at 450 or lower for platelets.

I seem very responsive to HU. I checked my labs and I had lows of 561, 498, 434 taking 500 mg HU every other day.

I take a blood thinner for AFib so I do not have to take aspirin, I suggest you ask your hematologist if you only need to take low dose aspirin.

Best wishes, Eileen

As I understand it, a bmbx will tell your oncologist either there is fibrosis in the bone marrow and to what extent. It can provide a baseline for future bmbx's. Given that the emphasis for MPN patients is management vs cure, a good question for your doc is: "How will the results help you treat me?" The copay on bmbx can also be pricey, so something else to factor in.

My bmbx was fine with just Ativan for sedation and topical anesthesia. It's over quick and felt about like a bee sting.

I was 1st diagnosed in November of 2022. My platelet count was 759. While taking full aspirin it dropped to 630. 500 daily HU was added in January, then platelets increased in February to 832, HU now 1000 daily (still on 325mg aspirin). I do see a cardiologist twice s year. My platelets are never lower than yours. Does the HU help you? I hope so. How old are you? I'm 74.

Welcome jewelfaux,

When were you first diagnosed with ET JAK2 and what was your initial platelet level?

I hope your gastroenterologist is going to follow up with testing. Should your legs continue to swell maybe you might consider seeing a cardiologist.

I was diagnosed in 2022 with ET JAK2. I had labs and a bone marrow biopsy. My platelets had been slowing rising for a few years so my GP referred me to a hematologist when they reached 621…then took a jump to 735. I took 500 mg daily HU and then lowered to 500 mg every other day. I was just allowed to stop taking for about a month as I was under a lot of stress moving and many headaches, Just had labs…platelets are 564 so I will be going back on HU. I see my hematologist in a week.

Best wishes, Eileen