Tuesday, March 12, 2019

On Bone Marrow Aspirations

It may serve a good purpose to share some notes on bone marrow aspirations. I've had four so far.

You lie face down and have marrow drawn from a hip bone for testing. The whole procedure takes about half an hour, followed by another half hour of rest on your back before getting up. It's good to have a book along for that.

My doctor explained that despite local anesthesia I'd feel sharp pain three times for one or two seconds each. And so I did. In contrast, if I stub my toe while barefoot I see stars for about ten seconds and endure slowly diminishing agony for a minute or so. With a typical bone marrow aspiration, three short jolts and you’re in the clear. My first two were typical.

It's only fair to report that the third went wrong. The needle must have struck a nerve, or so the doctor speculated when we compared notes, because it was a royal pain in the hip for most of the hour. Not quite a crisis, and yet a passage of heavy breathing and dark thoughts.

But you must hear about the fourth. This was done by my thirty-something outpatient chemo doctor, who had met my sallies on the subject of Stage IV with unerring tact. I knew her competence, but it began to seem that she’d take forever preparing to do the deed. Then, just as I re-tightened my grip on the end of the mattress, she said it was over.

I have no reason to doubt that she jabbed me; after all, I got the biopsy report. But I can't say it made much of an impression. May others be so fortunate.

Finally, here are my two best tips on bone marrow aspirations:

If you learn that you must have one, plan something fun to do afterward and keep your mind on that.

If you’re granted a life free of bone marrow aspirations, don't go and spoil it by stubbing your toe.