Talk:Bone marrow examination

The question of pain

Hello - I've expanded and revised the page a bit. Comments? MastCell 04:29, 1 August 2006 (UTC)

Clearly, whoever said "the patient will often feel a brief pinch or pain as the marrow is aspirated" has never actually had their bone marrow aspirated. It is thoroughly unpleasant and hurts a lot more than 'regular' pain (e.g. trapping a finger in a car door).

True... I added that description, and I've never had a marrow aspiration. If you have, then obviously you're in a better position that I to describe it - feel free to edit my description and make it more realistic. MastCell 18:36, 11 September 2006 (UTC)

I would do, but I'm not entirely sure I can articulate it in an appropriate fashion. It feels like how I would imagine having your legs sucked out of your hips through a blender. Not that I would want to put anyone off :) - just as an aside, if anyone has young kids who need this insist on a general anaesthetic for their sake.

There, put in 'much grater amount of pain', articulant enogh. And doesn't it last aprox. 2 min, not 5-10? I may be wrong, I was 13 when it was done to me... tough I remember the pain. --Mudel 22:07, 5 December 2006 (UTC)

I removed entirely the statements about how much pain is involved, since it's subjective, undoubtedly differs from procedure to procedure depending on a variety of factors, and is kind of unencyclopedic to begin with. I guess the 5-10 min was including setup, numbing, etc etc... but you're right, the part actually involving the needles is just a minute or two. I'm sorry your experience was so bad... in general I think it's a good idea to ask for an analgesic and/or anti-anxiety medication, as just about everyone is apprehensive about the procedure. MastCell 21:55, 24 December 2006 (UTC)

If you want a description of the pain; here is a former Leukemia patient who underwent it and described the feeling of it. Unfortunately - he didn't survive due to complications later on - not due to the bone marrow examination of course. (http://jhelmick.blogspot.com/2005/04/day-31.html) Xphill64x (talk) 04:21, 25 February 2008 (UTC)

Amount from the bone marrow taken and possible illness relations

I was wondering if anyone knows the amount of blood that's usually taken from a bone marrow biopsy? Just a fact I'd like to know in my mind. Also what the most common illnesses require a test as such as this to confirm diagnosis. Thanks Aeryck89 23:08, 18 March 2007 (UTC)

Usually anywhere from 5 cc to 20 cc (less than an ounce, generally). There's a list of illnesses in the lead of the article. MastCell ^Talk 23:23, 18 March 2007 (UTC)

Complications

Dr Bain published a further paper on complications in J Clin Pathol in 2005 - see PMID 15790706. This seems to be a more suitable reference. JFW | T@lk 13:32, 29 March 2007 (UTC)

doi:10.1111/j.1365-2141.2007.06749.x is a historical review of the procedure just out. JFW | T@lk 15:01, 12 September 2007 (UTC)

I got an error with that DOI - do you happen to have the PubMed ID or journal/author handy? MastCell ^Talk 15:08, 12 September 2007 (UTC)

Reworded Aspiration comment

I have changed the text from 'Aspiration doesn't always represent all cells since, eg lymphoma stick to the trabecula, and would thus be missed by a simple aspiration.'

to

'Aspiration doesn't always represent all cells since, as some such as lymphoma stick to the trabecula, and would thus be missed by a simple aspiration.'

I believe that this does not change the meaning, but could someone please verify this, and if you agree please remove my comment. Without the rewording things did not make sense.Vk2tds (talk) 10:02, 30 December 2008 (UTC)

Normally, we leave talk page comments as they are, with some exceptions. WhatamIdoing (talk) 06:49, 16 November 2009 (UTC)

Illustration of bone marrow biopsy

Illustration of bone marrow biopsy. See full animation.

Blausen Medical recently donated the illustration to the right of a bone marrow biopsy. This article already has many images, but please feel free to use it if it's useful. Dcoetzee 23:56, 9 August 2013 (UTC)

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