Conversation: The conversation between human and AI assistant.
[|Human|] Hello, I have had fluctuating wbc and platelets for the past few years. They seem to get lower than normal and on the next check up go back to normal. After my last check, my dr put me on prednisone for 14 days (currently on), and he also mentioned doing a bone marrow biopsy. Should I be worried? Is the biopsy necessary in this case? Other than the blood tests I have no symptoms of anything being wrong.
[|AI|]  Hello, THX to contact us. If I am your treating doctor I would like to advice you that biopsy is necessary in your case to diagnose which causes fall in the platelets and WBC. Any cause which causes fluctuation in the platelets and WBC for about a year requires a biopsy to rule out the cause. Many a time autoantibody is present against the megakaryocytes, which may cause fluctuation in platelets and WBC this cases is ruled out by the biopsy. If you have anything else to ask please contact me. Than. Chat Doctor