Based upon the information that you have provided, I agree with your Hematologist's recommendation for a bone marrow biopsy. There are a couple of important questions that a bone marrow may answer in your case, including: (1) Are your low blood counts being caused by destruction or loss of blood cells OUTSIDE of your bone marrow, or is this a problem with your bone marrow not being able to "manufacture" enough of these blood cells; and (2) if the problem is within your bone marrow, is it due to a benign or a malignant (i.e., cancer-related) cause?
Sincerely/ Robert A. Wascher, MD, FACS
www.doctorwascher.com
www.oncoguard.com