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Giant Spleens, Dry Aspirations, and Better Living Through Chemistry

8 min readJan 6, 2025

Michelle takes a magical medical mystery tour.

An arm with a canula inserted and intravenous medication being given
Image by licensed under the license

November 2023

My appetite was off, and I had a little weight loss, which I thought was a good thing. Then I noticed this hard lump under my left ribcage. I didn’t recall that area feeling so firm. Worse, after a week I saw the lump had extended to just under the sternum.

I was sure this wasn’t normal. Laurie, my wife, thought I should have this checked out. I called the advice nurse and described what I felt. The nurse practitioner commented that a hard mass in the abdomen was something to be concerned about.

“Doctor, there’s a hard mass in my abdomen.”

The Nurse Practitioner I chatted with ordered a set of blood tests and an ultrasound exam to start the process of identifying what’s what.

Two days later, on November 21, I had an ultrasound result and the blood test results. Thrombocytopenia and the left upper abdominal swelling was determined to be an enlarged spleen.

“There is a massively enlarged spleen that measures 22.4 x 10.4 x 15.7 cm (volume 1923 cc).”

A few days later, during a video visit, I reviewed this with a GP. Additional complete blood count testing broadened the diagnosis for that symptom…

Michelle Paquette
Michelle Paquette

Written by Michelle Paquette

Michelle Paquette is an adult female human of transgender experience. She now lives in the Portland, Oregon area with her wife after a long series of nerd jobs.

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