Just want to remind people who are considering having a splenectomy that the indium test is available. Any doctor in the country can refer a patient to one of the centres where it's done. The test will tell where the platelets are being destroyed, either in the spleen, the liver or both. If in the liver then the chances of a splenectomy working are very low so you can save your spleeen. If in the spleen then chances of success are high but it's still not certain as the liver can take over where the spleen leaves off.