HI, I don't have any experience with Promacta, but I have had a small child with ITP and i know how scary that can be. I can attest to wanting to wrap my son in bubble wrap to keep him safe. I have seen ITP shape my son into a careful, cautious and anxious preteen. But I have also seen his other siblings feel as though they have lost privileges or GOOD TIMES because of their brothers condition. IE. Family events being museums rather than the trampoline park. If your doctors feel school is OK for your older child at this time, I'd let them experience it. I can attest to how scary it is having a young child with ITP. when my son started kindergarten, he was not allowed to participate in gym or go out for recess etc. My point is, it can be very difficult to let a child with ITP lead a normal life, yet that is exactly what they need. As close to a normal life as is possible. It is also what their siblings need.

I know how scary that can be. I found that others on here helped me through those scary moments and I hope we can be that for your family too. hugs.