Essential Thrombocythemia: Looking for information and support

Posted by shenriq @shenriq, Jun 4, 2018

I was recently diagnosed with Essential Thrombocythemia, a rare incurable blood cancer. Platelet count aside, I am asymptotic. This current condition morphed from (constitutional) thrombcytosis, something I’ve lived with for 25+ years. While the new diagnosis was the result of a bone marrow aspiration and biopsy, my age was an additional factor, which was completely disarming, having been walking around unwittingly for the past 8 years! While at the low end of risk for clots, heart-attacks and stroke, nothing has truly changed - except the “C” word. No chemo yet, but active discussion about hydroxyurea. Uncertainty about ET is anxiety provoking and swoethatl, but I’m feeling betrayed by my blood. I’m looking for all information about ET, the chemo and support.
Thanks!

Interested in more discussions like this? Go to the Blood Cancers & Disorders Support Group.

@preacherswife1977

Have any of my other ETers had any problems with their feet? I am one for wrapping up at night and for the past few months I have had to have my feet out from under the blankets. They do not hurt but feel as though they are asleep without the pringly/pricklyl feeling. If I close my toes it feels like my feet are swollen but they are not. Last night they felt very hot on the inside. I see my hematologist Tuesday I will mention it to him but wanted to ask you guys first

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Yes, I have that. I fill my hot water bottle with cool water and put my feet on it under the covers. Keeping feet moisturized and using drugstore hydrocortisone cream on the prickles seems to help me. ET patients also seem to be associated with erythromelalgia. Would be interested in what your doc says!

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@nyjean

Recently diagnosed with ET with JAK2& in a few months of daily HU my platelet count has dropped into the normal range so I'm feeling hopeful, but I know there's a lot to learn. What kind of "worse neoplasm/cancer" might it progress to? What email list are you referring to & how do I get on it? Many thanks to all.

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Leukemia Lymphoma Society go to LLS.org A wonderful organization, with very important information. Just sign up your email on their website
MPN encompasses 3 "levels" of disease LLS will explain it all

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@mel2523

Hi
I’ve recently been diagnosed with ET, I have never heard of it before my diagnosis and would love to chat with others who have it.

Last year in October I was have what I though was menopause symptoms. Fatigued all the time, itchy and then severely bruising from scratching, night sweats and weakness. I had bloods done and it came back with my platelets count of 690 and my white blood cells slightly raised as well.
I was referred to a haematologist who requested a full blood count and dna test. Unfortunately the haematologist is 2 hours away from where I live so I had phone appointments. All I got told on the appointment was I’m limited to what I can say over the phone, your bloods not normal, you need to have a CT scan which you can get the referral from Your GP. Had the CT scan all was clear of cancer. I had been in meantime really bad fatigued, multiple times being so weak and tired I couldn’t do anything but sleep, twice I had to go home from work because of it. I tried getting an earlier appointment booked with the haematologist, was told they would get back to me and never did ! Day before my scheduled appointment it was cancelled and I was told your next one will be sent to you . Needless to say I was livid !
Finally had an appointment sent out and it was a different haematologist. He was brilliant straight to the point explained things well and sent me out some information. So here I am finally diagnosed and taking Hydrea 3x a week.

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About feet. My toes hurt 3 years before my ET diagnosis. It's not joint pain, it feels like pain is in bone (also in my shins) Dr don't seem to know what is causing the pain, and I don't like taking tylenol or advil every night, but there are nights when pain keeps me awake and sometimes awakens me from sleep. Before I was diagnosed, I would take one aspirin every night, but now can't do aspirin (baby yes, not full size), I get black and blue marks too easily.

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@preacherswife1977

Have any of my other ETers had any problems with their feet? I am one for wrapping up at night and for the past few months I have had to have my feet out from under the blankets. They do not hurt but feel as though they are asleep without the pringly/pricklyl feeling. If I close my toes it feels like my feet are swollen but they are not. Last night they felt very hot on the inside. I see my hematologist Tuesday I will mention it to him but wanted to ask you guys first

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Go figure! Just like you, I often flip off the covers from my feet. They feel hot and swollen from the inside, but "normal" when I touch them. Not hot. Not puffy. Just different.
I used to wear socks at night bc my feet were always cold, but not in the past couple of years which is coincidentally about the same time I was diagnosed. Sounds like another interesting relationship w/ET. I'll mention that one to my heme doc next visit.

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@eileen11108

Welcome Mel@2523:
You did not mention having a bone marrow biopsy. It would tell a lot. It is good you started on Hydroxyurea three days a week. It gives your body a chance to adjust.

If you search on the website you will find many discussions on the subject.

Best wishes, Eileen

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I did ask my haematologist about the bone marrow biopsy and he said not at this stage ? I was told by the first haematologist I seen that I would have to have one if the ct scan was clear.

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@preacherswife1977

Have any of my other ETers had any problems with their feet? I am one for wrapping up at night and for the past few months I have had to have my feet out from under the blankets. They do not hurt but feel as though they are asleep without the pringly/pricklyl feeling. If I close my toes it feels like my feet are swollen but they are not. Last night they felt very hot on the inside. I see my hematologist Tuesday I will mention it to him but wanted to ask you guys first

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It sounds like neuropathy in your feet but you need a neurologist to confirm it. I have had neuropathy in my feet years before I was diagnosed with ET.

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@shenriq

No longer taking AI drugs or actively dealing with my breast issues. Additionally, there’s no connection between the Breast concerns and my newly diagnosed (EI) blood cancer.

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May I ask what the term AI drugs means?
Thank you, Eileen

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I’m new to this group and appreciate reading both the new and older posts.
The first time I was aware of an elevated platelet count was in 1989 after lab work during a prenatal visit. My Ob/GYN called and asked me to come back for another blood draw He wanted to rule out leukemia. After the second blood draw, he advised that nothing else flagged, and this was probably my “normal”.
In the years that followed, I never gave it a second thought. When I had blood draws for routine health visits, my platelet count was always in the low to mid 400’s. I wonder why my general practitioner did not alert to those numbers?
Fast forward to 2016…I started a weight management program that was led by a young doctor within my medical group. (Interestingly, she is also an OB/GYN.) As part of the program, she asked all participants to complete a very comprehensive lab work-up. After reviewing the results with me, she looked very serious and wanted to add a blood smear to my tests.
That’s when I received the news, ET. How many years have I had this and no one else connected the dots?
I was referred to a hematologist at the Mayo in Rochester, MN. The bone marrow biopsy confirmed ET with JAK-2 mutation. Like most of you, I was shaken with anxiety and worry. Knowledge is my way of dealing with it. I read every medical article related to MFP published in past 8 years to educate myself. Additionally, I learned that women with ET have a higher incidence of miscarriage. Checked that box 6 times! Did anyone else experience similar problems? Now, I realize how fortunate I am to have given birth to two healthy, wonderful children.
For the next 2 years, I added a low dose aspirin to my daily routine and had the platelet count checked every 3 months. The numbers stayed between 450-470. Since it was stable, I opted to only have the blood draws 1x/yr.
Just recently, the count increased to 570, so I’m scheduling an appt again at Mayo for a review and medical advice. If anyone is willing to share names/locations of your expert medical providers, I would be interested to hear. I always like to keep a second name “in my back pocket” should my specialist relocate or retire.

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@cindy7

I’m new to this group and appreciate reading both the new and older posts.
The first time I was aware of an elevated platelet count was in 1989 after lab work during a prenatal visit. My Ob/GYN called and asked me to come back for another blood draw He wanted to rule out leukemia. After the second blood draw, he advised that nothing else flagged, and this was probably my “normal”.
In the years that followed, I never gave it a second thought. When I had blood draws for routine health visits, my platelet count was always in the low to mid 400’s. I wonder why my general practitioner did not alert to those numbers?
Fast forward to 2016…I started a weight management program that was led by a young doctor within my medical group. (Interestingly, she is also an OB/GYN.) As part of the program, she asked all participants to complete a very comprehensive lab work-up. After reviewing the results with me, she looked very serious and wanted to add a blood smear to my tests.
That’s when I received the news, ET. How many years have I had this and no one else connected the dots?
I was referred to a hematologist at the Mayo in Rochester, MN. The bone marrow biopsy confirmed ET with JAK-2 mutation. Like most of you, I was shaken with anxiety and worry. Knowledge is my way of dealing with it. I read every medical article related to MFP published in past 8 years to educate myself. Additionally, I learned that women with ET have a higher incidence of miscarriage. Checked that box 6 times! Did anyone else experience similar problems? Now, I realize how fortunate I am to have given birth to two healthy, wonderful children.
For the next 2 years, I added a low dose aspirin to my daily routine and had the platelet count checked every 3 months. The numbers stayed between 450-470. Since it was stable, I opted to only have the blood draws 1x/yr.
Just recently, the count increased to 570, so I’m scheduling an appt again at Mayo for a review and medical advice. If anyone is willing to share names/locations of your expert medical providers, I would be interested to hear. I always like to keep a second name “in my back pocket” should my specialist relocate or retire.

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Most of us will be our PCPs first (and only) ET patient. Doctors just aren't tuned into the significance of elevated platelets. My own PCP, an experienced and caring man, "informed" me my platelet count was high because I made Red Cross blood donations every 8 weeks.

Of course this wasn't true. But it took me 3 years to start questioning him. I live in rural VA and am lucky there's a hematologist/oncologist (Dr Raymond Cruz) just 60 miles away.

It's essential to keep pushing until you find the best help you can get.

Bravo on making that Mayo appointment. Fingers crossed you'll get backup referrals too. You live in MN, right?

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@cindy7

I’m new to this group and appreciate reading both the new and older posts.
The first time I was aware of an elevated platelet count was in 1989 after lab work during a prenatal visit. My Ob/GYN called and asked me to come back for another blood draw He wanted to rule out leukemia. After the second blood draw, he advised that nothing else flagged, and this was probably my “normal”.
In the years that followed, I never gave it a second thought. When I had blood draws for routine health visits, my platelet count was always in the low to mid 400’s. I wonder why my general practitioner did not alert to those numbers?
Fast forward to 2016…I started a weight management program that was led by a young doctor within my medical group. (Interestingly, she is also an OB/GYN.) As part of the program, she asked all participants to complete a very comprehensive lab work-up. After reviewing the results with me, she looked very serious and wanted to add a blood smear to my tests.
That’s when I received the news, ET. How many years have I had this and no one else connected the dots?
I was referred to a hematologist at the Mayo in Rochester, MN. The bone marrow biopsy confirmed ET with JAK-2 mutation. Like most of you, I was shaken with anxiety and worry. Knowledge is my way of dealing with it. I read every medical article related to MFP published in past 8 years to educate myself. Additionally, I learned that women with ET have a higher incidence of miscarriage. Checked that box 6 times! Did anyone else experience similar problems? Now, I realize how fortunate I am to have given birth to two healthy, wonderful children.
For the next 2 years, I added a low dose aspirin to my daily routine and had the platelet count checked every 3 months. The numbers stayed between 450-470. Since it was stable, I opted to only have the blood draws 1x/yr.
Just recently, the count increased to 570, so I’m scheduling an appt again at Mayo for a review and medical advice. If anyone is willing to share names/locations of your expert medical providers, I would be interested to hear. I always like to keep a second name “in my back pocket” should my specialist relocate or retire.

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Yes, two miscarriages in my late 30s. Had bleeding and progesterone treatment with third pregnancy, which I brought to term at 41. Very heavy periods all my life. Was not diagnosed with ET-CALR until age 60, but research suggests that the mutation can occur decades before the blood platelets rise. That started in my 50s.

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