@djlom15 we are actively looking for a way my husband can "dump" but it's rather expensive through the medical facility. He is currently just on the blood thinners, he has not responded well to specific medications. Hydroxyurea put him in the hospital with sepsis and Jakifi caused him to forget every day things and he became aggressive and moody. So we take it a day at a time now and wait to see if something better comes along.