Wow... I love how you put things. "Dealing" not healing. When I see someone say they have numbers at 1 million, and I have numbers in the 570-630 range, It makes me wonder how one goes from the hundreds to the millions so fast. I guess it is something with this disease that I am still learning. It seems that you facing numbers now in the millions, you are still doing well physically? That is encouraging. I do want to note that from the many sites I have been on to research and learn from other ET-ers,.. the symptomology of visual headaches, fatigue, and rare dizziness, is something not only I have experienced, but so have so many others with ET. I don't think it is a coincidence. I am 57, I am very healthy otherwise and very active. I am hoping that when I start HU, I can do a very low dosing... like a few days a week, and find myself with lower numbers. Thanks for your insights.