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.

Not to be Nellie Negative, but ET is only an "inconvenience" if a) you are being treated and monitored by a competent hematologist, b) you follow advice and the treatment works without side effects, and c) you develop no co-morbidities.

Thrilled for those who feel great. But that isn't everyone's story, especially for those who have med side effects, more severe fatigue or frequent migraines, enlarged spleen, or co- morbidities. No one should feel they're a slacker if they need to slow down a bit.

I'm 70, CALR+ x 15 years, well-controlled on meds x 6 years. Looking at mitral valve repair, severe scoliosis. I feel pretty good, but I have to pace myself.

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@as86

Hi- I've just been diagnosed with ET. I'm 60 years old, feel great and the journey started with a routine CBC. Not sure what I need right now other than a supportive community. Would love to hear from anyone who can offer that.

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Welcome, @as86. when getting a new diagnosis, it can be hard to even know what questions to ask. You've certainly come to the right place to find a supportive community. To get you started, I moved your post to thsi existing discussion:
- Essential Thrombocythemia: Looking for information and support
https://connect.mayoclinic.org/discussion/essential-thrombocythemia-1/
I did this so you can read previous comments and connect with helpful and kind members like @nohrt4me @1995victoria @nyjean @preacherswife1977 to name just a few.

As you have more questions, you can use the group search to find more discussions related to ET : https://connect.mayoclinic.org/group/blood-cancers-disorders/?search=Essential%20thrombocythemia&index=discussions

Have you been referred to a hematologist?

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Hi- I've just been diagnosed with ET. I'm 60 years old, feel great and the journey started with a routine CBC. Not sure what I need right now other than a supportive community. Would love to hear from anyone who can offer that.

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@et1055

My platelet counts have gone up over the last two years. It is presently at 1054. I went to one haematologist who told me it was because I had my spleen removed in 2014. (Ovarian cancer in 2008, recurrence in 2012, recurrence in 2014 – – in my spleen, so it was removed. I have been cancer free since.) He said because I am taking 81 mg ASA each day that it would stop my blood from clotting so don’t worry about it. My GP sent me for a second opinion. The second haematologist diagnosed me with ET and is putting me on Hydroxyurea.
Now I am very confused and concerned.
This is supposed to be a rare blood cancer?
Any insight and support would be greatly appreciated. Thank you.

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I've been flying frequently but trying to keep flight time under 5 hours (so connecting flights mostly). Told to get up and walk around as much as possible, stay hydrated, put meds in carry-on, compression socks (but I don't wear them--too confining). I am 72 yo. "YOLO" (you only live once -- so live your best life and try not to let this inconveinient disorder get in your way!). With Aloha, jd

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@et1055

Another question… Have any of you with ET ever had any problems with flying? I have a trip booked for Europe.
now I’m a little nervous.🫤 With the new diagnosis.
The haematologist said to go for it and just take two aspirin instead of one.
I’ve decided this will be my last big trip😕 And even question if I should go on this one

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At 73, I've been traveling world wide since ET diagnosis some 20 years ago...I do wear compression stockings when flying long distances (anything over 2.5 hours). Stay hydrated, walk around. I'll be diving in Belize in August, then hope to hike with my daughter in Panama!

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@nohrt4me

I don't think anyone is telling people not to travel, just to take their meds and, if they're are over 60, have JAK2, and or a history of clots, to wear compression hose and stay hydrated.

Best wishes for your travels!

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That is very encouraging ❤️
Thank you

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@sregiani

No travel problems here. We fly extensively every year, even since I was diagnosed, ET w/JAK2.

From Michigan, I’ve flown all over the US, and to Alaska, Africa/Tanzania & Zanzibar, all over Europe (Poland, France, Italy, Spain, Portugal) - get the idea?

This fall we’re going to meetings in Wash DC, Vegas, then vacation in Italy and Slovenia.

What we have is an inconvenience. Always carry any meds and necessary supplements in a carry-on bag. Don’t let it stop you from living your life!

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I don't think anyone is telling people not to travel, just to take their meds and, if they're are over 60, have JAK2, and or a history of clots, to wear compression hose and stay hydrated.

Best wishes for your travels!

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@et1055

Another question… Have any of you with ET ever had any problems with flying? I have a trip booked for Europe.
now I’m a little nervous.🫤 With the new diagnosis.
The haematologist said to go for it and just take two aspirin instead of one.
I’ve decided this will be my last big trip😕 And even question if I should go on this one

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No travel problems here. We fly extensively every year, even since I was diagnosed, ET w/JAK2.

From Michigan, I’ve flown all over the US, and to Alaska, Africa/Tanzania & Zanzibar, all over Europe (Poland, France, Italy, Spain, Portugal) - get the idea?

This fall we’re going to meetings in Wash DC, Vegas, then vacation in Italy and Slovenia.

What we have is an inconvenience. Always carry any meds and necessary supplements in a carry-on bag. Don’t let it stop you from living your life!

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@et1055

Another question… Have any of you with ET ever had any problems with flying? I have a trip booked for Europe.
now I’m a little nervous.🫤 With the new diagnosis.
The haematologist said to go for it and just take two aspirin instead of one.
I’ve decided this will be my last big trip😕 And even question if I should go on this one

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I’m leaving for Europe in July. My platelets are 600 and I take 2 aspirin a day. My doctor wan me to go on hydro,, but I am hesitant to do so. As far as flying, she told me to wear compression socks, and stay hydrated. I have taken a few 3 hour flights and haven’t had an issue.

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@richie123

I was diagnosed with ET in February of this year. I did have a bone marrow biopsy. I have a CALR mutation. Hydroxyurea is what I am taking. Still in process of titrating the drug to try and keep me in a normal range of platelets. That being said, I have periods of extreme tiredness. Sometimes the top of my head feels "light". If I rest for a while that really seems to help. I'm just wondering what other ET patients have experienced. You also mention sugar free snacks etc.,. I am also type 2 diabetic, non insulin. Can this make my diabetes worse? I have also experienced more neuropathy over the last few months since starting hydroxyurea. I don't know what to think. My doctor doesn't seem to think the ET or hydroxyurea is a cause. Any opinions? Anyone? Thanks

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I'm CALR, too. Been on HU for 6 years and bloodwork very stable in 400s once they got the right dose.

I think there is a tendency for docs to say "no" rather than "I don't know" when you ask if ET affects or causes other ailments.

It might help to get a second opinion, as managing two chronic illnesses puts a lot on your plate. But remember that ET-CALR is a relatively new discovery, and how it's different from the JAK2 "flavor" isn't well understood.

I can say that my glucose levels often run high on my quarterly blood counts. When I pointed this out to the GP, she ordered A1C tests at intervals, and they are always well within limits.

I also developed an asymptomatic goiter, what the dermatologist calls erythromelalgia (so?) and rosacea (periodic burning and flushing of hands, face and feet), itching and constipation. All of these things cropped about the same time as the ET diagnosis or after starting HU. All are nuisances, but can be irritating when they flare up. Docs like to blame menopause and age (I'm a 70 yo female). I wonder if they are related. I try to stay informed, but I don't expect to have answers in this lifetime.

Hoping you can keep the Type 2 managed thru diet and not feel too deprived. My husband struggles with his at times.

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