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!

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@garyintlv

Thanks for your welcome Lori!

Following the first appointment with my haematologist, I had more blood tests including some for a research program run by my haematologist (he is also a research scientist).
He told me that some results would be available when we meet next in September, others (DNA tests) may take up to six months. He said we would meet every three months for the time being but I don't know how often follow up blood work will be done. I assume it partly depends on the initial test results.

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That's great that your doc sees you every three months at this beginning phase. Gives you lots of time to get questions answered.

Bone marrow biopsies might be done less frequently now because the blood tests are definitive. Just 10 years ago when I was referred to the hemo, I tested neg for Jak2 mutation, but the false neg rate was high. A year later, they started doing the CALR test and, bingo!, I was a rarity within a rare disease. Why I can't I get those kinds of odds playing Lotto?

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@nohrt4me

My hemo followed the same plan when I went on HU 6 years ago. I am 70, CALR+, same dosage as you.

My platelets run between 425 and 475, and doc considers this "very stable." She isn't anxious to add more HU because CALRs seem to have fewer clotting episodes, and my other stroke factors are low ( low cholesterol levels, on aspirin, well controlled hypertension).

So lesson learned: We are all different, and treatment goals and dosages are more likely to be adjusted to the individual. And that's really a good change from 25 ago, when my dad was diagnosed with ET.

I do think that ET exacerbates the effects of aging. When I compare myself to my friends (which I try NOT to do), I seem to have less energy and general stamina, and more frequent nuisance-type problems (dizziness, headaches, skin and hair dryness and irritation, brain fog). In older age, though, I have a better mental attitude, and I can push through the nuisances better than when I was younger. So there's that.

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Thank you, I agree!!! Aging isn't for the young and inexperienced.

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@winmil99

I was diagnosed with ET jak2 mutation a yr ago june..My plts range between 450 and 680 ..My hematologist has me on 2 baby aspirin a day and doesn't want me to start HD until they hit 1000 ..thoughts?

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20+ years ago my platelets were 1800.....out of the blue. No symptoms, annual checkup.Given Anagrelide (Agrylin then), 5 mg twice daily, did the job. Went from monthly, to quarterly to annual visits. Ten years later a new hemotologist (mine retired) did a very poor bone marrow biopsy (five painful attempts), switched me to HD, which threw all my blood off so I was seeing him weekly, had all kinds of other symptoms. Took me 8 weeks to get a DIFFERENT referral (oncology institue hematologist) who put me BACK on Anagrelide stating if it works why switch? So, if the aspirin is working, why switch? Doc likes my platelets to be below 450 so I try to make certain I'm taking meds as prescribed BEFORE blood work. Sometimes I forget in the evening and have mis-judged what I needed while traveling, didn't get back in rhythm before appointment. Oh, my. YES ET has not limited my life, thank God!

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Thanks for your welcome Lori!

Following the first appointment with my haematologist, I had more blood tests including some for a research program run by my haematologist (he is also a research scientist).
He told me that some results would be available when we meet next in September, others (DNA tests) may take up to six months. He said we would meet every three months for the time being but I don't know how often follow up blood work will be done. I assume it partly depends on the initial test results.

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@garyintlv

I am 65 years old and seem to be a rare male here. Not surprising since Essential Thrombocythemia affects twice as many females than males. Also I guess most males are not big on 'sharing'. 


I was diagnosed with ET JAK2 in June following routine blood tests. 
I have already been taking 100mg of aspirin daily for a couple of years due to my family history of cardiac issues.
I have not had a bone marrow biopsy as my haematologist said it would not change the current treatment though I may have to have one down the track depending on my blood results.

Looking back, I have had intermittent headaches for no apparent reason and assume now they were ET related. Who knows?


I am grateful to you all for your openness and honesty and appreciate your comments and suggestions.

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Hi Gary. You’re right, statistically women do appear to outnumber men with ET cases. So, welcome to Mayo Connect where you can add the male perspective to this blood condition of having elevated platelets. 😉

It looks as though you did have positive results with a defect in the JAK2 gene, which can cause myeloproliferative conditions like ET. Often the first line of treatment, to avoid potential side effects of too many platelets, is a daily aspirin. Fortunately you were ahead of that game with your aspirin regimen already in place.
Now that you’ve been diagnosed, how often will your doctor want followup blood work?

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I am 65 years old and seem to be a rare male here. Not surprising since Essential Thrombocythemia affects twice as many females than males. Also I guess most males are not big on 'sharing'. 


I was diagnosed with ET JAK2 in June following routine blood tests. 
I have already been taking 100mg of aspirin daily for a couple of years due to my family history of cardiac issues.
I have not had a bone marrow biopsy as my haematologist said it would not change the current treatment though I may have to have one down the track depending on my blood results.

Looking back, I have had intermittent headaches for no apparent reason and assume now they were ET related. Who knows?


I am grateful to you all for your openness and honesty and appreciate your comments and suggestions.

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Hello all,
I’ve also had type 2 diabetes for 12 years.
I’ve lost so much weights in the last 2 years because tried to eat less for my diabetes, used more energy than I had as I did not know I had ET. Now I ate more to gain some weights and even that I only could gain 2 pounds in the last 2 months, that was it ( I bet ET caused it and planned to take hydrea when I meet with my specialist next time), and my glucose level went up, it is frustrated.

More to add, I am female, 61 years old, ET intermediate risk.
Any advices, thoughts, ideas to share how to deal with both diabetes and ET are appreciated.
Have a good day!
Rose

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@cajunqueen

Hi ladies! I am 52 and was diagnosed in 2022 with E.T. and after my bone marrow biopsy, I do have the Jack2 mutation. I have been on Hydroxurea for almost 2 years and have had no side effects. I now go every 3 months for lab/blood work....the first year I went every month and only took 1 (500mg) of Hydroxy to see how my body would handle it (in 2022 when diagnosed, my platelets were over 850) and after about 6 months, my platelets were not dropping as much as expected (in the 700 range), so she added 2 (1000 mg) once a week and 1 (500 mg) the rest of the week for 5 more months (stayed in the 650 range). My platelets dropped gradually, so she added 2 (1000 mg) twice a week and 1 (500 mg) the rest of the week for another 6 months and platelets were still higher than expected, but she was making sure adding the dosage was not affecting my body, since it has not, (thankfully), I am now on 2 (1000 mg) 3 x a week with 1 (500 mg) dosage the rest of the week and I am now going every 3 months for labs/Dr visit and my platelets are now in the high 400 range, which is amazing! We are still trying to get them in the 200-400 norm range, but considering I am almost there with this dosage of Hydroxy, I am thankful and blessed. This will be a lifelong med for me, and she may have to adjust every so often how much, depending on how my body is responding to the dosage (like blood pressure meds and those types of meds you have to be monitored because it fluctuates like our platelets), but at least I know that I am as safe as I can be as far as my blood goes, from having a heart attack, stroke or blood clots with Hydroxy! It certainly is a very scary situation to have your body (blood) deceive you in such a way, but thank goodness for our medical professionals and current data that we have these amazing people helping us and guiding us and our bodies to help us on our journey!

Jump to this post

I was diagnosed with ET jak2 mutation a yr ago june..My plts range between 450 and 680 ..My hematologist has me on 2 baby aspirin a day and doesn't want me to start HD until they hit 1000 ..thoughts?

REPLY
@cajunqueen

Hi ladies! I am 52 and was diagnosed in 2022 with E.T. and after my bone marrow biopsy, I do have the Jack2 mutation. I have been on Hydroxurea for almost 2 years and have had no side effects. I now go every 3 months for lab/blood work....the first year I went every month and only took 1 (500mg) of Hydroxy to see how my body would handle it (in 2022 when diagnosed, my platelets were over 850) and after about 6 months, my platelets were not dropping as much as expected (in the 700 range), so she added 2 (1000 mg) once a week and 1 (500 mg) the rest of the week for 5 more months (stayed in the 650 range). My platelets dropped gradually, so she added 2 (1000 mg) twice a week and 1 (500 mg) the rest of the week for another 6 months and platelets were still higher than expected, but she was making sure adding the dosage was not affecting my body, since it has not, (thankfully), I am now on 2 (1000 mg) 3 x a week with 1 (500 mg) dosage the rest of the week and I am now going every 3 months for labs/Dr visit and my platelets are now in the high 400 range, which is amazing! We are still trying to get them in the 200-400 norm range, but considering I am almost there with this dosage of Hydroxy, I am thankful and blessed. This will be a lifelong med for me, and she may have to adjust every so often how much, depending on how my body is responding to the dosage (like blood pressure meds and those types of meds you have to be monitored because it fluctuates like our platelets), but at least I know that I am as safe as I can be as far as my blood goes, from having a heart attack, stroke or blood clots with Hydroxy! It certainly is a very scary situation to have your body (blood) deceive you in such a way, but thank goodness for our medical professionals and current data that we have these amazing people helping us and guiding us and our bodies to help us on our journey!

Jump to this post

My hemo followed the same plan when I went on HU 6 years ago. I am 70, CALR+, same dosage as you.

My platelets run between 425 and 475, and doc considers this "very stable." She isn't anxious to add more HU because CALRs seem to have fewer clotting episodes, and my other stroke factors are low ( low cholesterol levels, on aspirin, well controlled hypertension).

So lesson learned: We are all different, and treatment goals and dosages are more likely to be adjusted to the individual. And that's really a good change from 25 ago, when my dad was diagnosed with ET.

I do think that ET exacerbates the effects of aging. When I compare myself to my friends (which I try NOT to do), I seem to have less energy and general stamina, and more frequent nuisance-type problems (dizziness, headaches, skin and hair dryness and irritation, brain fog). In older age, though, I have a better mental attitude, and I can push through the nuisances better than when I was younger. So there's that.

REPLY
@cajunqueen

Hi ladies! I am 52 and was diagnosed in 2022 with E.T. and after my bone marrow biopsy, I do have the Jack2 mutation. I have been on Hydroxurea for almost 2 years and have had no side effects. I now go every 3 months for lab/blood work....the first year I went every month and only took 1 (500mg) of Hydroxy to see how my body would handle it (in 2022 when diagnosed, my platelets were over 850) and after about 6 months, my platelets were not dropping as much as expected (in the 700 range), so she added 2 (1000 mg) once a week and 1 (500 mg) the rest of the week for 5 more months (stayed in the 650 range). My platelets dropped gradually, so she added 2 (1000 mg) twice a week and 1 (500 mg) the rest of the week for another 6 months and platelets were still higher than expected, but she was making sure adding the dosage was not affecting my body, since it has not, (thankfully), I am now on 2 (1000 mg) 3 x a week with 1 (500 mg) dosage the rest of the week and I am now going every 3 months for labs/Dr visit and my platelets are now in the high 400 range, which is amazing! We are still trying to get them in the 200-400 norm range, but considering I am almost there with this dosage of Hydroxy, I am thankful and blessed. This will be a lifelong med for me, and she may have to adjust every so often how much, depending on how my body is responding to the dosage (like blood pressure meds and those types of meds you have to be monitored because it fluctuates like our platelets), but at least I know that I am as safe as I can be as far as my blood goes, from having a heart attack, stroke or blood clots with Hydroxy! It certainly is a very scary situation to have your body (blood) deceive you in such a way, but thank goodness for our medical professionals and current data that we have these amazing people helping us and guiding us and our bodies to help us on our journey!

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Thank you for your sharing your story.

You're proof we can live strong with ET.

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