Polycythemia Vera: Just been diagnosed

I have been put on blood thinner because ofheart and nowfind don;t need
phlebotomy

I have been put on blood thinner because ofheart and nowfind don;t need
phlebotomy

@lindakay55, welcome. I moved your question to this ongoing discussion group
- Polycythemia Vera: Just been diagnosed https://connect.mayoclinic.org/discussion/polycythemia-vera-1/

I did this so you can connect with @mw2023 @nypara66 @christina3444 @beebo and so many others who manage polysythemia vera (PV).

You might also be interested in this related discussion:
- How bad is a diagnosis of Polycythemia Vera? What to expect?https://connect.mayoclinic.org/discussion/how-bad-is-a-diagnoses-with-polycythemia-vera/

See all https://connect.mayoclinic.org/group/blood-cancers-disorders/

Linda, I'm sure you have many questions. How was your PV discovered? How are you doing?

@lindakay55 Great narrative of your experience with this condition.
My experience with it was very similar to yours in terms of initial diagnosis and what followed. My diagnosis was four years ago and I started with phlebotomy treatments and various dosage levels of HU. Only time I had a reaction to the med was one time I dropped it in a small cup of water and instead of tossing it, I drank it. Major itching for almost a day following that.
I’m now taking 500mg 4x a week and my numbers have stabilized. Still getting monthly blood tests and visits to the doctor are every 6 months.

@colleenyoung @christina3444

Thank you for reaching out Colleen & Christina. I so appreciate it. Honestly, I'm in a bit of terror. Please tell me if I am responding to the right spot or if I should be responding elsewhere to a more specific PV group, or if this is it. New here.

I was just diagnosed on 12/17/25, just two days ago. I turn 70 years old next week. What initially happened is...I go in every year to see my primary care doc and she always orders standard blood tests. My three red cell tests HCG, Hematocrit, and Platelets were high
( Hgb was 16.5; Hematocrit was 50.5; and Platelets was 409) and that was not usual, as we have like 10 years of these tests and you could see it had gone up. All other tests were normal.

When I asked what's this about, she ordered more specific tests and one came back showing a myeloproliferative disorder and a mutation on the JAK2 gene, that I apparently was not born with. Then they wanted me to do a bone marrow biopsy, which I almost didn't do. But after talking to a hematology doc and he explained why I needed it, I agreed.

I have a lot of past medical trauma a a kid (I had polio as a child and many hospitalizations) and so I told the technician who did the test to please work with me and he was just wonderful. The biopsy came back with the diagnosis of Polycythemia Vera, which I had never heard of but I certainly heard it when they said "blood cancer." And I'm worried that I am near dying.

I met with the oncologist on 12/17 and he said that this isn't that kind of cancer. (then why call it cancer?) He said I should still live a normal life expectancy, whatever that is for a 70 year old person. How long can we live with this?

He then said that he suggests I take 81mg of Ecotrin aspirin every day, and Hydroxyurea (HU) of 500 mg, every 4 days. He also mentioned phlebotomy later if needed. He said he felt that the aspirin and the HU would very likely bring the numbers where they need to be. He said HU has sometimes a side effect of upset stomach so not to take it on empty stomach. I specifically asked him if HU was a chemo drug and he said it was not, but later when I read some comments here from others, and researched further, I told him....you told me this wasn't a chemo drug and it looks like IT IS from my research. He said its not the kind of chemo you are thinking of, somewhat like, its not the kind of cancer you're thinking of.

So I've asked him if its a reasonable approach to take one thing at a time to see what works. If I take two things at a time and it works, how will I know which one might have worked on its own.

I am really scared and trying to land and need all the comments that people feel willing to give. I have already started the aspirin and I have ordered the HU but it has not arrived yet and I'm trying to decide how best to proceed.

I really want to have another blood test to see where the extra hydration and aspirin have taken me, before I take any HU, if I do.

Thank you,
LindaKay

Just looked up Ecotrin. Yay! It's enteric-coated ( = buffered) to protect your stomach lining.

I've never had a bone marrow biopsy, but from this forum I've learned that some people sail right through the procedure, while others may have some lingering discomfort.

I've also never experienced foot tingling, but again -- others here have reported tingling or burning in the feet and hands.

Also frequently reported: Whenever we mention a sensation to our doctors, we're told it has nothing to do with our MPN.

Take such "wisdom" with a grain of salt! I for one have learned much more from others on this forum than from my oncologist.