Hi Denise @Denny
Can totally empathise with some of your situation.
I was diagnosed with Polycythaemia vera (PV) in August 2020 and then went on to have an AF in Nov 2021 and then another in Oct 2023. First thing Iāve ever had to go into and stay in hospital for as prior to that I was pretty healthy one would say.
@clickinhistory and @Heidi_BloodCancerUK have given sound advice and support which I can really only echo.
When I was diagnosed I was just on venesections and aspirin which to say youāve been diagnosed with a form of cancer doesnāt really fit the rhetoric/stereotype of treating something fatal and extremely serious. However speaking to others you quickly learn that this is the norm and a way of initially seeing how you body is working before knowing the next step. There is no timeframe given to this initial step which in itself can make you anxious and bring up a lot of different emotions and fear.
Regarding treatment there are a couple of choices. Some are tried and tested and some are more suited based on an individual or if previous treatments have failed or quality of life is too much effected.
I initially was on Interferon injections which I felt I got on with quite well. Itās relatively new and so far helps control the necessary levels but its long term lasting is still unknown.
I was recommended switching from this to hydroxycarbamide soon after my heart attack.
Like you I was extremely reluctant and hesitant of starting this as knowing it was a form of chemo really brought home that I had cancer and the baggage it brings.
I spoke to my Haemotologist about my concerns and though he was extremely understanding as I read through the potential side effects and my general concerns he kinda just said: āI am offering you with my vast knowledge and experience advice on what I believe is best to help you fight and live as long as possible. All your fears, worries and concerns have been brought up by whatās written and what āsomeā people have experienced. These are what people read into more as you sometimes what to know the worse possible outcome so they can prepare themselves in case they are put in the same position to agree with themselves as though they have been labelled as unlucky to have such a rare condition that you will also now continue the luckless fate of experiencing the worse side effects or end results.
With medication/treatment it based on science /testing/time/analysis but also trial and error.
We are all on the same journey heading towards the same final location but some getting there quicker, some slower, some with lighter luggage, some having a heavier load and some first time travellers and some experienced with plenty of highs and lows.
I guess itās a case of the unknown of whether taking a step may take you in any direction but so can standing still.
Sorry for digressingā¦
I took hydroxy for about 6months, my hair started to thin but nothing incredibly noticeable and something that unfortunately comes of age but it didnāt fall out but thin extremely gradual. The fatigue was there at times but this too can happen depending on what heart meds youāre on but also is a common symptom of Polycythaemia vera (PV). I personally believe the fatigue comes from the lack of iron but forcing yourself into a daily routine and maybe managing and assessing your doās and dontās also help.
Hydroxycarbamide is the most tried and tested course of treatment and most fast acting out of the ones available. Yes it comes with side effects but everyone is different and have unique experiences.
I think all your concerns are valid as Iād be a hypocrite to say otherwise but I can honestly say in my experience , the hair thinning is not permanent if you do experience it. Mine has grown back pretty thick. I also didnāt experience any sickness or show any signs that I was on chemo.
Itās also worth noting that other treatments are only available if hydroxycarbamide has not been effective or not tolerated.
Please feel free to contact any of us should you have any questions or post on here as we are all an amazing bunch with tonnes of advice and support to offer in accompanying you getting through this.