Hello there Lotty @PinkScot, welcome to the forum and may I just say Iām really sorry to read of this whole diagnosis saga and it leading to Polycythaemia vera ('PV'). Iām really glad you found us. Definitely take your time with all this, itās a lot to take in.
Like dear @DuncanB says youāll find a friendly bunch here, and you know strangely enough despite Polycythaemia vera ('PV') and other Myeloproliferative neoplasms ('MPN') being so rare there are many folks here living well with and beyond them.
I was also diagnosed with Polycythaemia vera ('PV'), in 2023, and much of what youāve shared is very familiar, although I would never describe myself as an oracle, @DuncanB! Maybe more of a motivated survivor?!
Sounds like youāve been dealing with many of the āclassicā Polycythaemia vera ('PV') symptoms @PinkScot, like the itching and brain fog, and arenāt they rubbish? Hereās some information about them and ways to manage, should they flare up (cooler showers seem to be a common way to help offset itchiness): Polycythaemia vera (PV) symptoms | Blood Cancer UK
For me after my diagnosis and starting treatment with hydroxyurea I got nasty fatigue which really got me down as I couldnāt be as active as I liked to be. Brain fog was terrible too, but that may have been mixed in with high emotions like grief.
Thankfully the fatigue and sense of loss faded over a few months and I got back to hiking and more typical energy levels. From what my haematologist tells me the fatigue can be a mix of the Polycythaemia vera ('PV') causing our bones to overproduce blood cells, plus treatments affecting our energy levels. Stress is obviously pretty tiring too isnāt it?!
I found doing slow forms of movement like yoga really helped give me a boost, and on my most fatigued days I could do some stretching at least. As my blood cell numbers stabilised, and I suppose my blood got thinner, I noticed my energy improved and I felt more clearheaded.
Also, I get the impression that our haematologists try us with different dosages over time, whichever of the medicines weāre prescribed, until they find a good balance for us individually so we can maintain our energy while limiting the potential side effects of, for example, hydroxyurea. It took about 2 years for my treatments to stabilise my blood cell numbers, but my energy returned far sooner like I said.
Iām sure youāve had a good read already since your diagnosis but Iāll share the great Blood Cancer UK information about Polycythaemia vera ('PV') for your reference, I still go back to it a lot: Polycythaemia vera (PV) | Blood Cancer UK and from Macmillan: Polycythaemia vera (PV) | Macmillan Cancer Support
So Iād say with empathy that itās no wonder you feel down. All this testing and then Polycythaemia vera ('PV') itself is so much to take on, even with a smooth diagnosis process, but it sounds like you really had to dig for this information and juggle it with other health and family challenges.
Would it help to give the lovely Blood Cancer UK nurses a call to talk this through? They can suggest further resources and ways to give yourself a break right now. Their free number is 0808 2080 888 and they can be emailed at support@bloodcancer.org.uk.
Itās great that you were able to be tested faster than the quoted 16 weeks! Shows real self-care and knowing yourself, and perhaps another way to care for you now is to give yourself a break when you can. Perhaps your adult kids appreciate that their mum could do with support now and help out a little more in their own ways?
I found after my diagnosis that I had to practice not doing so much around the home, pausing some responsibilities, and relying more on my loved ones so my minimal energy could go further than, for example, doing the dishes. I prioritised movement and eating well and rest.
Is there a Maggieās near you? Iāve heard really good things about them and could be place to gain further ideas about resources, or simply a place to go for a chat over a cup of tea: https://www.maggies.org
One last thing but Iād say from my non-medical perspective that we need to always pass any change in medication and supplements past our haematologists, like starting iron or aspirin. Iād really suggest against using Dr Google or AI no matter how specific your prompts, they can only give generalised results at best, and in my case totally inaccurate information which could have held me back from my successful treatment. Similarly to you I was taking an iron supplement but thankfully mentioned it to my haematologist who was like no!!! Aspirin I believe is often prescribed to us to thin our blood, and Iāve been taking it daily without issue since a heart attack many years ago. I just have to remember not to mix aspirin with other NSAIDs as painkillers, using paracetamol for that.
Right well Iāve gone on a bit and I hope at least some of it is useful at this worrying tome for you Lotty. If thereās anything specific youād like to find out about please donāt hesitate to ask. If youād like to read more from other forum members living with Polycythaemia vera ('PV') there are many in this lovely long threadāfull disclosure, this was my first post after diagnosis: Now part of the polycythaemia vera posse
Really glad you found the forum Lotty and do please keep us posted about how you get on.