Tests - Round 6. The cyclical wait and feeling

Hi everyone! (I’m 36…in case that’s relevant?)

I went to my GP last year as I kept getting itchy legs after I showered and had other (what it turns out now) are typical symptoms of Polycythaemia vera (PV) - tinnitus, fatigue, weird sensations, & headaches. But thought nothing of it at the time other than a change in shower gel reaction. I had my annual blood checks in Feb - they were repeated in March, May, June, and July - repeated as by red blood cell count and haematocrit levels were raised. I also had GP visits in between these to rule various things out. The last test in July had the JAK2 analysis and it was then the GP said that it sounds like Polycythaemia vera (PV), hence Jak2 and haematology advice request. Yesterday, the GP confirmed the test wasn’t analysed as the referral came from them originally rather than the haematologist. The advice from haematology was to ask whether I’m a smoker/drink/supplement taker (which I am not), so now it is a wait for another blood test for Jak2 but to come from the haematologist. I just feel a bit lost and frustrated with it all and have very little energy left in the tank at the minute with it all having yet more tests on the horizon.

Any help or advice on how to not come across like I am pestering the GP, or on anything else I can do…sending love & best to everyone.

Luke

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Hi @Key.Luke88 I am so glad that you have found our forum, welcome.
It must feel horrible feeling in limbo, lost and frustrated.
Firstly personally I have found that there is a lot of waiting around and not knowing since I was diagnosed with another blood cancer 20 yrs ago.
I have been on what is called ‘active monitoring’ (commonly called ‘watch and wait’) for that time which is having tests at certain intervals to see the progression or not of results.
The referral has only just gone through to Haematology so perhaps it will take time to hear from them depending on their availability.
Personally I find what personally stresses me, emotional, psychological, physical and practical issues really exhaust me and bring on my fatigue.
Personally I struggle to be a patient patient !!
If you do contact anyone perhaps a ‘pleasantly assertive’ approach helps.
The Blood Cancer UK support line is there for you on 0808 2080 888 if you need it.
Please do let us know how you get on and be kind to yourself and there is a lot of information on the Blood Cancer UK website

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Hello there @Key.Luke88, welcome to the forum, but I’m sorry you had reason to seek it out. Sounds like you’ve been experiencing a frustrating and worrying time awaiting test results and getting checked fully by a haematologist, the title of your post says it all!

Unfortunately I can empathise with a lot of what you shared as I went through similar rounds of testing last year and after some agonising waits was diagnosed with Polycythaemia vera (PV). I should add I’m not a doctor but have keenly taken note during my diagnosis and since from my haematologists, survivors on this incredible forum, and at a blood cancer conference earlier this year.

While what you’ve read about Polycythaemia vera (PV) is totally right, in that Polycythaemia vera (PV) often has symptoms of itchy skin, weird sensations, fatigue and so on, you might be slightly relieved to know these can also be symptoms of many many other conditions that aren’t blood cancer. I’d suggest not reading about Polycythaemia vera (PV) online unless it’s via an official blood cancer organisation like this one as there is so much inaccurate information out there when searching Dr Google.

In my case, I was fortunate not to have any of these typical symptoms apart from developing fatigue which was grim initially. I really feel for you, it sounds irritating to experience all those skin sensations.

The testing you’re undergoing will check on a genetic and cellular level whether you have the main indications of Polycythaemia vera (PV) or other Myeloproliferative neoplasms (MPN). Around 97 % of us with Myeloproliferative neoplasms (MPN) like Polycythaemia vera (PV) and Essential thrombocythemia (ET) have the JAK2 gene mutation, but you may be relieved to know that people can have this gene mutation without having blood cancer, hence the many tests to make sure.

My JAK2 gene mutation was caught in a blood test and then I had to have a bone marrow biopsy and aspiration to check my blood cells at their source, and unfortunately this is where my Polycythaemia vera (PV) diagnosis came from.

So I’d say, hold out hope that those symptoms you’ve been dealing with aren’t necessarily an Myeloproliferative neoplasms (MPN). There are dozens of gene mutations other than JAK2 that can also indicate an Myeloproliferative neoplasms (MPN), but equally can just be that, a gene mutation laying dormant.

It’s excellent that you’re getting tested and whatever findings you receive will help you guide your health going forwards, but for now the waiting continues.

In the meantime, something many Myeloproliferative neoplasms (MPN) survivors say helps reduce itchy skin after showering/bathing is to use cooler water. Maybe use milder shower gel and detergents for now. Try to keep as hydrated as possible as dry skin can exacerbate the itchiness and sensitivity. Make sure to use high SPF sun lotion, especially during the summer, and cover up your skin.

As for you being asked about taking a supplement, it could be that they’re checking whether you add iron into your diet. Perhaps for now don’t take additional iron as it can encourage blood cell production which folks with Myeloproliferative neoplasms (MPN) don’t want. A major side effect of Myeloproliferative neoplasms (MPN) is overproduction of blood cells which treatments help slow down and reduce to slow risks of blood clotting.

Try to keep note of your symptoms so you can share them with your GP and haematologist and so you might notice patterns in what helps and what makes you feel worse. Fatigue is unfortunately a big side effect of blood disorders so try to rest when you can and resume your activities later.

Regarding the wait for testing, I think in your situation it would be understandable to try chivvying your GP along with your referral to a haematologist. Waiting for months for JAK2 test results seems to be common, unfortunately, as they typically get sent off to university laboratories or similar. My own dad in south Wales waited months for his JAK2 result so perhaps get ready to be pleasantly assertive as dear @Erica recommends and check on results as often as you can.

I hope this helps for now @Key.Luke88. Sorry I went on a bit! Keep us posted about any progress with tests and results and maybe look around the forum and Blood Cancer UK site for research about living with Myeloproliferative neoplasms (MPN) just in case that’s what you get diagnosed with.

In the meantime, try to give yourself a break and don’t let worry take over. Find healthy distractions, preferably whatever exercise you enjoy (stretchy ones like yoga and Pilates are great). If I may be so bold, living with Polycythaemia vera (PV) doesn’t have to stop your life in its tracks. In fact, Myeloproliferative neoplasms (MPN) can be lived with into normal old age with minimal adjustments, hard as that is to hold in mind.

Thinking of you. Do let us know how it goes!

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Hi, @Key.Luke88! Welcome to the forum! In an ideal world, none of us would need to be here, but of all the places I have looked online for information and support, this is far and away the best!

It sounds as if you have had a really worrying and frustrating time along the route to what may well turn out to be a Polycythaemia vera (PV) diagnosis, which is something that many people here’s experience will chime with. I was diagnosed just a few months ago, although I had my first venesection (where a pint of blood is removed and thrown away to lower the haemoglobin and haematocrit levels in the blood) back in August last year, and from reading other people’s experiences here I am starting to realise that what seemed like a really long wait for the results of my bone marrow aspiration and biopsy (10 days) after having tested negative for both types of JAK-2 mutation was actually really quick.

Both Duncan and Erica have given you great advice and Erica’s advice to adopt a ‘pleasantly assertive’ approach may well be just what you need. It’s not the first time that I have read on here that someone’s JAK-2 test wasn’t analysed because it had been requested by their GP and not a haematologist, which seems outrageous to me. I am not a doctor, but I have a great deal of experience of being a patient (and not always a very patient one!), and given that you seem to be ticking so many of the Polycythaemia vera (PV) boxes and your GP has said as much (although as Duncan said, the symptoms aren’t necessarily indicative of a Myeloproliferative neoplasms (MPN)), you clearly need to have the JAK-2 test done and if it has to be requested by a haematologist and the gatekeeper to the haematologist is your GP, you definitely aren’t pestering your GP by asking for the referral - you are just asking for what you need and what is, after all, your right. Pleasantly assertive is the way! (Thanks, Erica!) I know how difficult that may seem when you are feeling lost and frustrated and tired with all that has happened and fazed by the thought of what may well lie ahead, but at least by doing this you will know for sure what is going on, and you and your medical team can move ahead with the knowledge that you all need in order to be able to start getting you feeling better.

As Erica said, the Blood Cancer UK support line is there for you as well, and the community here on the forum is a great support. I haven’t been here long, but you can feel the warmth surrounding you.

Wishing you the very best and do keep in touch.

Janet

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Thank you all for your advice, sharing, and comments. Know from my heart that it is very much appreciated!

Am pleased to report the pleasant assertive approach has worked (I have got a referral to the haematologist with an appointment for 13th November) as well as a referral for a fatigue clinic (which I should get an appointment for in September!) actually really pleased at such progress in such a short space of time and hopefully a step closer to answers.

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Hi, @Key.Luke88! That’s excellent news all round! Do let us know how the appointments go, won’t you?

All the best,

Janet

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This is excellent to read @Key.Luke88! Well done for being assertive, now you’ve got the ball rolling a little faster and hopefully you’ll have less worry. I’ll keep my fingers crossed that it doesn’t turn out to be an Myeloproliferative neoplasms (MPN) or similar. Please keep us posted :crossed_fingers:t3:

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