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Real members of myMPNteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A myMPNteam Member asked a question 💭
Ramsgate, UK

I didn't know I had anything wrong with me or my bloods until I went to the pharmacy 1 month after a knee replacement when I was given iron tablets but why I had no clue the a year later after the next knee replacement. And something flagged up and I was ask just before I was administered anacetic do I know if I have issues with me blood which I replied not to my knowledge. After leaving hospital I had an appointment to see hematology doctor whom told me I had this p/v e/s . Apart from regular… read more

April 27
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A myMPNteam Member

And welcome to the NHS, a perfectly capable institution that firmly believes YOU don't need to know. Frustrating to say the least.

Fear not, everything you need to know and want to know is on this site, along with many people that want to help.

So, what's going on?

Your DNA has gone a bit wonky, its mutated and this happens. DNA isn't as resilient as you think, it's constantly getting damaged and constantly getting repaired, sometimes the damage is too much and the repair impossible, thats when things change.
With the ET your producing too many platelets, the off switch is broken, it can't be cured (yet) but can be managed. Not sure of the mechanics of the PV because I don't have it so I havn't researched it, yet!

I'll leave it there and be lead by your own questions, but try not to worry, your not going to die, not today anyway, there's one fella on here with a 35 year old diagnosis!

Fire away.

April 28
A myMPNteam Member

I would be one of the people with a 35 year old MPN diagnosis. It used to be ET but progressed to PV about 12 years ago. I have lived a good life while managing the MPN and at age 70 ptan to continue to do so.

Educated and assertive patients receive higher quality care. Passive patients do not. You have the right to access everything in your medical record. Suggest you review your medical history to get the complete picture.

It is very important to consult with a MPN Specialist, nit just a regular hematologist. MPNs are rare diseases and most doctors have little experience with them. There are several excellent MPN care enters in the UK. if you are near London, Guys and St. Thomas is one of the best.

Meanwhile, here are some resources to get you started. See the MyMPNteam site.
https://www.mpnvoice.org.uk/
https://mpnadvocacy.com/
These webinars are excellent. Start with MPN Molecular Biology.
https://mpninfo.org/conferences/2025-conference...

Wishing you all the best.

2025 Presentations - MPN Education Foundation
2025 Presentations - MPN Education Foundation
Home Page
Home Page
Home Page - MPN Advocacy & Education International
Home Page - MPN Advocacy & Education International
April 28
A myMPNteam Member

Thanks for chiming in Steve.

April 28
myMPNteam

It sounds like this has been a really confusing and unsettling journey — finding out about a blood condition almost by accident, and still feeling like nobody has properly explained what's happening. That's incredibly frustrating, and you're absolutely not alone in feeling this way.

It sounds like "p/v e/s" may refer to Show Full Answer

It sounds like this has been a really confusing and unsettling journey — finding out about a blood condition almost by accident, and still feeling like nobody has properly explained what's happening. That's incredibly frustrating, and you're absolutely not alone in feeling this way.

It sounds like "p/v e/s" may refer to Polycythemia Vera (PV), which is a type of myeloproliferative neoplasm (MPN). Here's a plain-language breakdown of what that means: What is Polycythemia Vera (PV)?

PV is a condition where your bone marrow produces too many red blood cells. This makes your blood thicker than normal, which can cause problems like blood clots.

Why the iron tablets?

Nearly everyone with PV develops an iron deficiency. This is very common with the condition, so the iron tablets likely relate to that.

Why blood thinners?

Thicker blood increases the risk of clotting, so blood thinners help reduce that risk — especially important around surgeries like your knee replacements.

What about regular blood tests?

These help your doctors monitor your red blood cell levels and watch for any changes in your condition over time. The most important thing right now is to feel informed and empowered. It's completely reasonable to ask your hematologist to sit down and explain everything in plain language — what your numbers mean, why each medication is prescribed, and what to watch for.

You deserve to understand what's going on with your own body. Don't be afraid to ask questions, or even bring a written list of questions to your next appointment. A good specialist will welcome that.

April 27

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