New diagnosis of primary myelofibrosis

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I was recently diagnosed with primary myelofibrosis after a positive Jak 2 test at GP surgery led to referral to haematology and bone marrow biopsy. I’ve just started hydroxycarbamide and the specialist will monitor my blood to check if it is helping. What worries me is that my GP tested for Jak 2 mutation 3years ago and it came back positive but they didnt follow it up and never told me the result or significance of it. I feel like for the last 3 years I have had this disease and it has been causing scarring in my bone marrow all this time. I know I shouldn’t Google things but when I did Google myelofibrosis it said median life span of 6 years. So I feel scared that I am already at least 3 years into that time span which I could have been having treatment if I had been referred so am I more likely to have a worse prognosis because I have only just started treatment. Sorry to sound so negative but can’t help thinking what if I had been referred 3 years ago would it have made any difference to how my disease progresses. I have a wife and three children and worry so much about them if this disease takes me early

  • Hi Nigel, welcome to the club no-one wanted to join!  A lot of stuff on the internet about Myelofibrosis is about old studies so are no longer relevant re life span

    ive had post Polycythemia Vera myelofibrosis for 2 years and PV for about 18 months before that  

    firstly where abouts are you in the UK. You need to be referred to an MPN (Myeloproliferative neoplasm) specialist.   This can either be done virtually or in person. I had one appointment privately for speed, took my blood test results then got tranferrred on theNHS to that specialist. 
    I had been treated by phlebotomy only by a haematologist for 4 months. A haematologist is not a specialist in our diseases.  
    a specialist would most likely offer a bone marrow biopsy and probably a newer treatment ie ruxolitinib or Pegasys interferon or Besremi. 

    I can send you a list of MPN specialists but although it is 2016 most drs don’t change their specialty but there may be new ones 

    above all, don’t panic there is hope for you.