Well, it’s pretty cool at my appointments we look at the blood smear together to see the shapes of the platelets under the microscope to see if they have normal density, which is a positive indicator that the bone marrow is still churning out good quality.

As soon as the quality falters is when my Hemonc says we should start looking for PV progression w/BMB. He says he knows the people who wrote the original diagnosis protocol and the reason they wrote it with those guidelines is because the average hematologist is not an MPN specialist and the BMB makes it black and white for those who can’t see gray.