Not surprisingly, I've been feeling more tired than usual the last few days, but have also had much joint pain, an expected symptom of myelofibrosis. On an extra visit to haematology out patients paracetamol four times a day, and codeine twice a day was prescribed.

In view of the drop in Hb in spite of the reduction in the dose of hydroxycarbamide I will get a transfusion on Friday morning.

Blood results last 7 months 9.06 27.05 25.03 2.03  21.01  24.12  26.11 29.01 Normal Hb 93 96 98 98    101 104 109 100 130-180 WBC 2.55 2.91 3.15 3.36 3.52 4.00 3.02 3.10  4.5-10.0 Neutrophils 1.14 1.3 1.57 1.78    1.6 1.8 1.16 1.43 2.0-7.5 Plt 296 342 369 449    494 551 391 427 150-450