Hello all, thank you for your replies, had a bad few days. Been to my GP today with information regarding my local specialist, he told me "no need see specialist as not had blood clot or episode? 18 months and current enlarged spleen etc not related". I rang and spoke to specialist secretary seemed really nice and caring but I must be referred by GP. I also asked for sick note for week as so tired but refused as said if I took painkillers would not stop me working. Any thoughts how I could ask GP to refer me? I took books recommend with notes but not interested.