It is quite shocking to read the number of examples of heamos dismissing the serious fatigue we all seem to be suffering with statements like "your bloods are fine its not your MPN or medication". Could What else can we do? it be the case or does the anxiety and stress exacerbate the fatigue. People have suggested finding another heamotologists but where and not all heamos are experts in our related diseases. Someone suggested giving nurses the name of MPN Voice website - they may learn something. I suppose if heamos don't fully understand our situation then how can they help? I read somewhere that prolonged stress can affect the platelets. Not everyone with MPN has a history of stress but many have and certainly do at present. It would be interesting to hear what the Dr.at Guy's has to say about it. I agree it's time to start making noises but to whom?