I have PV Jak2 positive. My blood counts have been very stable since 2012 so I have not been on any medications or other treatments. In July my counts elevated some. Hematologist had me return in three months to be checked again. They went up a bit more. Had blood work again yesterday. Platelets are back to normal (423 now 355). However, RBC 5.33, HGB 15.6, HCT 46.8, Red Cell Distribution 15.2. Dr is recommending Pheldotomy. I am a 70 old female. Anyone out there with these type counts doing phlebotomy? Has it been effective? What side effects have you had?