JAK2 came back negative and the doctor seems to think that an MPN or any type of congenital polycythemia/marrow condition is unlikely. She also said that my high basophils were probably a fluke, but that we will watch them, and that the polychromasia is “not necessarily abnormal.” She wants me to start taking iron to increase my low ferritin. Any thoughts? Should I get a second opinion? I’m so confused because she seemed so sure I had PV prior to the JAK2 test. My concern is that my husband and I are trying to conceive and pregnancy is already a high-risk time for blood clots, I want to make sure everything “blood-related” is OK before I get pregnant.
Most recent labs showed RBC, hematocrit and hemoglobin just slightly outside the high end of the normal range. All other blood counts/platelets (except high basophils on manual differential) were pretty much normal. All other labs were normal.
My blood counts have remained virtually unchanged since 2011.
Symptoms of note:
Random unexplained fevers that come and go
Mitral valve prolapse (congenital heart valve defect)
Occasional pain/tingling in legs/feet at rest (perhaps restless leg syndrome? Which I’ve heard can happen with low iron)