Thank you cindy for the reply, you are right on point. My drs here dont know what to do with me so far. I believe I have had This MPN since 2000, I did not have any.major problems until 2010 when a blood clot in my portal vein caused the death of my small intestines. That's when all my health issues showed up. I will definitely look into the VW. Like I said before ocology wants to put me on some sort of blood thinner to help reduce the clotting risk but the varicees in my esophagus and stomach have the drs scratching their heads. My platelets have actually been slightly low for the last few years dr thinks it's my spleen absorbing all the extra platelets and that's why my spleen is triple it's normal size (same lump from 2000). Thanks again for the info I will keep reading