my partner had a transplant for myelofibrosis nearly five years ago. His counts have always been on the low side except red cells and his spleen has stayed enlarged. The doctor seems to think his spleen is collecting the cells. At his last clinic visit he is severely anemic. The doctor seems to think this could be caused by an internal bleed so ct scan tomorrow. Neutrifils low so should we be taking precautions like when he first came home from hospital five years ago?