Hi. First post after receiving new diagnosis yesterday. 54 year old male, reasonably healthy other than MF. Most difficult thing I am finding is the uncertainty of the prognosis. It's really hard to get a feel for life expectancy given I am younger than the average of those diagnosed and I don't have any significant symptoms other than fatigue. Spleen size is 12cm but I don't know what it measured before I was diagnosed but it's now at the maximum of normal. I have three grown up children 22/25/28 and I am keen to be around to see them settled and I'd like to think I will get a chance to become a grand parent. I am classed as Intermediate risk on MIPPS7 v2 which seems to suggest a median survival of about 8 years but I have also read that, at my age, 11 years might be more accurate. Any tips on getting a better prognosis would be welcome as well as understanding how quality of life might change so I can plan out the future years to ensure I get the most out of them and do everything I can to make things good for my family. Thanks and glad this forum exists.