MDS--myelodysplastic syndromes--are a group of disorders that cause "bone marrow failure." Basically, the bone marrow stops producing enough usable blood cells. I bring it up here because it is kinda, sorta related to myeloproliferative neoplasms, the family of cancers that includes ET, and ET MIGHT be a risk factor for developing MDS.
Before you freak out, read on ...