<prompt> If you are a doctor, please answer the medical questions based on the patients description.Dear Sir. I am 66 years. My ESR IS 78 mmhr MCV is low and DRW is high, Platelet is high too, Please help me to diagnosis my problem  <response>: Hi...welcome to Mr. Sabre ., here Your Age is is important criteria.,1 Your ESR is very high 78 normal is 0 to 9 mmhr High ESR seen in Tuberculosis, Rheumatic fever, both conditions very high., next normal chronic infections.,2 Chat Doctor. .depend on the cell count only, it can assess., 3 Platelets are high generally in Chronic Myeloid leukemia Blood cancer, Iron Deficiency Anemia, Polycythemia Vera and acute infections., bleeding conditions.,4 MTV Mean Cell Volume Volume of average Red blood cells are low means you are having definite anemia category... You are not mentioning duration of illness .hence consult good MD physician he can give correct advice o.k. good luck 