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Most Recent CBC Shows Further Deterioration

Home Demo forums Patient Message Board Most Recent CBC Shows Further Deterioration

Viewing 6 posts - 1 through 6 (of 6 total)
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  • #57888
    Eric King
    Participant

    I was dx low risk MDS back in 2010. I’ve been watching and monitoring it with my Hematologist since.
    There was a time I was anemic as well, and getting infusions of iron supplement, but that stopped in 2015.
    In 2021 I started getting shots of Aranesp every two weeks to try to boost Hemoglobin.

    My last CBC just shows further deterioration in numbers.
    Some feedback from others dealing with low risk MDS would be appreciated.
    These numbers seem pretty bad for me, but I guess there are others on here whose numbers are worse and are still functioning well. I’m just not sure what my next step is.
    I’m thinking of contacting the Centers of Excellence in San Diego.
    Thank you

    WBC – 2.2
    RBC – 2.76
    Hemoglobin – 9.1
    Hematocrit – 29.8%
    Platelet Count – 138
    Neutrophil % – 46%
    Abs. Neutrophil – 0.9K/uL

    #57909
    Kathie Wolf
    Participant

    You sound like you’ve done well with this disease for quite awhile. My husband was diagnosed in 2016 after a gunshot wound while volunteering as a rescuer for the Sheriffs department. He has low risk meds also. Not sure if the trauma brought it out of hiding, but he went a couple of years in the watch and wait mode. Then he progressed to Procrit to bump up his hemoglobin. That worked really well initially, so well his hemoglobin got too high, so they stopped it. Eventually it stopped working and in august of 2019 he started on Vidaza. Hi hemoglobin was 7, wbc 1.6, platelets 60,000, We had gone to a couple of seminars at the Stanford center of excellence early in his disease and realized how much variability there was. When he started the Vidaza, we were also referred to a bone marrow transplant MD at Stanford. It was more to tell us what our options could be at some point, but not that we were there yet. My husband was 70 and very healthy and active when diagnosed, which per that doctor worked in his favor. After a year of Vidaza, his MDS went into remission. He stopped the Vidaza and is now a year and a half out and all labs are still normal. I would definitely ask for a referral to the San Diego center of excellence. You can also get on line and look to see when they are offering seminars. They are helpful. Good luck!

    #57929
    Eric King
    Participant

    Thanks Katie.
    I will look up Vidaza. I’m 69 yr old. I too was on Procrit for awhile. I think the bone marrow option isn’t as viable of an option for those who are older. My Hematologist says that it’s like the cure is worse than the disease. At least while I was in the low risk category.

    That’s what I need. A treatment plan that after a year has the MDS in remission.

    #57973
    Roderick McCune
    Participant

    Hi Eric,

    Sounds like you are doing well. I have mild MDS since 2012 found on routine blood work. My numbers are as follows:

    WBC:3.1
    RBC:4.1
    HGB:11.9
    Platelet:147

    I have been asymptomatic and living a normal life. I walk daily and try to eat healthy. I am thankful for each day, and I try not to think to far into the future. My oncologist thinks I will become symptomatic next May. I hope he is wrong, but we’ll see. Hope this helps and you don’t feel alone in this

    Rod McCune

    #57974
    Michael
    Participant

    Diagnosed in 2016 at age 64. Low risk and have been on watch and wait since diagnosis.

    Typical monthly blood results:
    WBC- 1.8
    RBC- 4.3
    Plat- 280,000
    Neut- 25%
    Lymp – 55%
    Hemoglobin- 12.7

    I feel blessed not having treatment. I live a “normal” life but very conscious of potential infection. I’ve been doing the hand washing staying away from sick people long before Covid.

    My hematologist calls it “punctuated equilibrium” meaning you can stay at stable levels until some event happens and then things change. After the change you begin a new “punctuated equilibrium”.

    Best wishes

    #57975
    Eric King
    Participant

    Thanks Michael and Roderick

    My Hemoglobin used to be between 10.5 and 11.5 on a pretty regular basis. RBC was between 3.2 and 3.5 and Abs. Neutrophils between 1.5 and 2.9. I agree it’s a sort of punctuated equilibrium as your hematologist says.

    I feel like my numbers are resetting to a lower level. I haven’t had any transfusions or drug therapy except Procrit back in 2010 and now Aranesp every two weeks. Aranesp is supposed to help boost RBC and Hemoglobin, but so far this year, it’s not doing much of anything.

    Roderick, I’d say your numbers look really good, outside of the low platelet count.
    Yeah, Michael. I would use caution as well with that low WBC count. But your other numbers look really good.

    I sent an email to my hematologist to see if he could provide some insights into what he sees for me down the road. I haven’t heard back yet. I realize I’m in the low-risk category, and he has patients with much worse symptoms, but it would be nice to get some communication back to address my concerns.

    Thanks again for your insights.

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