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I was diagnosed in June 2016 RCMD low risk. I have no issue with platelets, RBC is modestly low, hbg avg 12, wbc avg 1.5, and ANC nearly always below .5. I am on watch and wait, with monthly blood draw and annual bmb. Drs. generally don’t prescribe neupogen as prophalactic. I had a number of neupogen injections at outset as initial hematologist wanted to use Vidazza treatment. Neupogen was to bring wbc to level that made hematologist comfortable to use Vidazza. Second opinion at Center of Excellence with MDS expert led to no treatments but monthly monitoring.
Since June 2016 I’ve been essentially infection free, although I do get some minor skin infections from time to time.
This disease affects everyone differently. I wish you and your husband all the best.