I can understand not wanting treatment. I also have SLE and a lot of other issues going on. The MDS caused ITP initially but it’s becoming more serious. I did try the Dexamethosone for 4 days – the 40 pills – hurt my stomach terribly. The platelets went to 126 and in 4 weeks, back down to the 40’s. I’ve had DVTS’s and on Coumadin for life. I’ve had 2 blood transfusions for anemia until my hematologist (finally) discovered I was B12 deficient. I can’t figure out which disease is worse – the MDS, the SLE, Raynaud’s, ITP, etc. I told my husband this morning that I feel like I’m in pergatory. I have no “end” and no beginning. Every day is a sick day at some point in time. When do we learn to cope? I was diagnosed at age 67. My Dad had Lupus and when it hit his kidneys and heart is was goodbye. He was 67. My kidneys are showing signs of being affected now. My doctor calls my labs “stable.” I hate the term!