Jeffrey: it is important to trust your Dr. You also need to know where your Myeloblasts are at. Your Bone Marrow Biopsy should have revealed that level.
Familiarize yourself with your IPSS-M score. The tool is on MDS-foundation.org :https://mds-risk-model.com/ You will need your latest CBC results and you should also have the results from your BMB. You can now download the tool too. Also, download information on MDS from the foundation and read it: https://www.mds-foundation.org/resources/materials. The Building Blocks of Hope is helpful. You can also request the documentation be sent to you. Did you have symptoms of MDS before you reached the transfusion stage? Your Dr may feel the need to be more aggressive with your treatment. Myeloblasts and the fact you are transfusion dependent can play into his decisions.