Hello @bradmm, I am not a medical professional, but the listed symptoms of MDS include:
- Fatigue
- Shortness of breath
- Unusual paleness (pallor) which occurs due to a low red blood cell count (anemia)
- Easy or unusual bruising or bleeding which occurs due to a low blood platelet count (thrombocytopenia)
- Pinpoint-sized red spots just beneath your skin caused by bleeding (petechiae), and
- Frequent infections which occurs due to a low white blood cell count (leukopenia)

Low hemoglobin, otherwise called anemia can include the following symptoms:
- Fatigue
- Weakness
- Pale or yellowish skin
- Irregular heartbeats
- Shortness of breath
- Dizziness or lightheadedness
- Chest pain
- Cold hands and feet
- Headache

@bradmm, have you discussed this with your hematologist? Factors like treatment, aging, or another illness may cause some impairment, but that would be best discussed with your provider? If you are comfortable, are you currently experiencing some cognitive issues in conjunction with your MDS diagnosis?