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Use of Neupogen (or similar) prior to minor surgery
Blood Cancers & Disorders | Last Active: Aug 3, 2021 | Replies (7)Comment receiving replies
Hello @rrivory Welcome to Mayo Clinic Connect. We’re an online community forum where members come together to use our life experiences to help each other. We’re not medical professionals so we can’t diagnose but we can offer suggestions to help find answers.
0.8 is a moderately low neutrophil count so you know you’re already at a greater risk for infection. I can see your thought process behind using Neupogen or Neulasta. It would temporarily raise your white blood count. But I share your concern about any impact this might have on your MDS.
If this were me, I’d really be talking to my hematologist/oncologist about having the elective surgery and any premeds. You’d have to get his/her prescription for the Nulastin or Neupogen anyway. So for your peace of mind and a professional opinion, your doctor or NP is your best bet.
Have you discussed this with your hematologist?
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I have discussed this with my hematologist/oncologist. The problem is that I'm concerned about his comment that it "shouldn't" cause my MDS to progress. To me that means it still could. So I was reaching out to see if anyone else had done this to find out what their experience was. I'm walking a fine line between potentially progressing my MDS for a currently elective surgery and taking a chance that the surgery will become necessary at a time when it's even more dangerous to have.