Hi @bdglass Welcome to Mayo Connect. You jumped right into the perfect conversation to ‘connect’ with fellow members who have MDS. Thank you for sharing your experience with treatments and concerns for ‘what’s next’…

As long as you’re having frequent blood checks you can place most of that worry with your hematologist to make the decisions for you as far as needed transfusions. If you start feeling weaker than usual, more fatigued, develop a fever, have unusual bleeding or bruising then you may not require any transfusions for blood or platelets. Has your doctor given you any guidelines for when you need to call?