Hi Dick,
So you're reporting an ANC of 650 - that's pretty low and certainly increases your risk of getting an infection. See:
http://www.realnurseed.com/t1000.htm
The fatigue issue is the low hemoglobin especially if it has fallen fairly quickly. When it falls slowly your body accommodates to a degree. My ANC fell to 50 after my first cycle of Dacogen and fortunately I did not encounter an infection at that time. I did however, have eleven infections since being diagnosed with MDS, including MRSA three times! Have seen an infectious disease specialist twice and hope my current routine precludes further incounters with that nasty staph bug.
Anyway check out the link to see what your ANC means.
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Bill F, 74, MDS RA '05, procrit, aranesp, revlimid, no help; 87 transfusions, 4 cycles dacogen, then transfusion free ~2yrs, 4% blasts
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