[Ruth Cuadra]

Hi, mcgill54.

Welcome to Marrowforums. You seem to be keeping track of your blood counts, which is important because the trends can be more revealing than any one set of test results. If you are a little dehydrated on a test day, your counts may register higher because there are the same number of cells in less fluid. Generally, platelet counts can be among the most variable but it seems that yours are indeed trending down.

I am wondering how your doctor arrived at a diagnosis of MDS/CMML. Have you had a bone marrow biopsy? The defining features of CMML are an increased numbers of monocytes in bone marrow and dysplasia (abnormal shapes) of at least one cell type. Has your doctor recommended any treatments?

Regards,
Ruth