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Harold P (a couple named Sandy & Pete) had a similar situation after he was diagnosed with secondary MDS. They considered a mini-tranplant (ruled out due to other health problems), watch-and-wait, Vidaza (azacitidine), and Dacogen (decitabine). Unfortunately, they haven't posted recently so we don't know how things turned out. You'll find a few forum threads discussing the choice between Vidaza and Dacogen.
After "what treatment do you recommend and not recommend?" the most important question to ask is "Why?"