I can't guess Donna's doctor's reasoning but my doctors wanted me on Vidaza until immediately before transplant to keep me in remission (blasts < 5% and no chromosome abnormalities).
The conditioning chemo is going to knock the counts down to zero anyway once transplant time comes. But they need to be kept high enough to stay reasonably well beforehand, i.e., no fevers, bleeds, or infections.
__________________
Karen, age 62, dx MDS RAEB-2 1/8/10: pancytopenia WBC 2.7k/Hgb 7.4/Hct 22.1/Plt 19k; complex cytogenetics -3,del(5)(q14q33),-6,+8,+mar,17% blasts. MUD BMT Johns Hopkins 11/30/10. Dx tongue cancer 8/31/12. ok now. blog mausmarrow.com
|