[CatherineJ]

I'm sorry to hear about your husband's relapse. I have been recently diagnosed with MDS and my biggest complaint has been fatigue also and have had trouble sleeping. Your husband should ask hematologist for some sleeping pills. I think getting at least one good night's sleep can get you back on track. Also exercise can work miracles for insomnia and can actually help fatigue also. Just going for a walk outside rejuvenates me. My hematologist has basically said there isn't anything to be done when my counts aren't low enough to necessitate treatment. My counts are very similar to your husbands. I think also the fatigue that we suffer from bone marrow failure diseases isn't always related to blood counts, it is terrible and I'm sorry for your husband. Best of luck to you both