[mcgill54]

Hi Tytd, thanks for the input. Since the last platelets were 37K, the aspirin had to be stopped.I had the stent 3.5 yrs ago after a bypass which came out of nowhere, no heart attack or damage, doing great except for the platelets. The dr arranges the nplate through a program of Amgen, probably off label, although they are also doing combination studies.Because of my age 86+ my options are limited, and the only thing still under discussion is the NPlate, with all it problems. I fear that the platelets will just continue to drop. At NYP they give transfusions at 20K even if there is no bleeding. This seems like a very short term solution as they only last a day or two. Also asked about prednisone, but it doesn't work with cmml. Trying hard to stay in the moment. How are you managing? Are platelets your only issue.? Best regards, Mcgill54