It has been written to help you understand more about MDS. It describes what they are, how they are diagnosed and treated and also the expected outcome (prognosis). It also provides information on coping with the emotional impact of an MDS diagnosis.
If you wish to obtain a copy of the booklet please click here or contact us by email or telephone:
firstname.lastname@example.org or 020 7337558
General Information and sub-types of MDS
- BOOKLET - Building Blocks of Hope – MDS Foundation
A special and full information book on MDS – produced by the international MDS Foundation. All you need to know about MDS.
Includes explanations on sub-types of MDS, symptoms, tests needed, severity and treatment options. To download – or as a paper copy.
- BOOKLET – What does my bone marrow do? MDS Foundation booklet explaining the role of the bone marrow and stem cells in simple language and with illustrations. Paper copies available from our office.
- MDS – Diagnosis, Treatment and Research updates by Dr Austin Kulasekararaj, London Patient Forum 2012
- General MDS – Dr Chris Dalley – Royal Hallamshire Hospital, Sheffield, London Patient Forum September 2010
- High Risk MDS and hypomethylating agents - Dr Kavita Raj, Consultant Haematologist Guys and St Thomas’ Hospital, London Patient Forum September 2009
- Genes and Genomes and MDS, part 1 - Nicholas Lea, Head of Diagnostic Molecular Haemato-Oncology at King’s College Hospitals, March 2015
Genes and Genomes and MDS, part 2 - Nicholas Lea, Head of Diagnostic Molecular Haemato-Oncology at King’s College Hospitals, March 2015
Leukaemia and Lymphoma Research’s (LLR) patient booklet on MDS can be downloaded here.
Paper copies can be obtained free of charge by contacting LLR directly.
- The LLR also provides a Chronic Myelomonocytic Leukaemia (CMML) Factsheet.
Download it by clicking the link. All other downloads from LLR are available on their download page here.
Check all latest versions of their booklets, as well as many other useful information booklets.
- Current treatment in MDS – the Irish Perspective
Dr Helen Enright, Dublin, Ireland Patient Forum 17/06/11
- Supportive care treatments:
- EPO injections (short name for Erythropoietin) – for low haemoglobin/anaemia.
Erythropoietin is a natural hormone produced by the kidney, which promotes the formation of red blood cells by the bone marrow. The resulting rise in red cells increases the oxygen-carrying capacity of the blood.
The natural erythropoietin hormone level can be detected and measured in the blood (the EPO test). If your natural level is low – you may be given EPO injections to help boost the production of red blood cells. This may help postpone the need for blood transfusions.
EPO injections are self-administered.
However – if your natural erythropoietin is high, you are unlikely to benefit or respond to these.
- GCSF injections – may be given to you to help avoid infections.
GCSF is also self-administered
- EPO injections (short name for Erythropoietin) – for low haemoglobin/anaemia.
- Active MDS treatments:
- MDS Drug – Vidaza (azacitidine)
AZA (short) is a treatment licensed for specific MDS sub-types and levels of severity: Intermediate2 and high-risk MDS, CMML and AML. It is a type of chemotherapy administered in out-patient clinics.
This is done via injections 7 days a month – as long as the patient needs it.
Please also consult the Macmillan website about azacitidine: Macmillan azacitidine
- MDS Drug – Revlimid (lenalidomide)
Revlimid is an oral treatment licensed specifically for MDS sub-types del 5q (or 5q-) patients – who are also transfusion dependent.
Revlimid is recommended by NICE for routine use in NHS – for isolated del 5q.
For patients with del 5q plus one other chromosomal abnormality, Revlimid is available via the Cancer Drug Fund.
Revlimid is sometimes also used for MDS patients who do NOT have the del 5q abnormality – and has been shown to be effective in a small number of patients. Ask your haematologist if this may be an option for you.
- MDS Drug – Vidaza (azacitidine)
- NEWS ARTICLE – Azacitidine patient story:
Rodney Taylor was interviewed in the Daily Mail in March 2010 about his MDS treatment with azacitidine – please read if you are seeking more information on this drug.
Daily Mail article March 2010 – Rodney Taylor
And its 2013 update Rodney Taylor article – Daily Mail – 2013update
- CLINICAL PAPER – If you are receiving the treatment azacitidine/Vidaza – and possibly experience a rash at the injection site, evening primrose oil can help. Please read the following information and always check with your nurse or physician first: Evening Primrose Oil
- BOOKLET – Why you need transfusions and how they help. Also includes information about iron overload and iron chelation which can become relevant if you are receiving transfusions on a long-term basis: Iron Overload Book
- Understanding myelodysplasia and Introduction to Blood Transfusion (PDF)
- February 2012 – New resource for patient information on blood transfusion. The following NHS link includes information about all aspects of blood transfusion: Link provided by the Chief Medical Officer’s National Blood Transfusion Committee ‘Patient Involvement Working Group’ here Please be aware the information is not specifically targeted at MDS – but all conditions needing blood transfusions.
Life style advice
QUALITY OF LIFE – GENERALLY
- MDS and Quality of Life Geke Ong Pt Forum Sept 2012
By Geke Ong, London Forum September 2012
A 2 page general information sheet on eating and MDS
- Diet and Aplastic Anaemia, MDS and Acute Myeloid Leukaemia – March 2016
Presentation by Andrea Davis, Macmillan Haematology Dietitian, King’s College Hospital, NHS Foundation Trust
- Healthy Eating and Neutropenic Diet in MDS-Dec2011
Presentation by Natasha Jones, Specialist Dietitian – Haematology & Palliative Care
- More tips and advice from patients themselves on our MDS Message Forum:
Nutrition and Health Supplements – Patient Experiences
- FATIGUE FACT SHEET – a 2 page general information sheet on fatigue.
What is important to know about MDS and fatigue
What you can do to help yourself feel a little better
- MDS and Fatigue
Making the Most of your Energy & Taking Control of Fatigue
Cambridge Patient Forum 12/11/10
- Fatigue in MDS – Sept2011 by Tanya Navarro, Occupational Therapist
- ARTICLE – Dr. David Steensma’s article explaining fatigue in MDS:
A Frank Discussion About Fatigue In Patients With Myelodysplastic Syndromes. Dr. Steensma is a physician based in the USA whose primary area of research focuses on myelodysplastic syndromes and related conditions.
- ARTICLE – Fatigue and Fatigue Management
Article written by Julie Burkin, Occupational Therapist & Lead Practitioner Long Term Conditions Service, Palliative Care Team, from Addenbrooke’s Hospital Cambridge
MOOD and DEPRESSION
- Anxiety and depression can be a problem – ask to see a counselor at your hospital.
If this service is not available in your area – do consult the directory in our Useful Links page, for a private counsellor. Even a single session can help to talk things through.
Bone Marrow Transplants
- Book: 7 Steps handbook about Bone Marrow Transplant. A paper copy can be obtained free of charge from LLR – Leukaemia and Lymphoma Research
Transplantation for Myelodysplasia - Dr Catherine Flynn Consultant Haematologist St James’s Hospital, Dublin Patient Forum 17/06/2011
The NEXT 7 steps – a follow-up to the 7 Steps – looking further down the line at recovery after a bone marrow transplant. anthony_nolan_the_next_seven_steps.
Paper copies can be obtained via the Anthony Nolan webpage.
- Read more on transplants from patient experiences on our MDS Message Forum:
Bone Marrow /Stem cell transplant – Patient’s experiences
Other helpful and practical information
- More tips, advice and names of insurance companies on our MDS Message Forum:
Travel Insurance advice from other patients
Including patient feedback regarding good and bad travel insurers.
- If you are using a Hickman line – we have received the following tip and new device from a patient who invented a special holder that makes the central line a little more comfortable. Check her website www.centrallineholder.com. She devised the product following her own experience. She is now looking for patients to test it and review the product.
- Macmillan SLIDES: A Brief Introduction to the Benefits System by Fiona Crowe, Macmillan & Dimbleby Benefits Advisor
- Macmillan Benefits National Helpline 0800 500 800 (we recommend calling this helpline first before other helplines)
- Disability Living Allowance & Attendance Allowance 0845 7123 456
- Employment Support Allowance 0800 055 66 88
- Carers Allowance 0845 608 4321
- Patient Transport Bureau 0300 111 213
- Age UK Advice 0800 169 65 65
- Community Legal Services Advice Line 0845 345 4 345
- Adviceguide website is the main public information service of Citizens Advice Bureau
- Community Legal Service provide and promote civil legal aid services:
Information about MDS UK Patient Support Group
- MDS UK Patient leaflet
Hospital staff can order stocks via our main office on 0207 733 7558
Or online on our Contact us page
- Poster for display in hospital waiting rooms.
Feel free to print and use – or request a laminated copy via our office
- Want to start your own local MDS group for informal chat and mutual support ?
Download 2 documents: Tips and guidelines to follow, as well as a poster you can adapt and use for the hospital or GP waiting room:Patient Support Group Guidelines – final
- Poster (Microsoft Word document for you to download and edit) for display in hospital or GP waiting rooms
- What is MDS_InfoFebr2015
2-page information sheet produced by MDS UK and the MDS Foundation. Explains what MDS is and what the support groups do. Useful for those wanting information about MDS to share with friends and family and for those planning fundraising and other events.
- Quality of Life questionnaire used to assess how you are coping with aspects of MDS and to what extent the condition affects you.
Bring this to your physician to help discuss your care.Click here to download and print the questionnaire. You might find it helpful to fill out this questionnaire at every consultation to notice any positive or negative changes in time – and share it with clinical staff.
This questionnaire has been developed and validated by an MDS specialist and is being used in many European countries for the purpose of assessing Quality of Life in MDS patients specifically.
Further information can be found here
If you are using this questionnaire, and are happy to share your responses with us, please post or email your completed questionnaires to us – as this will help with information we collect on Quality of Life data. All questionnaires will be anonymous.
MDS UK Annual National Patient and Family Forum, 3rd October 2014, London
- AGENDA – MDS Forum, London, 3rd Oct 2014
- SLIDES - Coping with Anxiety, Anne Crook, The Christie NHS Foundation Trust
- HANDOUT - Coping with Anxiety, Anne Crook, The Christie NHS Foundation Trust
- SLIDES – Myelodysplastic Syndromes, Part 1, Dr Austin Kulasekararaj, King’s College Hospital NHS Foundation Trust
- SLIDES - Myelodysplastic Syndromes, Part 2, Dr Austin Kulasekararaj, King’s College Hospital NHS Foundation Trust
- SLIDES – MDS Patient Forum, Sophie Wintrich, MDS UK
- SLIDES – MDS National Survey, Monika Janosik, MDS UK