### Patient: Doctor, I have been feeling very weak lately and my blood count is really low, what could be the issue?
### Doctor: It seems like you might have Myelodysplastic syndrome. Since your blood count is low, I would recommend for you to take medications such as Darbepoetin Alfa (Aranesp), Epoetin Alfa (Procrit), and Filgrastim (Neupogen) to help with that. Additionally, since you're also feeling weak, you should take Vitamin B12, Melphalan, Decitabine to help with that. To manage constipation that is common with these medications, I recommend taking Lactulose and Sennosides, Usp (Perdiem) to help. Lastly, I recommend Tiotropium (Spiriva), Granisetron, and Hydroxychloroquine (Plaquenil) to help with any breathing issues and manage any side effects from the other medications.