Was diagnosed CLL in 2010 and have been on WW since. However my ALC has increased from mid 20's to mid 40's in the last 6-9 months which has prompted my hematologist to start making noises re treatment. Feel reasonably well in myself and free from ongoing infections, but have significant lymph node swellings to my neck and body. Now here is the thing, I have been recovering from major accident trauma for the last 2.5 years and am due to have an arthroscopic ankle fusion with AVN talus complication in a months time. As I understand it the success of this procedure is affected by the degree of blood supply to the area and in particular the various specialist blood cells that are required for the healing process. My hematologist seems to think that having FCR treatment whilst this is ongoing would not be a problem but I am not so sure. I would think that the blunt instrument of FCR chemo would inevitably also affect the very specialist blood cells required for the fusion healing process. I am minded to postpone any CLL treatment to give the ankle the best possible chance to succeed. So what would you do??