Male 62y, 7.5 years since diagnosis, last wbc at 60k which was 20k higher than about 18 months previously. Lymph node swellings in neck and shoulders have increased at an alarming pace in the last couple of months after being progressively stable for the last 3-4 years, although generally I still feel quite well and free from infections. I am due to see my hematologist later this week so am anticipating a more serious than usual conversation regarding the start of treatment. I knew this time was likely to come at some stage but now that it is here I have to admit to feeling more than a little apprehensive. I was hoping to hang it out for a few more years in the hope of being able to take advantage of some of the promising combination therapies that are currently being trialed.