Diagnosed with CLL four years ago my outlook on life changed immensly. However, like many of us I have my 'good days' and 'less good' days, and trust me: It has nothing to do with depression or anything else. Reading through most CLL patient's posts and talking to friends with CLL, and knowing myself for almost 60 years, we have all one HUGE denominator: TIREDNESS!!!! Hence the doctors try to convince us all the time otherwise and keep on saying it has 'nothing to do with CLL, problably something 'else' causing the feeling of tiredness...' Yeah....??? Really doc? One day I feel as if I could conquer Everest, the next day I can hardly walk upstairs. Will the ratio of 1 red bloodcell against 36000 white bloodcells of which 30000 are absolutely useless and litter my system with rubbish not causing havoc for my physical engins? After all these years, collecting patient information and blogs like these the doctors must surely start to notice this factor ...caused by CLL. Who are they to tell us otherwise? Yes! Tiredness is a massive positive symptom for us all CLL sufferers. We MUST change our lives because of this simptom. Constant tiredness is detrimental for our normal everyday programme, for life goes on for healthy people out there, but we can't (always) keep up. Tiredness is NOT my imagination, or due to a secondary infection, or looking for sympathy, or because I feel depressed. It is a very physical experience. I can't just 'sleep it off'. Feeling the typical CLL tiredness, I can't clean my house, it is not good for me to drive, I can go to work, as long as I do not need to stand on my feet for hours or doing hard labour (for today if expected from me). Tomorrow I might feel super energetic again and people will look strangely at me and might silently think: 'Yeah, you can't convince me...'. (Just pouring my frustrated heart out to fellow CLL friends today, know you will understand).