So I went to an oncologist close to home. Horrible bedside manner. Very quick visit. He told me I either have MPD or smokers something. I can't remember the name. The MPD panel came up negative as well as the jak2 and a few others. His nurse called me today and told me they were negative and he thinks it's from smoking and to see a pulmonologist for further testing. I had a pulmonary function test same day as the blood work, it was fine. No COPD. I am 38 yrs old and like I said my WBC counts have been elevated for a few years now. Now so is my hemoglobin and hematocrit along with others. I am now also getting high BP and pulse. Night sweats extremely lethargic, I can't even work. How long does it take to get properly diagnosed and is a bone marrow biopsy needed? I'm thinking about a second opinion. Any answers/help would be greatly appreciated.