<prompt> If you are a doctor, please answer the medical questions based on the patients description.i m a 66 year old male. my health is excellent, excellent. never sick. wbc count is 14,000. this from a cbc test. next step according to my primary dr is call a onocologisthemotologist. am i looking at a bone marrow biopsy or will they take a wait and see approach? one more question...if a bone marrow biopsy is called for is it out of line for me to want and ask for a general anathesia or will they insist on a local thank you for taking the time to answer  <response>: Your WBC counts are mildly elevated.Currently, the upper limit of normal range is 10,000- 11,000. These reference ranges are designed for 95 of population. Remaining 5 healthy population have reference ranges above or below reference range. Also, before proceeding straight away for bone marrow, please inform me about the following.1. Your differential WBC counts ??meaning of neutrophils, lymphocytes etc.2. Your general blood picture description.any toxic granules in neutrophils, etc.3. Your serum CRP levels. 