### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
What does it mean if I have a really hight red and whit blood cell count? He askd if I have been any where with high elavations. No not at all. I went last week thats when he told me, but have to go back next week to do more blood work. I tried to find stuuf on the net but not many answers. Would you happen know anything? My symptoms; Heart beating so hard you can see it through my clothes, dizzy, light headed have to sit down, black spots and cant see, red looking rash sometimes, neck, shoulders, upper back, chest sharp pains, bruse easy, feel like Im going to pass out, headaches sometimes but will last days, jaw is sore sometimes like some one hit me, when standing legs turn purpple, and biggest of all and most often cant breath or really hard to catch my breath.That last one is bad and offten 2 or 3 times a day sometimes it takes 10 15 min. to catch my breath cold air seems to help some. It also happens weather I am still or active and it does not happen more or less its just all the time and I hate the way it feels. Thank you

### output:

Hi I did review your concern. High red and white cells can be due to myeloproliferative lesion in bone marrow and cause such problems. There is now specific treatment available for this in terms of Sleeve and Jackal depending on their molecular etiology.However, to establish a diagnosis, you need to consult a hematologist and get evaluated in terms of peripheral smear and bone marrow and genetic studies if needed further down the line. I hope this helped me know if you have more questions and concerns. Wish you all the Bethany you for choosing Chat Doctor 