Without consulting or seeing a Pulmonologist prior, Dr. Woike informed me that in his opinion he felt 85% that I have emphysema.  Although the xray and CT scan were clear.  He was very disrespectful because I had refused the nasal swab Covid test prior. I was open to other forms of testing but didn't want a cotton stick up my sinus cavity.  Dr. Woike said that I had shot myself in the foot by refusing. He also added that I would need to be on inhalers for the rest of my life.  
GURN Internal Medicine