Have had copd for years but diagnosed with emphysema 4 weeks ago after being treated for what was thought to be allergies, asthma, bronchitis, then xrayed and diagnosed with emphysema. Using nebulizer, albuterol, astilin, musinex, claritin (also tried zyrtex, loratadine, etc), flonase, qnasl, 4 weeks of steroids (40mg day), vaporizor 24/7, diffuser with Breathe essential oils, hot teas with local honey and lemon. been to my general doctor 5 times in the 4 weeks and the emergency room once. My doctor will not give me a referral to pulmonologist (which is required here in the US on medicare) saying I am not at that stage. But the wheezing is upon exhalation, occurs 1-2 times per day even with all the meds taken. Walking only in the house which has purification system. Confined to my bedroom mostly. Very tired. No fever. No mucus. Saw doctor 4 days ago and he said I had improved significantly but 5 hours later had another asthma attack and this has continued off and on since. Should I not see a pulmonologist? Suggestions?