Me &amp; Patient with COPD

Me: Have you taken the  
Pt: No &amp; I am not going to. It has too many side effects I am worried about.

Me : 😐
Pt: 🤷‍♀️

Me: Have you quit smoking?
Pt: No - but I did cut down to a pack a day 

Me: 😐
Pt: 🤷‍♀️