DEAR DR. ROACH: I was diagnosed with COPD a year and a half ago and have several questions. I seem to be unable to get answers from my pulmonary doctor, as he is always busy and doesn't have a lot of time to spend with me.

How fast does COPD progress? I'm 78 years old, in reasonably good health and exercise regularly. I have chronic bronchitis with a slight amount of emphysema. I had been coughing a little during the day, had mucus in the morning and coughed at night for two to three hours after bedtime -- to the extent of having to use a rescue inhaler to settle down and get back to sleep. After he put me on Trelegy, all of those symptoms disappeared, and I feel perfectly normal except for shortness of breath.

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