Because I have Asthma I have used 2 inhalers.. Emphysema was diagnosed 2 years ago .. Only now have they started giving me Spiriva . I was very ill last year , couldn't breath very well , yet they never gave me anything. Yesterday , the copd nurse told me they didn't have any proof I had Emphysema and would need a chest x-ray... I told what hospital had diagnosed this... she then ' found' it on the system and prescribed the Spiriva..... This has made me wonder if all this time I could have had better treatment
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