Smoked for many years and didn't have the strength to overcome it until wonderful Chantix. I take a lot of blame for my addiction. However, in at least three decades, my 40's 50's and 60's, not one of at least 4 "primary" (family) doctors ever insisted and sent me to a lung doctor where I would have received a spirometry test which would at least have told me how much lung volume I was losing. No way of knowing what mental effect that may have had on me. But it may have driven me to try "the patch" and gotten onto the patch and off the smoke. And just maybe, I wouldn't be deteriorating as I am now, lower than 50%, just started Pulmicort Flexhaler, and am trying to remember to do breathing exercises. Someone needs to school primary doctors to be more diligent in getting patients to be more responsible for their health.......and GIVE THEM DIRECTION. They have all the knowledge, we don't!!