Yesterday I had my first annual review at my GP surgery. Wasn't good news I'm afraid. I had added to my meds another inhaler, making it 3 in total now. My new one is Fostair. Apparently, because I've been hospitalised once and had 3 chest infections within the year, my COPD as worsened. I was not able to do spirometry tests, because you need to have 4 clear weeks off antibiotics, and I haven't. Is this normal peeps. I now can't get my mucus up. Nurse said, it's because my airways are blocked. Could this be the case. I'm not downhearted though. I won't be knocked down.