Hi, I was just got diagnosed with COPD, emphysema. I'm 67 yrs. old. I used to smoke 26 yrs ago for about 22 yrs. I'm blessed to have found this site, as it's always helpful to hear from people who share similar experiences. I was hospitalized 2 months ago with difficulty breathing. I went to a pulmonary specialist , who put me on the Spiriva handi-haler. I also use Xoponex inhaler 4x daily, as needed. I find that I'm very fatigued. I used to exercise & was very active. I hope to get back to that soon. I've begun to walk on my treadmill 3 x wkly & do stretch exercises & weights on the opposite days. I've heard that this is important. Thanks for listening.