What is the realistic life expectancy for someone with emphysema? I've heard some people can live 20+ yrs. I'm very young, 38, with stage 2 emphysema and Alpha 1. Im on tons of meds and get bronchitis a lot. I'm curious, will I die younger (in my 50s) or live a longer life with a severely decreased quality of life. I know no one can answer this definitively, I'm looking more for opinions.