Frequently Asked Questions
Dr. Mahler answers “real” questions 
often asked by his patients with COPD
 
      
      More Short of Breath But Stable PFTs
Dear Dr. Mahler:
I recently saw my doctor because my breathing has been slowly  getting worse. This is quite noticeable when I play golf 3 to 4 times a  week. I ride in a cart and always try to get as close as possible to the  tee and to my ball. My golf partners laugh about this. I also find that  walking up stairs and up an incline on the golf course makes me feel  short of breath.
At my recent appointment, my doctor told me that my PFTs are the  same as a year ago and that my COPD is stable. He asked me about my  activities since March when coronavirus caused “stay at home” orders. I  told him that my husband and I have been quite inactive, and shared with  him that I have gained 6 pounds since March.
My COPD medications are Stiolto in the morning and Ventolin as  needed, but I rarely use this inhaler. I haven’t had a COPD flare-up for  at least two years. Do you have any thoughts on why I am more short of  breath?
Sincerely,
Diane from Longmeadow, MA
 
      
      Why is my COPD getting worse even though I quit smoking?
Dear Dr. Mahler:
Why does my COPD seem to be getting worse?  After my doctor pushed hard, I quit smoking 4 years ago. I have been doing pulmonary rehabilitation at the local hospital. However, my breathing seems to be getting worse and I have 1 – 2 chest colds each year, usually sometime between fall and spring. I take Advair and Spiriva regularly, and use ProAir 2 – 3 times a day when I am active. What do you think?
Hank from Appleton, WI
