Completely understand. I have COPD and it is getting worse. I can tell. My friends dont understand why I cant walk up a big hill or why I don't want to go hiking, things like that. My problem is that I still smoke and I know that it is making my problem worse. I had been off of them for 5 weeks and then my husband ended up in the hospital and was diagnosed with late stage iv lung cancer. He also has advanced copd. He has also been in the hospital once since that time in September this year. You would think I would learn to stop this crazy smoking, but I became so stressed that once the ambulance left, I grabbed a cigarette. My husband also still smokes even after all this. He goes into respiratory stress because his lungs are not strong enough to push out the co2. He is at home for the time being but I don't think it will be long. And what am I doing? smoking away like there is no tomorrow. But yes, I do understand how you feel. But I am 69 and I look it. More wrinkles in my face that I should have at this time in my life. shortness of breath and using my inhaler more often. Hang in there.