I was recently diagnosed with COPD, and the other day my PA told me that he planned on dropping a MEB packet for me in December if there are no improvements. The respritory specialists I have been seeing say they don't expect any improvement. I have about 69% lung capacity and have went from maxing my run to no longer able to even try it. I have had several PFTs, the breathing challenge where you try many different inhalants with no improvement to my lung capacity. I did the exercise test and I don't have exercise induced asthma so that is where the COPD diagnosis came from. It has also caused my blood pressure to be elevated but controlled with meds. The doc explaned the BPM to me as since I cannot get enough O2 into my lungs, my heart beats faster and harder than it should to compensate. I am currently on Spireva, Advair, Albuterol as a rescue inhaler, and lisiniprol for the BP. How should I expect this to play out? I have no knowledge on the MEB process but I am starting to do my research as I expect it to be coming soon. Any insight, advice, or help would be greatly appreciated. Thank you.