Pulmonary fibrosis and severe emphysema copd, what to do?

Rehab. Emphysema and pulm fibrosis may coexist in some patients. Treatment is directed at each entity including bronchodilators, oxygen and steroids. Your age puts an additional option of lung transplant for progressive disease.
Pulmonologist. If you are a smoker, quit smoking. You should be under the care of a pulmonologist (lung disease specialist).