'copd' is a measurement on spirometry
, not a real disease; patients with asthma will test as having 'copd' much of the time. Now please forgive me. You're smoking up to two packs a day. This is a terrible idea if you have a history of asthma / 'copd' and bad even if you don't or only have sarcoid. Please talk with your physician about smoking cessation. Thanks.