This podcast episode provides a comprehensive overview of chronic obstructive pulmonary disease (COPD), including its diagnosis, management, and prevention. The importance of timely intervention and treatment in slowing disease progression is highlighted, with a focus on ruling out other conditions with similar symptoms, such as congestive heart failure. Pulmonary function tests, particularly spirometry testing, are emphasized as crucial in confirming the diagnosis and monitoring disease progression. The importance of preventative care, including vaccinations and appropriate inhaled medications, is discussed, along with the role of pulmonary rehabilitation in improving the quality of life for COPD patients. The significance of thorough physical examinations in distinguishing between COPD exacerbation and heart failure is also emphasized. Lastly, the episode stresses the need for conversations in the family medicine clinic prior to hospitalizations, including discussions about end-stage COPD and goals of care.