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I cannot comment on the childbearing year's part, but my first impression when I found out was probably different than most people's reaction to the news. I was in ICU with bleeding lungs and mycobacterial pneumonia. My pulmonologist did a bronchial scope and cauterized the bleeding spots in my lungs. After I was out of anesthesia and had the breathing tube removed, he explained to me the situation. In my stupor, I didn't really have much of a reaction other than this doctor is going to take care of me and get me on the correct path. Once I got out of the hospital and had a clearer head, my impressions were to learn as much as I can about this disease. That is how I found this website and a slew of information. Which I soaked up like a sponge. Now when I see my doctor, we can have conversations about my condition and a treatment plan which I understand. Getting all worried and depressed about having COPD does nothing to help cope with it. I am doing fairly well and follow my treatment plan to a T. No major problems in the year and 4 months since my diagnoses, and no worries about keeping it under control. So, all is well for having an incurable and progressive disease for me anyway. Hope this answers your question. Take care and God Bless.