About 3 years ago I had a COPD flare up. My symptoms were a 99° fever, fatigue, chest congestion, Etc. I did not take time out to go to the doctor because it was the Christmas season and I was busy. One night my fever jumped to 101° and I ended up calling the EMTs. I was admitted to the hospital with pneumonia and stayed there for 3 days. Despite going to pulmonary therapy my COPD was permanently worse. I have never recovered completely from that flare up.