Hi, a couple of days ago I went to the respratory clinic for a consult. I had a headache for a few days which progressed into congested nose and sinus, then into my chest over about a week and a half. I am 38 and have smoked for about 25yrs. I feel no different to any other time ive had a chest infection but the Dr diagnosed COPD - early stage emphysema. He gave me anti biotics and said I need to go back when my infection clears for spirometry test. I was blown away when he said I have emphysema without 1st doing the Spiro. He did listen to my chest and ask some questions on how long ive smoked and how many. Is it even possible to diagnose emphysema based on asking questions? I mean my chest would sound bad because I have an infection. Really suprised and confused....