Hi - I just wanted to say that I was pleased to see fatigue included here as a symptom. With severe COPD I experience as much shortness of breath (SOB) as the next person but can control it, medicate for it, exercise and work with it. Fatigue on the other hand really impacts my life and nothing seems to make that much difference. Certainly in any list of symptoms I would put it equal first with SOB, or at least in second place - yet so often I see 'cough' mentioned before fatigue - yet I rarely cough. I would like to see far more research done on COPD & fatigue as it is a major debilitator and quite literally 'shrinks' my life!