Good morning folks! I had my first visit with my pulmonologist on Wendsday approx.six weeks after my PFT test confirmed my condition of stage 2 COPD FEV-1 54%. I first and foremost want to thank you all for your advise and suggestions about how to navigate this first appointment. It went very well and first impression I am very happy with my Doctor and his competence. I was prescribed SPIRIVA RESPIMAT 1x daily. That was all that was prescribed. The doctor mentioned that his hope is that my FEV-! 54% may increase to FEV-1 60% or better upon a repeat of PFT testing in six months time of using SPIRIVA. Have any of you had an increase in FEV-! after using SPIRIVA? Also should I expect immediate results with SPIRIVA or does it take some time to begin working? 20 days no tobacco!!!!