1. LATE DIAGNOSIS – IS IT A PROBLEM?
Professor Peter Calverley
University Hospital Aintree
Liverpool UK

2. Is former Cardinal Ratzinger a member of the Church of Rome?
Of course it is
but why?

3. OPPORTUNITY COSTS OF LATE DIAGNOSIS
Continued exposure to risk factors –lost chances for smoking cessation (Parkes et al BMJ 2008)
Lost opportunities to benefit from effective therapy that can modify the natural history of disease
Delayed use of rehabilitation
Problems of mis-attributed symptoms –what is wrong with me? Inappropriate treatment
Increased risk of COPD-related depression?
Limited chances to change function for the better
IT SENDS THE WRONG MESSAGES ABOUT COPD