I also within the past 3-4 years required oral steroidswth a bout of pneumonia, bronchitis. This winter I had a virus requiring IV steroidal therapy and two hospitalizations. There was an X-ray taken on my first hospitalization . showing no COPD. Today I returned to the Dr. with the Chief Complaint of Bronchitis, sinusitis and sever cough, fever, chills and aching only at night. Daytime, minimal cough, but blowing and coughing up mucus of color. Decreased breath sounds in left lower lobe. Was given Breo inhaler and sent for CXR which showed pneumonia and COPD. WAS PUT ON Levaquin for 10 days told to continue Mucinex, which I have been using for almost two weeks. Have had pneumonia in the past several times and numerous bouts of bronchitis. Do. With Type II Diabestes about five years ago controlled with Metformin 1000 mg daily. For back surgeries, with fusion from S1 to C3. Last fusion 7 yearsago. What might happen as this progresses, what line of treatment should I expect? Is there a diet effective?