In my 20+ years of working as a Respiratory Therapist, I have seen first-hand how respiratory education, can significantly improve a patient's quality of life. Recently, I had a patient with moderate COPD, attend an education session with me. Her main complaint was that she was short-of-breath with exertion (mMRC grade 3), respiratory symptom assessment showed a CAT of 25, and she had 3 COPD flares in the last 3 months, which required ER visits. Further investigation showed that she wasn't taking her respiratory puffers correctly, was confused with what a COPD flare was, how to recognize a flare, and when to start treatment. I did teaching on the proper technique of her puffers, and she was able to demonstrate back the correct technique. We have a hand-out that explains what can cause a COPD flare, what symptoms to look for, and when you should start your flare medications (Prednisone/Antibiotics). Most patient's wait too long, before they start their flare medications and end up having to go to the ER. They should be started within 48 hours, of a flare. This patient returned to my office for follow-up, and was happy to inform me that she hadn't had a flare in the last 2 months, her mMRC had decreased to 2, and CAT was now 15. She had just returned from a weekend trip to see her family, and stated that months ago she could barely leave the house because her symptoms and flares prevented it. Patient education, combined with proper medication and follow-up, can significantly improve quality of life for COPD patients.