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Matching Strength to Smoking History There is no perfect conversion formula, but evidence-based equivalency models are useful starting points

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Specific questions about respiratory symptoms, functional status, or changes in the ability to do activities of daily living should be included in health checks to identify COPD, and spirometry arranged if indicated

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Ethics declarations Ethics approval and consent to participate Not applicable Consent for publication Not applicable Competing interests The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper

Keep a clock handy and time the episode to maintain an honest perspective on time