A 7-year-old immigrant boy is admitted for removal of tonsils and adenoids (T-A). The child was born at full-term delivery but needed tracheal intubation and suction at birth. He has always been a poor feeder and gets asthma attacks regularly. Despite that, according to the mother, he was doing well until after his arrival in the USA, 4 months ago. Since coming here, his asthma has worsened. He often gets severe episodes of coughing and vomiting and becomes tachypnoeic, tachycardic, and cyanotic. He also has had two episodes of pneumonia for which he was admitted to the hospital.