It is good to be thankful. Whether in mindfulness training, historical contexts, or religious beliefs, the values of gratitude are widely espoused. Last month, readers in Canada celebrated a national day of Thanksgiving, and, this month, readers of Pediatrics in Review in the United States are celebrating Thanksgiving.

There is much for which to be thankful. Some gratefully celebrate personal blessings and accomplishments, while others are thankful for the provision of food, water, and shelter. Getting even more basic, we can be grateful for airways, breathing, and circulation. In this month’s Index of Suspicion cases, we follow the thought processes of clinicians helping children with altered respiratory statuses. Continuing to update our medical knowledge and skills, we provide care for which our patients and their families can be grateful.

Philip R. Fischer, MD

Associate Editor, Index of Suspicion

A 1-month-old girl presented to the emergency department with respiratory failure. She...

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