Protudjer et al studied the "normalization" 14(p94) process of children with asthma using thematic coding. Similarly, Prout et al examined the "ordinariness" 13(p138) of children and families living with asthma from a qualitative approach. They used an adaptation model from a sociological analysis of chronic illness in their work.Clack, an advanced practice nurse, described the clinical decision-making process she used to assist a young boy and his mother in eradicating persistent symptoms of asthma. Her first step of "cue acquisition" 15(p24) described the importance of gathering information to "formulate an accurate picture of the child's situation." 15(p24) The second step Clack described in her clinical decision-making process was "hypothesis generation." 15(p25) Clack refers to Tanner's work suggesting that good clinical judgments require an "understanding of the illness experience for the child and the family." 15(p27) The additional stages of Clack's clinical decision-making model with asthma patients, "interpretation" 15(p25) and "evaluations," 15(p26) were useful in understanding the childhood experience of asthma.We suggest that findings from the aforementioned studies support the profound complexity of communication and language surrounding asthma. Although some things are known about perception, metaphors, and asthma, additional metaphorical studies are needed to understand the plethora of health care experiences including adult asthma patients, their families, and the nurses who care for them.