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Dx Trisomy 21: Alice Success StoryPathway to Wellness

Parents choose stimulation and opportunity as their philosophy


Mother and Alice today

Alice was born at 37.5 weeks weighing 2 kg after a swift and normal delivery. It was the first of April and we were told for the first time that our only daughter had Down Syndrome. Shocked and unprepared, we went home with our tiny baby to face the difficulties of the many symptoms. As a result of her low muscle tone, Alice had very little movement of arms and legs, she didn’t cry, made a big effort to nurse and would sleep most of the time. It took one hour to feed her 50 ml of breast milk.

“We faced many months of sleep deprivation.”

After birth, Alice lost weight due to poor feeding, and we faced many months of sleep deprivation.


Baby Alice faces an uncertain future – even her doctors disagreed as to what was best for her

When she was 2 weeks old, we took Alice to see the cardiologist, who diagnosed her congenital heart defect, and recommended no early stimulation, no contact with people, not even baths. But the pediatrician recommended early stimulation, so soon her agenda was filled with appointments with therapists. Alice gained very little weight those first months and we were overwhelmed with the endless appointments, medical examinations and worry.

What did the future hold for our only child?


Baby Alice had a convergent strabismus which made it difficult for her to use two eyes together properly.

A loving Aunt tells Mother “Don’t worry, Alice will surprise us all”

Luckily, My cousin gave us a copy of the book What to Do About Your Brain-injured Child and said “Don’t worry, Alice will surprise us all”. My cousin had done the Intensive Treatment Program at The Institutes with her son and during one of his visits to Philadelphia, she took me as a babysitter. I had been to The Institutes ten years before, but we had never imagined we would one day return for a different reason.


Celebrating Alice’s birthday with her Aunt Teresa who had confidence that she would do well.

“The course would completely change our lives.”

When Alice was 6 months old, we signed up for the What to Do About Your Brain-injured Child course in Belém, Brazil. A month later, we flew to Belém to do the course that would change our lives and Alice’s future. Alice could not crawl, and she reacted poorly to pain. She could not make meaningful sounds either. After that week, we felt relieved that there was a solution for our worries and that it was up to us to make a change. This course would completely change our lives for the next few years.


Mother and Father and Alice became a real team they worked together every day to make things better.

“We were advised not to speak two languages but we knew the brain grows by use.”

At 9 months Alice was on the program. We adopted “the floor as a way of life” and at 10 months she was on the Reading and Math Programs. Despite recommendations to the contrary, Alice was being brought up in a bilingual home. Doctors and therapists advised us not to speak two languages at home on the assumption that, since children with Down Syndrome have significant speech and language difficulties, she would be further disadvantaged by hearing two languages. But now we knew that the brain grows with use and the more the brain was fed with information, the more it would grow.


Crawling was Job One: Little Alice really enjoys coming down her inclined crawling track


Baby Alice begins single words - it turns out to be very easy for her to learn to read.


Sensory stimulation and motor opportunity make for a very interesting and exciting environment for a baby


Crawling with Dad that is real fun anywhere but - yes that is Copacabana Beach one of the most famous beaches in the world. This is Alice’s backyard since she lives in Rio.


Parents return to The Institutes for an updated evaluation and program every six months but also to learn more about brain growth and development.

“The speed of her development was amazing.”

We soon began to report more changes: Alice was rapidly catching up on her milestones. She began to crawl at 8 months, to creep at 10 months and to walk at 13 months. The speed of her motor development was amazing.

Her cardiologist (a different one by then), was impressed with her improvements and said Alice was free to do the respiratory program. This was important for us, as Alice still had big issues with feeding - it took an hour to feed her a blended meal. She was still under weight and she still had big delays in her speech. We reported that she did not interact normally with people or with the environment. She seemed to live in her own world and she tuned out often. She did not respond when she was called and she made repetitive movements. She never seemed to be hungry.


Laughing all the way - by age 10 months Alice could creep!


Hurray - at age 13 months Alice was up and walking


By 18 months she is very secure on her feet and moving well

We scheduled our first visit to The Institutes when Alice was 13 months old. She had already started on the program at home after we attended the course. At her first visit she was given a crawling and a creeping victory.

“We were thrilled that Alice was getting results so quickly.”

Her initial functional diagnosis was Mild, Diffuse, Bilateral, Cortical and Midbrain Injury. Her chronological age was 7 months, and her neurological age was 4 months at her first evaluation. Alice began to catch up quickly as a result of her 5 months of home program. We were thrilled that Alice was getting results so quickly. From then on, we were officially on the Intensive Treatment Program.


overhead bar now Alice is getting good at taking her own weight.


Alice on the brachiation ladder her grandfather built soon she will be a brachiator

Grandfather, an engineer, accompanied us on our first visit. When he got back home he built Alice a brachiation ladder. Leia, Alice’s advocate, wisely realized that she would soon be ready to use it. A few months before he had also build her a crawling track.


Alice can take advantage of all the equipment in the park now


Encyclopedic Knowledge: Alice has seen thousands of Bits of Intelligence and she can easily identify hundreds of different animals which are her favorites. Here she is with some of her library around her.


Is that a water baby?


Or a water ballerina!

The following couple of years Alice progressed fast. Every new visit to The Institutes she would get a new victory, and this made us very proud and relieved. In the second visit Alice got a walking victory. On their third visit Alice got a language victory, then an understanding victory, then a running victory.


Parents receive the certificate in Child Brain Development at the Qualified Parent Level. Leia Coehlo Reilly, Director of The Institute for Physical Excellence and Dr. Ernesto Vasquez, Chief of Ceremonies, and Director of Physiological Excellence congratulate us.

“Better running, better speech, better reading, better health”

In February 2019 we attended Lecture Series VI, Alice was 3 years and 10 months old. Alice was running 3 km daily and she ran on the beach once a week. She loved to jump on the rebounder, hang from her trapeze and she did beautiful rolls. She could do amazing math and spoke hundreds of words and a few sentences in both Portuguese and English. I was happy to report that she was toilet trained and could type on the I-pad to express what she wanted. We took Alice to her regular visit to the cardiologist, and he gave us wonderful news: her heart defect was completely closed.


Alice in the ‘Finish Position” but Alice is not finished she is still changing every minute and probably she will never stop doing so.

“Her physical growth caught up to her peers but her reading and math are far superior.”

At 4 years old Alice had achieved a normal height and weight, compared to an average child of her age. She grew fast and caught up with her cousins of the same age. Father taught her how to ride a bike and she is currently working to become an independent brachiator. She can perform a gymnastics routine with spotting. She is on a the social growth program and is quickly improving behavior and developing independence. She can now eat, use the bathroom, brush her teeth and get dressed independently. Alice loves reading and reads one new book every day, in both English and Portuguese. Today she does math problem solving and reads at a second grade level but it will be two years before she is the age of a first grader! She is completely bilingual in reading, understanding and speaking.


Wonder Woman -We enrolled Alice in her first street run in our city, Rio de Janeiro. At age 4 years, 4 months she successfully ran 6 km wearing her Wonder Woman outfit, with her very proud parents. Alice was the youngest person to compete and she finished full of energy and excitement.

Once a week we take Alice on a fun outdoor activity. and loves to run on the beach. We saw really amazing language development after Alice began on a good running program.


Alice first climbed the famous steep rock climb in Rio - the Sugarloaf Hill Hike when she was two, since then she has climbed it many times.


Alice runs 3 km in the evenings with her Dad and they run on the beach once a week.


Iron Girl? Now Alice is adding biking to her list of physical challenges. What is next the triathlon? There are few four-year-olds in the world that can match her right now

A bright future for Alice

At her most recent visit she had more than 1000 words of speech, and her speaking vocabulary had tripled. We no longer worry about her future as we did. We still do not know what the future holds for Alice, but now we know it is a bright and happy future.

As my cousin predicted, Alice has surprised us all.

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