JessM there is a family business near me (bakery and cafe) and the owner's adult son is Down's Syndrome and he must be "high functioning" (sorry, I don't know the correct terminology) because to all intents and purposes he seems to live a "normal" life. So are there tests that can identify, or would the degree of impairment influence decisionmaking?
Interestingly, I met a young friend for coffee yesterday who had a termination at 16 weeks when they discovered that the fetus had "gross chromosomal abnormalities" and they were told that the girl she was carrying would be born with Turner's Syndrome. My friend appears to be unaffected by it, (she said she wished people would stop treating her as if she should be in mourning) excepting to feel total relief that these tests are now available.
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