This photo is a silhouette “selfie” of a mother and her son, standing strong by a railing, relishing their shadows.

But, there’s a lot more to this photo that you don’t see.

The boy in the silhouette is 7 years old and requires support to stand and walk. He arrived at the railing in an adapted stroller guided by his mother. What you don’t see is the years-worth of hard work it took him to get to this point, to this positioning, to this moment in this photo.

There are many other things you don’t see.

• You don’t see the diagnosis printed in black and white on his medical record at birth.
• You don’t see the many hours he spent in his parents’ arms crying fiercely when they didn’t know he was hurting.
• You don’t see the years spent in therapy so that he could learn to roll over, sit up, and balance.
• You don’t see the effort required to learn to hold his own bottle and to feed himself little snacks.
• You don’t see how he looks deep into your eyes as he waits to be taught a new sign.
• You don’t see his frustrations when he wants you to understand something, but can’t.
• You don’t see the sleepless nights, the hospital stays, the frightening medical tests.
• You don’t see the equipment this boy requires to stand and walk and sit.
• You don’t see the village that surrounds both the boy and his mother — those who’ve been there since the beginning, those who’ve crept into their lives at just the right moment, and those they never imagined building relationships with.
• You don’t see the grandparents who shed secret tears for both of them, but always show up with a smile and dessert.
• You don’t hear the “whys” and the “what ifs” and the endless worries simply by looking at this photo.
• You also don’t see how, despite these struggles, the same boy in the photograph laughs a contagious laugh, and hugs the most snuggly hugs.
• You don’t see how he wakes up ready to face another day — never dwelling on yesterday’s troubles.
• You don’t see how simple things in life delight him.
• You don’t see how comfortable he is in his own skin.
• You don’t see how he easily accepts others.
• You don’t see how he notices children and reaches out to give spontaneous, sloppy kisses.
• You don’t see how connected he is to the human spirit.
• You don’t see how happy he is being in our family.
• You don’t see how he happy he is being alive.

This ramp leads to a gazebo by the river — a place this boy and his mother come to spend time together in silence.

What you don’t see is that this ramp is physical therapy for the boy and the gazebo is spiritual therapy for his mother.

What you don’t see in this photo is the smiles they are both wearing. Standing here this day took a greater effort than it appears. The boy is giggling, the mom is elated. This was the first time he stood here — solid and proud.

Even though mom struggled to capture this perfect moment, the boy waited patiently as though he knew, too, that no one else would be able to see what they see in this picture.