African American man who has Down Syndrome moving upstairs in mall with his friend

horizontal female women caucasian man motion smile happy together happiness bonding togetherness friend friendship railing usa friendssteps aid elevatorhelper disabled stairs staircase mall photography disability massachusetts on the move north america mid adult two people syndrome african american black adults indoors young men men male smiling 20s color image moving up mid adult women full length young adult adults only toothy smile caucasian appearance developmental 30s shopping mall down syndrome trisomy 21 20 24 years 30 34 years incidental people genetic disorder ds front view dns