And Along Came Alexis is a book about choices and consequences. The author’s youngest daughter, Alexis, was born in 1978 with multiple disabilities, including blindness, an intractable seizure disorder and spastic quadriplegia. The choice to keep her at home despite medical advice resulted in a limiting of career opportunities for her parents and educational and other enrichment opportunities for her siblings. However, it also introduced the family to a whole community of earnest and interesting people dealing with similar challenges that they would never have known otherwise, and it provided rich perspectives on a different way of living. As for Alexis, she thrived far better than had been predicted and developed into a sweet, trusting person with a clear sense of self and an appreciation for the people in her life. The book describes the story of her life to date from her mother’s viewpoint: its victories and setbacks, its grim moments and its funny moments. Overall, it is a positive story, demonstrating what is possible, even under very challenging circumstances.