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She lives with my brother and sister-in-law out of state, and I try to visit often. She has almost pulled us down several times, and our arms & shoulders get very sore after helping her walk, as she's a large/heavy woman. She refuses to use a walker, saying she doesn't need one. I'm afraid we're both going to fall, and be seriously injured. How can we convince her to use her walker? Her knees are not strong enough to support her anymore; it's not a balance problem. She's almost 82.

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Please use a gait belt. By using it, your loved one can do the most they can while making it safer for them and you.
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LaBlueEyes Mar 2019
Great suggestion! And it might embarrass her enough to make her use the walker instead..
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My mom had gotten to the point that she needed a walker and didn’t want to get one due to vanity and thinking it would be an inconvenience for us to deal with in cars, restaurants, etc. She was embarrassed by a walker, felt it made her look like a pitiful old person! Too funny.

She thought she could continue with her cane but she did much better with a walker.

Of course the opposite was true. Not a problem to put walker in trunk or backseat, corner of a restaurant, etc. Certainly an emergency room trip due to a fall is of more concern because we don’t want our loved ones to be hurt.

I solicted the help of nurses and doctors to tell her that she needed a walker and that worked for me. It became a safety issue for us due to mom having Parkinson’s disease. Best of luck to you.
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My brother haw dementia and is wheelchair bound because of bad legs and knees. Yesterday I was able to take him out for a haircut and lunch. No problem with the transport chair. When we got back to the nursing home he decided he wanted to walk in. I started to say no, but didn't. I said, Ok, you can walk, but wait for me to get the chair out of the car. It will make it easier for me. So, he waited. I let him try and get out of the car himself - and said, Ok, lets go. He couldn't take two steps before he said, Maybe I will use the chair, which was directly behind him.
Dementia patients forget they can't do many things they once could. I think the key is to try to redirect them. I knew my brother could not walk and I was prepared for him trying. However, the sadness I endured knowing he will only decline was massive. When he was refusing the walker and chair I did not let him hold himself up on me. I did stay next to him and did hold his arm - don't let them hold your arm or lean on your shoulder - you will go down. I learned a lot from the physical therapist at the nursing home on how to helping without hurting myself if he falls.
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mumtothree Mar 2019
That is helpful and something I will try - holding her arm instead of her holding mine. Even though she is not heavy, she is short and so stooped that when she holds my hand, she pulls downward. I know that I would not be able to keep her from falling and would likely tumble with her. My husband and his brother see no problem in allowing her to lean on them. I want her to use walker any time she goes out. They are both stronger than I am. (They are her sons and I am the daughter-in-law, 35 years married, so of course I am the one not cooperating.)
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Wannadance2018; Hello! Im not as nice as you if I think it I say it ....So I would tell my Mom "mom if you do not want to use a walker or wheelchair then I can NOT take you anywhere with me!!" And I would not feel guilty !! Who's going to take her out if you get hurt? and whos going to take care of you if you get hurt ?the caregover must take care of the caregiver!! Good luck!!!
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My dad was the same way. He refused to take his walker to the grocery store on our weekly trips. He would use the cart until one day, there were more groceries than normal and he couldn't push the cart. He fell in the parking lot. That was the end of that. From that point on, whenever we go out, the walker goes with us or we don't go.
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You have many good responses here. Be firm. Use a walker or wheelchair or no go. My mother was the same. She yanked on me. Eventually, I injured my own back so severely, I spent two years in physical therapy. I use a cane now.
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My late Grandmother refused to use a walker. However she did accept the use of a sturdy shopping cart! This was great because she would be on a “shopping trip” and her vanity about using a walker was assuaged. It was an “accessory” for her outing (like an oversized handbag) not a “walker” for an old person.
Buy a heavy duty cart and weight the bottom down if you can. This proved to be an excellent solution for my late Grandmother. She most definitely was too heavy to lean on me and I would have gone “down with the ship”.
By the way, just give it to her and insist that she use it. If she has a favorite color, get that. Throw your stuff in there if you have to. If you or she falls you will have a MUCH bigger problem on your hands.
Hope this is of some help. Good luck.
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NeedHelpWithMom Mar 2019
So funny that you mentioned cart because my husband’s grandma wouldn’t use a walker but loved a shopping cart which served as a walker. Great suggestion!
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Wannadance2018; HI so mom is too weak in the knees and refuses to use a walker hmmm......Same thing with my aunt! But shes tiny and I allowed her to get a wheelchair to go around in,,but she thinks she does not have to use a Walker in her room grrrrrr it makes me crazy she keeps falling so Im hopeing this time I got through to her I said "Auntie if you do not use your walker to walk with you will fall and sooner or later you'll break a hip or worse then you'll have to be in a Nursing home and you'll be bedridden " I must of said this to her a thousand times!!! I do see her useing her walker more often now mom wanted yo to use a cain all the time I got the whole Family to talk to mom and we put her on Physical therapy the seniors HATE physical therapy!!! the therapist also told mom use walker its much more safe than anyone helping her to walk or a cain we all REALLY PUT OUR FOOT DOWN we said we CAN NOT help her if she can not walk there is no way , she has to be able to walk ,if you dont use it you lose it!!! We said if you fall youll have to go to a Nurseing home! we all ganged up on the issue andeverybody refused to help mom walk ever unless she used the walker!! IT IS A TYPE OF GREIF THATthe seniors go through loseing another form of independence!! So they tend to get stubborn useing a new tool or eliminateing a old tool its really. SAD but sometimes you have to use TOUGH LOVE so they'll do what is safest for all involved Good luck!!!
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Usually, when patients develop dementia, they don’t realize they need walker & either walk without it & fall or lose it....misplace it, etc. There was a man in SNF when my mother was there...that always left his walker and walked without it. The CNAs used to always have to remind him or ask him where is his walker?!? Well, you get the idea!
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My mother does the same thing, but everywhere. To go to the bathroom, to see her tons of plants, to everywhere... and everytime we bring the walker subject, she closes the talk, enters in denial, starts to cry, complain, scream. I try and give her only my left arm, the one it's already *bleeeeep* up, and preserve my right one. But it's troublesome. We have to stop everything we are doing to take her here and there, if in the bathroom, we need to wait untill she opens the door to take her back... i love her more than everything, but feel her wet hand from the bathroom sink. on my arm... disgusts me. Thanks for all the tips here, will try some
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BlackHole Dec 2018
Coyote, if you already have a bum arm, you should not invite further injury.

Your mother is perfectly able to use the proper assistive device. She simply refuses, and you cave to it. Only you can change this dynamic.

BTW - no judgements! Been there, my friend. I knoooow how much it sucks for a caregiver to hear “hey, you need to do one more thing.” 🙄

But if I had it to do all over again, I would have been wise to draw some different lines in the sand.

Coyote, if you only have so many fights left in you (and again, I can relate), maybe choose one existing “want vs need” tussle to loosen up on — and take up the mantle of cane/walker in its place?

Take care of yourself! It’s the truest cliche out there. And it mainly comes to light when we don’t take care of ourselves.

There are ways to delegate elements of mom’s care — even if mom does not want you to believe that. But you cannot delegate self-care.

There’s nothing wrong with putting yourself first. Everyone else’s attitudes and perceptions are just that: attitudes and perceptions. Including mom’s.

Treating yourself right and treating Mom right are not mutually exclusive. (((big hugs)))
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I would get a walker myself! Tell her that "one of us has to use the walker - I need it in order to be able to help YOU!". Then you may actually have to use it a couple of times. Make it a nice one that looks good, not so clinical, and the one I got mom to use had a padded seat. That won her over while standing in line at Penney's.
Best Wishes ~ Jill
#itainteasy
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NeedHelpWithMom Mar 2019
What an original answer and so clever. It’s a little devilish too! I love it! Too funny! But may even work. Worth a try!
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Just visited my mother's 95 year old aunt. She fell several weeks ago, had serious concussion & a hematoma...and has had chronic and nearly debilitating arthritis in her hip, and spinal stenosis. She began to use a walker after a few years of misery and severely limited mobility, but to her this was independence, so it was worth it.

So she had a PT eval. She said to me plaintively, "I can't understand why no one considers it a goal for me to walk on my own again...I am so frustrated by that." How's that for denial!
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Countrymouse Dec 2018
The very fact that your aunt is frustrated by being written off is the only reason you need to accept that walking unaided again is *her* goal. Why take it away from her? What will that do for her motivation or her sense of well-being?

That's her goal. Work towards it. It doesn't matter if she never gets there.

These are the exercises recommended in the Extra Care Charitable Trust's falls prevention classes. Glance down the list and you'll see that about half of them can be done with people who can't even stand up.

Walking
Toe walking
Heel walking
Knee bends
Leg lifts
Arm movements
Standing on one leg
Stretches
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We don't need to convince them of anything, except perhaps that we are prepared to stand behind what we say to them.
It's tough to stop deferring to our elders, but it's a natural part of the life cycle of families. And in the majority white culture in the U.S. (my experience is limited to that!) it seems the natural order of things. Parents grow old, we their children must step up. It's all uncharted territory. But we aren't doing them any favors by continuing to act as though they are always in charge and we owe them obedience. I think dignity is very important, but so is love, and judgment, and safety. How dignified is it for an elderly person to fall- especially in public? It's awful for people to have to admit that they fractured a hip or got a concussion *because they fell?* If protecting their dignity is your concern, consider the indignity of them needing to wait- on the floor- for emergency personnel to arrive even just to get them back on their feet? I speak from experience. It's painful to witness. So is the guilt, even shame. My mother fell a few times on my watch, and it was hell. Sometimes at home! One time I was helping her get to the toilet on time...she was screaming at me to hurry, and I Iet go of her for one moment, she lost her balance, and went crashing into the acrylic sliding shower door- knocked it right out of its track, and somehow landed safely with no broken bones, no head injury...

One a.m. I took her to urgent care after her home health aide noticed a big purple bruise on her torso...I learned she had fallen the previous night, my sister had somehow gotten her up, and my mother reportedly refused medical attention. My sister hoped no one would know it had happened- I'm quite certain she was ashamed she'd been unable to prevent a fall. There I was with this diligent doctor, trying to explain injuries I had not witnessed and that my mother didn't even remember getting...The doctor admitted she had a dilemma... serious bruises, failure to get checked out the previous evening... This whole thing caught me completely off guard- I had never even considered that scenario before then.

People frequently develop impaired judgment as they age- it's physiological, they can't help it. And they need us to step in when their or others' safety is at risk. It might be that they re-use paper plates & plastic utensils they have "washed" and cannot tell are not clean, or skipping breakfast as a diabetic, or deciding not to drink fluids for many hours until dehydration causes lightheadedness and weakness and they fall. In my Mom's case, those were the tipping points at which we and her doctor insisted she allow a home health aide for one hour every morning- period. Until she knew we were serious, she would send them away. They'd knock on her door and she'd refuse to let them in.

There were many doctor visits and shopping trips when my mother would get out of the passenger seat, close the door and head for our destination. And I would have to say "Mom, hold on, you need your walker." She'd insist she didn't need it for a quick stop. Sometimes she would agree to use it, other times I'd have to say "Mom I'm not going in there with you if you don't use your walker." The rules- and roles- change as our parents age, and if we really love them I think we have to accept the natural order of things and deal with their reactions; what's the alternative?

By the way, I kind of miss those days. Vascular dementia has taken nearly everything from her; today's struggles are about whether she'll allow us to brush her teeth.
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WannaDance the reason Your Mom refuses to use a walker is She would feel embarrassed if She was seen by some Person She knows but feels an arm assist is far less noticible. My Mom refused to use a walking stick in public for the same reason as She felt it would draw attension to Her but asked for arm assistance. I then contacted the Occupational Therapist Who gave me a order to get the mobile walker which Mom loved. It was the dinkiest thing with one front and two back wheels, also had hand brakes front and back and a carrier bag fixed on the frame. Your Mom would love it.
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Husband refused to use walker too. Finally he realized nobody could support him to keep him from becoming unbalanced and then he began to use the walker. You need to tell mom "no" - we can't go to the store, we can't go to the movie, we can't go where you want to go UNLESS you are willing to use the walker. It's a matter of pride - they just don't want to realize they're getting older and need the special help. If you stand firm and don't give in to her, it will work. Otherwise, you're going to have nothing but frustration.
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Oh, how commonplace this is! An elder will resist the walker because it makes them look "old." Instead, they would rather use the VERY unsafe practice of balancing on someone's arm~oftentimes hurting the one assisting them!
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Kidnumber2 Dec 2018
By the way, my late Grandmother was sensible enough to use the “shopping cart”. She had no health issues and was a pretty sturdy individual. She managed okay with the cart and stayed pretty close to home. She also voluntarily stopped driving after she scraped her car enough times pulling in and out of parking spaces. Thankfully she was never hurt nor did she ever injure anyone in a vehicular accident.
My mother, on the other hand, has a very serious neurological condition and suffered with very brittle bones. She had a walker, walking stick and an aide but wanted to do it “herself”. After many broken bones, a couple of orthopedic surgeries, a minor stroke and some other falls she is finally using a walker ALL THE TIME, plus she has help in her home. She also has a motorized wheel chair she can use for short trips around her neighborhood.
Everytime she hurt herself one of my siblings or her sister went running to the rescue, took time off from work, etc. This is AFTER my sister hired someone to help her. Mom instructed the person, a live in helper, NOT to help her because she wanted to try to do it herself. She then fell and broke both her knee caps and spent the next few month in a wheel chair. It is quite remarkable that she never sustained a serious head injury in any of these incidents. I am certain her current misery was exacerbated by her many falls. She could have saved herself countless hospitalizations and rehab stays if she had only used her walker or accepted the help that was offered her. Very stubborn person.
By the way, she continues driving. I really am hoping that issue does not become a headline story. She does not live near any family (her choice) and she is a person who will do what she likes when she is left to her own devices. She feels “poor me” because she needs so much assistance. Does not think “lucky me - I have so many excellent helpers to make my life safe, cook and clean for me, do my laundry and I live in the city of my choice”.
She is 85 years old and though I know it is not easy for her, she at least she does have very good care and lives in a very supportive Senior Community. That is something not every older person has.
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Your mom is placing you in a dangerous situation the only way it will stop is if you “man up” and refuse to walk with her. You tell her I will take you out , but only if you use your walker. Eleanor Roosevelt said it best “ you can only stop being a doormat when you refuse to lay down “.
You just enable her, you don’t try to convince her to use her walker, you tell her use your walker or we don’t go.,Then walk away don’t get into a discussion stand up for yourself. She is bullying you and quilt tripping you into putting yourself in harm’s way
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My mother is the same, will not use a walker or a cane to save her life,, or my back! After our last trip overseas I told her that was it.. no more. She hung on me or my 84 YO aunt the entire time, and I had a terrible trip. She has since gone to visit a cousin in TX, and she hung on her the entire time..LOL. Nothing I or her Drs say will change her mind.. I swear I am going to put "I"ll be fine" on her tombstone! You can't reason with her.. and even the fact that my 50 YO best friend needs a cane will not change her mind
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1nephew Dec 2018
You don't have to change her mind, you simply need to stand your ground. Remember, you have choices too.
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Wife suffers from oste arthritis
she has rollator Best thing since sliced bread. 4000 mile auto trip with it. Easy in easy out of car.
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My mother-in-law refused to use a cane....until I found a beautiful, stylish one that redefined what she thought a cane looked like. The same can be done with rollators, walkers, and portable wheelchairs. Go for color and decorate! At the very least, use a gait belt with her; make sure that you have a physical therapist explain proper technique so that you don't get hurt.
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MaryKathleen Nov 2018
I think you are right on for some people with decorating it. Some people are going to need the hard ball approach of "use it or you don't go". I got a Drive rollator, it is red with "Nitro" printed on the side, the frame is rectangle, so I had it Pin Striped in white, gray, and black. Real Pin Striping, not tape. I get complements all the time on how great it looks. Right now I only need it if I am going to be on my feet for a long time, but I can see the day coming when I will need it for shorter periods of time. When I take the 11 year old grandsons out, they always want to ride in it too. Sometimes, I push them for awhile. I just need to put a little weight on the handles to ease my back. At grocery stores I use a shopping cart.
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Rollators are great! Having someone else evaluate and explain the need is always helpful. My mom's hip doctor told her that her walker was her best friend and that she should take it with her everywhere. We never had a problem and I was so glad to keep her safe and save my back.
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There are lots of good suggestions in this post. The only thing you do have control over is whether or not you allow her to use you as an assistive device to help her walk. You could have her doctor "order" you not to be her crutch, or walker because it is not safe for her. "Sorry mom, we can't help you walk because your doctor has ordered us not to. We can't go against the doctor."
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I had the same problem with my mom. She had balance problems as well as weakness, but insisted that if I just held her hand she'd be fine. I tried it once, as soon as we entered the store she exclaimed that she needed to sit down. Of course there was no place to sit, so she insisted that she was going " to the ground". I held her up using a wall for support and told her that if she fell, I could not pick her up and would have to call an ambulance. She immediately found the strength to return to the car! She, too, refused a walker even after PT instructed her in it's use. She would push it in front of her like a wheelbarrow and refused to use it correctly. PT finally discharged her as non- compliant because she fought them every step. She now cannot stand alone and has to be transferred from chair to bed, bathed in bed and wear diapers because she refused to learn to use either a walker or a rollinator. She now complains constantly that she is "stuck" and can't do anything. Try explaining to your mom the consequences of not learning to remain mobile. The walker will help her to maintain her independence.
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mumtothree Nov 2018
Ah, the lack of park benches in Stop & Shop and Target. My mother sang a similar refrain - as soon as we had walked through the entrance, she needed to sit down. Took awhile but we finally convinced her that's what the motorized shopping carts are for. Not so much that she "couldn't" walk, but that she did not have the stamina to navigate the store.
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I would simply tell her that she is causing you pain and putting you in danger. Be honest and stick to that. Do not continue to enable her refusal of her walker . Then tell her that if she does not use the walker that she will have to sit and not walk at all. I hate to say this but as a mother, when my child refused things that she needed or threw tantrums, i did not give into them, and i stuck to my guns.
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Linda22 Nov 2018
I had to do this with my mom's refusal to use a wheelchair for long walks like shopping at the mall or going to the movies. She thought I'd cave in, but I knew she couldn't do that walking. After 2 annual visits (4 months in duration each time), I mentioned it would be more fun for her if we could do things like going to the mall. By Year 3, she decided to use the chair.
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You know how people say elders are like toddlers...sometimes we need to use the same techniques as with kids.  We want children to think it is their choice, when it really is smoke and mirrors...like "Do you want the blue shirt or the red shirt?"  Well, you could use "Do you want the walker or the wheelchair?" and you take yourself out of the options, but still giving her some room to make a decision.

My mother is in her mid 60's with a degenerative neuro muscular condition...she is in a wheelchair, she can transfer, but not walk.  And we have several assistive devices to help her hold herself up...we don't use ourselves, we only guide her.
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Oh yes, the “I don’t need a walker” situation! My mom did this for years, until I finally got her into physical therapy, and her therapist told her she needed to use a walker. From that moment on, she has used a walker! It just took someone else that was working to help her, to tell her, and it worked! Good luck!
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1nephew Dec 2018
I think we just have to accept that there are limits to what our parents will accept from us. My sister and I could not get our mother to physically get into the shower. One day I told her 2 private aides- mostly kidding- that I'd give a $25 bonus to whomever could get my mother to take a shower. One of them managed to do it. The rest of us don't even try anymore. Our dear J. is an angel with unique powers. My mother will even admit to her that she enjoys them, as she used to. But she will never admit this to us. That's life. Or, should I say, it's the new normal!
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You know how people say elders are like toddlers...sometimes we need to use the same techniques as with kids.  We want children to think it is their choice, when it really is smoke and mirrors...like "Do you want the blue shirt or the red shirt?"  Well, you could use "Do you want the walker or the wheelchair?" and you take yourself out of the options, but still giving her some room to make a decision.

My mother is in her mid 60's with a degenerative neuro muscular condition...she is in a wheelchair, she can transfer, but not walk.  And we have several assistive devices to help her hold herself up...we don't use ourselves, we only guide her.
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My Aunt uses a wheelchair as if she was pushing the person. This gives her control and mobility.
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1nephew Dec 2018
Jeez Louise!
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My mom was using the walker, but she sometimes feels like the walker was in her way. Most of the time, she kept forgetting to use the walker. I had to keep reminding her. In the other hand, my dad assisted using the walker because he knew that he would lose his balance. At the end of his life, he would sometimes forget to use his walker.

If I were you, I would tell your mom that her walker is a tool to keep her safe when she has to walk so she won’t get broken bones if she falls. Be safe than sorry!
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my dad who died just 2 months ago was difficult on this one too. I would appeal to his need to help you stay safe as a previous poster said. Failing that, honestly, I would refuse to take him out. I get that they need to have some independence in decision making, but not when it is dangerous to either of you.
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