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If he's a responsible kid (and it sounds like he is) and has places to call if he has issues, I'd feel comfortable leaving him with grandma - IF he's ok with the idea. Make sure he's comfortable. And run through some possible scenarios with him (and write them out with what to do). Keep that handy for him when he's alone with her.
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I see no problem as long as he has someone close. If she falls again, he should not try to pick her up. You probably shouldn't have before. Hips break easily and you should wait until the EMTs come.
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I agree with Cwille. He sounds like a good kid.
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I think under 2 hours with help right next door is not asking too much, I know my brother and I sat with my grandfather when we were around that age.
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