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Wow, I can't count the number of times that groups I've been a part of have stopped to offer assistance. Often this means changing our our plans and timetables to help others. I consider this a part of the experience and responsibility of exploring and enjoying rivers. I am sad to hear that someone would just say no to you. Hopefully that was a good reason that he said no to you even if it is painfully un-obvious to us.

Did you consider re-setting the shoulder in the field? I have heard that it is generally better when help is hours away to re-set dislocated shoulders. Disclaimer: I have never re-set a shoulder - but have been trained in how to do it and it seems like a fairly simple procedure.
 
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