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A cyclist was injured when a driver negligently opened a car door into a bike lane. Doctors recommended a routine outpatient procedure that was low risk, commonly performed, and likely to restore most use of the cyclist's shoulder. The cyclist refused the procedure for no stated reason. Expert testimony showed that half of the cyclist's later lost wages would probably have been avoided with the procedure.
How does the refusal affect damages?

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The plaintiff may recover nothing because refusing treatment cancels all damages from the accident. The plaintiff's recovery may be reduced for avoidable harm if she unreasonably refused a safe, ordinary, and likely effective treatment after the accident. The plaintiff's refusal affects only duty, not damages. The plaintiff's recovery is reduced only if the defendant proves the plaintiff intended to help the defendant.

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